NCS01687_2023Permit_Initial

2023
Permit and Registration
2853 Chimney RR, LLC
is hereby issued a Septage Management Firm Permit,
�4 Nti STATE
Permit Number NCS-01687
- o and registered as a e:-e D
NORTH CAROUNA
ILL i2�ti�
-�� Septage Management Firm Department o}Enulr nmental�llty�Q
aunrt�J
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NORTH CAROLlNA (NON -PUMPER)
Environmental Quality
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 only authorized to operate Septage Management Facilities listed below:
1. Septage Detention or Treatment Facility, SDTF-45-03
This pen -nit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention orTreatment Facility, or any other solid waste management facility
not specified herein. Also, this permit does not entitle the permit holder to operate a pumper vehicle for the transportation of Septage.
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.
Wm Perr Digitally signed by
Y Wm Perry Sugg
Sugg 112:3610-04'006
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE MANAGEMENT FACILITY
(NON -PUMPER - $200 FEE PER FACILITY)
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION
1646 MAIL SERVICE CENTER, NC 27699-1646
(1.) Facility name:
Street address of office 1/.-T-0 &-)a _
Mailing address (if different)
County /" �4al:21-yGo /-
(2.) Facility owner's name DZzzz'ao et
Mailing address
Phone:
(3.) Facility operators name _L zi
(4•) Type(s) of septage managed (cheek all that apply)
Domestic
Treatment Plant IndustriallCommerdial
0­4
title rule 8�
Portable Toilet Waste Grease (restaurant)
(5) Facility Types: Check all that are applicable and provide the permit numbers.
a) Septage land application site
b) Boat pump -out storage
c) Septage storage tanks
d) Septage treatment
e) Grease treatment
(6) Name and Permit Number of all permitted Septage Management Firms using facility:
(1)
(2)
(3)
(Use additional sheets if necessary)
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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 b sec upon incorrect or inadequate information that materially affected the decision to issue the permit
and that there criminal pe 'es for knowingly making a false statement, re r ntati , or certification.
I LA
?VWatureP Date
Print Name rile
*Signature of company official required.
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