NCS01685_2023Permit_Initial

NORTH CAROLINA
Environmental Quality
2023
Permit and Registration
Stevens Pumping Service
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01685
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
NORTH CAROLiNA �EQ
W/11
Department of Environmental quality
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. Rocky River Regional WWTP, Concord NC
This pen -nit does not entitle the pen -nit holder to operate a Septage Land Application Site, a Septage Detention orTreatment Facility, or any other solid waste management facility
not specified herein.
Failure to operate as permitted mayresult in theDepartment suspending or revoking thispermit, 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.
Wm Perr Digitally signed by
y wm Perry Sugg
Date: 2023.05.18
Sugg 10:13:35-04'00'
Perry Sugg, Environmental Compliance Branch Head

L
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be xe actly as it is shown on your vehicle(s)).
Stuw Puffipmvservlce,
Street address of office: ` 35M W 5Akr M
City: Mbhr'Oe State: he Zip: 73110
Mailing address (if different):
City:
Phone: q$0-347-5350I
E-Mail:
County:
State: Zip
(2.) Firm owner's name:��j 1,IQj,U L3_
Mailing address (if different): sCi.r1'le
City:,
State
Zip.
Phone: Fax:
(3.) Firm operator's name: Jb51nuD� M Sk erg Firm operator's title:
Mailing address (if different): 5
City:
Phone:
State: Zip:
Fax:
L 9
Q Q
(4.) Type(s) of septage pumped: W " e in the num er of gallons pumped in last 12 months (Example: Domestic: 50,000).
(5.) N.C. Counties of
Portable Toilet Waste I Grease (Restaurant) Treatment
each county you are a
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:_ T Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
ness in)
APPLICATION CONTINUED ON PAGE 2
PAGE 1
mercial

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) ( Vf'yo'es ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"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 .0844(a) and vehicle lettering
as required by 15A NCAC .0844(b). Furthermore, I also certify that a log is maintained of each septage pumping event as
required by 15A NCAC 13B .0839(a). I am aware that there are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? (t�yes ( ) no Initial Date • �13
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: (' ) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0833(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date:_ _ SDTF#: —Expiration Date:_
(9.) Septage Management Firm Operator Training Comple` d:
Date: A -01- V1 Location: _ Hours:
Training Sponsored or Provided by: JAU
(10.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm: V11,
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
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.
Signa u compcanyofficiairequired)
--
Print Name
Other Comments:
WX
Date
Title Owner
PAGE 2
Rev.10-27-2020

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming wastewater stream.
I, James Christian Sims, #999309, Rocky River Regional Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, North Carolina 28025
704-788-4164, x114 do hereby authorize Joshua Stevens (980-347-5359)
(Owner/Operator of Septage Management Firm)
of Stevens Pumping Service
NCS # 01685
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage YES , portable toilet waste YES
grease septage (grease trap pumpings) NO commercial/industrial septage NO from
Cabarrus and surrounding counties.
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
6400 Breezy Lane, Concord, NC 28025
(Location)
between the hours of 7AM and 7PM Monday -Saturday; Sunday upon request.
Reintroducing partially treated liquid into a grease trap is acceptable Yes V No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed /1 2 '-l< �' -
ames Christian Sims, Facility ORC
Subscribed and affirmed before me this 15th
n' " - /I f I I
Date May 15, 2023
day of May , 20 23
• My Commission expires: Ivlay tidlAi>—
Angela Hill, Notary Public ,,.���ELA K. /,Y/N,,,���,
-fq,Q '
n _40_ : z
501' 110' V.
AN
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Joshua M. Stevens
Stevens Pumping Service
3502 New Salem Road
Monroe, NC 28110
NORTH CAROLINA
Environmental Quality
May 4, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
Stevens Pumping Service NCS-01685
Dear Mr. Stevens:
We have received an Application for Permit to Operate a Septage Management Firm and payment of the
$550 permit fee. Also, we have record of your attendance at the March 9, 2023, New Operator Class.
However, your Application for Permit to Operate a Septage Management Firm will not be
processed until at least one disposal authorization has been received, and the vehicle(s) have
been inspected for compliance with the rules and approved by the Division. When the Permit to
Operate a Septage Management Firm is issued, the Firm Permit Number will be NCS-01685. Please
note that this letter is not a permit.
Requirements for the pumper vehicle(s) can be found within 15A NCAC 13B .0835 of the Septage
Management Rules. As noted within Rule .0835 (b), the firm name, town name, phone number, and
permit number, NCS-01685, must be visible and permanently attached on both sides of the pumper
vehicle. Each letter must be at least 3 inches in height. When the required lettering has been completed,
please contact me at 919-707-8283 or by email at chester.cobbCa)_ncdenr.gov to request a truck
inspection.
This letter shall not be considered as a permit to operate a Septage Management Firm. Please
note that you may not legally operate a septage management firm in North Carolina without a
permit. General Statutes, GS 130A-291.1 (c) states in part "A septage management firm that
commences operation without first having obtained a permit shall cease to operate until the firm obtains a
permit under this section." You are hereby advised that, pursuant to N.C.G.S. 130A-22, an administrative
penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Statute or
Regulations. If you have any questions, feel free to contact me at 919-707-8283.
Sincerely,
1?;�T
�;g
Digitally signed by Chester Cobb
DN: cn=Chester Cobb, o=NC DIED, ou=Division of
Waste Management,
[e-mail], c—US
Date: 2023.05.04 10:17:54-04'00'
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
C�:<
D E Q�� North Carolina Department of Environmental Quality I Division of Waste Management
-
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699-1646
NORTH CAROLMA
Depa,CnemmFnvlronmemal0uar� /`� 919.707.8200