NCS01668_2023Permit_Initial

2023
Permit and Registration
Greaseman Services
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01668
o and registered as a
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NORTH
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-�� Septage Management Firm�� �� w� omeotal�llty
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NORTH CAROLINA (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 authorized to discharge septage only at the locations(s) listed below:
1. Septage Detention or Treatment Facility, SDTF-92-12
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.
Wm Perr Digitally signed by
Y Wm Perry Sugg
Date: 2023.06.06
Sugg 16:18:08-04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT • SOLID WASTE SECTION --1646 MAIL SERVICE CENTER, RALEIGH, NC 2769!;-",'')
v ' }7,
(1.) Firm name: (The "Firm name" must be exar, as it is shown on your vehicle(s)j.
Street address of office: U� r-� 1 t,juc►� �,��-, 5.�.1� ��Fz
City: c-k tet L^ State: IJ�-- dip: Z-,, cs 4
Mailing address (if different):
City:
State: Zip
q �Ib4 -Z(St t, �
Phone: nl 1 z� S Fax:
County: J� ftiJ �1t.� Septage Management Firm permit number. NCS #
(2.) Firm owner's name:c,
Mailing address (if different):
City: State: Zip
Phone: '-i Iq - -1 r0 " 5 (i 4 0 02 `r Fax:
(3.) Firm operator's name: II -k- u. Firm operator's title:
Mailing address (if different):
City: State: r Zip:
Jr�f
,cam-•,�
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons nzms ed in last 12 months (Example: Domestic:
1�
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant IndustriallCommercial
(5.) N.C. Counties of Operation:
_ �.InG�'1nCr. �iGw�A.T
(List each county you are authorized to do business in)
(6.)
Total Number of Pumper Vehicles Operated: J-
Number used for: Domestic Septage:
Other:
Vehicle Information: (use additional paper if needed)
License Tag # Vehicle Identification #
Grease (restaurant):
Portable Toilet Waste:
Tank Capacity
APPLICATION CONTINUED ON PAGE 2
PAGE 1
V

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (dyes ( ) 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 138 .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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? ( A yes ( ) no Initial�Date 1 1 51 2d2Z
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( -f—) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
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 Completed:
Date: Location: Hours:
Training Sponsored or Provided by:
(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: X
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.
1' S,
Signature r re of companyofficial required) Date
Print Narrle
Other Comments:
Title
PAGE 2
Rev. 04-26-2021

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission
has been given to a permitted Septage Management Firm to discharge septage into the permit
holders detention or treatment facility.)
'�& kz-
Ck - �C-4
�j �1\ ] (Faac�iliity� Operator)
2�I�
(Operator`Address)
do hereby authorize: ��rtc��"'►�+ '�-�'�
(Owner of Septage Managetnent Firm)
V r�G,(t,�"�,�, NCS #_
(Name of Septage Management Firm)
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # for the treatment or storage of
septage
in 20 o23 . The facility will be operated in accordance with the Septage Management Rules **.
*�
Date:�s�: 7�Signed
(Facility Operator)
* As defined in G.S.130A-290(a)(32)
** As defined in 15A NCAC 13B .0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

P,OY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
NORTH CAROLINA
Environmental Quality
February 8, 2023
Mr. Stephen Allen
Grease Man Services
3200 Lake Woodard Dr., Suite 105
Raleigh, NC 27604
Re: New Firm — Assignment of Permit Number (NCS#)
Grease Man Services NCS-01668
Dear Mr. Allen:
We have received an Application for Permit to Operate a Septage Management Firm and a permit fee
payment in the amount of $550. However, your Application for Permit to Operate a Septage
Management Firm will not be processed until (1) the operator has attended the New Operator
Class, (2) at least one disposal authorization has been received, and (3) 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-01668. 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-01668, 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.cobb(c_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,
Digitally signed by Chester Cobb
DN: cn-Chester Cobb, o-NC DEQ, ou-Division of
Waste Management,
email=[e-mail], c=US
r Date: 2023.02.0815:44:36-05'00'
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
71� North Carolina Department of Environmental Quality I Division of Waste Management
217 West Jones Street 11646 Mail Servite Center' I Raleigh, North Carolina 27699-1646
14
�I� �� 919.707.8200