HomeMy WebLinkAboutNCS01398_2023Permit_Initial2023
Permit and Registration
United Site Services (Gastonia)
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01398
and registered as a Septage Management Firm
(PUMPER)
in the State of North Carolina.
This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq.,
conditions of the permit, and representations made in the application and accompanying documents for a permit. The permit holder is authorized to discharge septage only at the locations(s) listed below: 1. Long Creek WWTP, Dallas, NC This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility
not specified herein.
Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on December 31, 2023.
______________________________________________ Perry Sugg, Environmental Compliance Branch Head
State of North Carolina
Environmental Quality
Waste Management
Application for Permit to Operate a Septage
Management Firm
For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707-
8283).
Firm name*
Septage Management Firm permit number (NCS #)*
Street address of office*
County*
Mailing address same as street address of office?*
Phone*Fax
Email*
Firm owner's name*
Mailing address same as street address of office?*
Phone*Fax
Firm operator's name *Firm operator's title
Mailing address same as street address of office?*
Firm Info
United Site Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01398
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
City
Gastonia
State / Province / Region
NC
Postal / Zip Code
28052
Country
United States
Street Address
212 BulbAvenue
Address Line 2
Gaston
Yes No
980-448-9264
alan.sims@unitedsiteservices.co
m
Owner Info
United Site Services
Yes No
800-864-5387
Operator Info
Ralph Alan Sims Operations Manager
Yes No
Phone*Fax
Amount in gallons*
Domestic
Portable Toilet Waste
Grease (Restaurant)
Treatment Plant
Industrial/Commercial
List each county you plan to do business in:*
Do you plan to operate pumper vehicles?*
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe
and sanitary transportation of septage as required by 15A NCAC 13B .0835(a) and vehicle lettering as required by 15A NCAC .0835(b)).
Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0836(a). I am aware that
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date*
Title *
Choose how to add vehicle descriptions*
Upload vehicle list*
Approved wastewater treatment plant*
980-448-9264
Type and amount of septage pumped in the last 12 months
2,135,100
0
0
0
0
North Carolina counties of operation
Gaston, Anson, Brunswick, Burke, Carbarrus, Caldwell, Catawba,
Cleveland, Davidson, Irdell, Lincoln, Mecklenburg, Rowan,
Stanly, Union, Wilkes,
Vehicle Info
Yes No
3/17/2023
Operations Manager
Add vehicles individually Upload List
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle
Identification #, and Tank Capacity.
Gastonia Septage Fleet List.xlsx 163.05KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*Expiration Date*Authorization*
Septage Land Application Sites (SLAS)*
Septage Detention or Treatment Facility (SDTF)*
Other disposal method *
Date*Hours *
Location*
Training Sponsored or Provided by *
Date Hours
Location
Training Sponsored or Provided by
Select one*
Comments or notes
Two Rivers Utilities 12/31/2024 Two Rivers
Permit USS
Gastonia,
NC.pdf
1.1MB
Yes No
Yes No
Yes No
Septage Management Firm Operator Training Completed
3/9/2023 4
Webex online
NC DEQ - New Operator Training
Septage Land Application Site Operator Training Completed
0
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Signature
Date
Print Name*Title *
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best of my knowledge and belief. I am aware that a
permit may be suspended or revoked upon a finding that its issuance was based upon incorrect or inadequate information that materially affected the decision to issue
the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification.
3/17/2023
03:35:16 PM
Ralph Alan Sims Operations Manager
Location Yard Type Truck #Year Make Model VIN Plate
Gastonia GAS P&D 234493 2019 Freightliner M2
3ALACWFC
0KDKV8081
Gastonia GAS P&D 361891 2020 Freightliner M2
3ALACWFC
9LDMA143
1
Gastonia GAS P&D 290515 2020 Freightliner M2
3ALACWFC
8LDLP3092
Gastonia GAS
High
Volume KD7338 2019 Freightliner M2
1FVACXFE9
KHKD7338 P767761
Gastonia GAS Flat Vac S50921 2018 Hino 268
5PVNJ8JM2
J4S50921 JA2378
Gastonia GAS P&D 168205 2017 Hino 268
5PVNJ8JV5
H4S65271
Gastonia GAS P&D 431159 2017 Hino 268
5PVNJ8JV6
H4S66588
Gastonia GAS Service S50771 2019 Hino 268
5PVNJ8JJXK
4S50771 JC2936
Gastonia GAS Service S50772 2019 Hino 268
5PVNJ8JJ1K
4S50772 JC2937
Gastonia GAS Service S50773 2019 Hino 268
5PVNJ8JJ3K
4S50773 JC2956
Gastonia GAS Service S50776 2019 Hino 268
5PVNJ8JJ9K
4S50776 JC2982
Gastonia GAS Service S50778 2019 Hino 268
5PVNJ8JJ2K
4S50778 JC2984
Gastonia GAS Service S50779 2019 Hino 268
5PVNJ8JJ4K
4S50779 JC2985
Gastonia GAS Service S50814 2019 Hino 268
5PVNJ8JJ2K
4S50814 JC2988
Gastonia GAS Service S50812 2019 Hino 268
5PVNJ8JJ9K
4S50812 JH4426
Gastonia GAS Flat Vac S50922 2018 Hino 268
5PVNJ8JM4
J4S50922 JA2376
Gastonia GAS Flat Vac S51523 2018 Hino 268
5PVNJ8JR1J
4S51523 JA2391
Gastonia GAS Flat Vac S50924 2018 Hino 268
5PVNJ8JM8
J4S50924 JA2392
Gastonia GAS Flat Vac S50920 2018 Hino 268
5PVNJ8JM0
J4S50920 JA2393
Gastonia GAS Flat Vac S50923 2018 Hino 268
5PVNJ8JM6
J4S50923 JA2394
Gastonia GAS Service 196029 2018 Hino 268
5PVNJ8JJ7J
4S50631 JC1313
Gastonia GAS Flat Vac 196036 2018 Hino 268
5PVNJ8JR0J
4S51495 JC1319
Gastonia GAS Service 196028 2018 Hino 268
5PVNJ8JJ9J
4S50629 JC1320
Gastonia GAS Service 169828 2017 Hino 268
5PVNJ8JV0
H4S66523 JC1317
Gastonia GAS Service S50774 2019 Hino 268
5PVNJ8JJ5K
4S50774 JC2955
Gastonia GAS P&D P/D 1 2019 Hino 268
5PVNJ8JV9
K4S71811 KJ6651
Gastonia GAS Service PT 11 2019 Hino 268
5PVNJ8JT6
K4S59114 KS6424
Gastonia GAS Water 002955 2021 Mack MD
1M2MDBA
A3NS00295
5 KC5250
Gastonia GAS Service 002424 2022 Mack MD
1M2MDAA
A2NS00242
4 KC5287
Gastonia GAS Pick Up 22SMJ6 2018 Ram 3500
3C63RRGLX
JG267190 P658010
State Status tage Tank Gallons
Active 500
Active 500
Active 500
SC Active 2500
NC Active 500
Active 500
Active 500
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 500
NC Active 500
NC Active 500
NC Active 500
NC Active 500
NC Active 1100
NC Active 500
NC Active 1100
NC Active 1100
NC Active 1100
NC Active 500
NC Active 500
NC Active 2500
NC Active 1100
SC Active 500