NCS01671_2023Permit_Modify

2023
Permit and Registration
Lago Vista Septic
is hereby issued a Septage Management Firm Permit,
STATE
_ Permit Number NCS-01671
o and registered as a
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-�� Septage Management Firm�� �� w� �nffii�uty
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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. Rocky River Regional WWTP, Concord NC
2. City of Monroe WWTP
3. Anson County Regional WWTP
This permit does not entitle the pen -nit 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 operateas permitted mayresultin the Department suspending or revoking this perni t,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 Wm
Y Perry Sugg
S u g g Date: 2023.06.07
14:20:54-04'00'
Perry Sugg, Environmental Compliance Branch Head

onro e
North Ca roi ma
AUTHORIZATION TO DICHARGE SEPTAGE TO A WASTEWATER TREATMENT
FACILITY
1. Kyle Ketchum WWTP Superintendent
(Plant Operator or Authorized Representative)
City of Monroe Wastewater Treatment Plant
[Name of Plant]
775 Treeway Drive Monroe NC 28114 704-282-4612
[Address/ Phone Number]
do hereby authorize Juan Carlos Rocha, Duly Authorized Representative of
(Owner/Operator of Septage Management Firm)
Logo Vista Septic LLC NCS# (0 1671 )
(Septage Management Firm Name and NCS #)
This authorization is not valid until Septage Management Firm Permit is issued and received by the City of Monroe
to dispose of: domestic septage _A_, portable toilet waste grease septage (grease trap
pumpings) NIA, commercial/industrial septage NIA from
Union County, North Carolina at the
(County or other Geographic Area)
above named Wastewater Treatment Facility. Septage shall be discharged at City of
Monroe Wastewater Treatment Plant 775 Treeway Drive Monroe NC 28110
(Location)
between the hours of 8:00am — 5:OQpm, Monday — Friday .
Reintroducing partially treated liquid into a grease trap is acceptable `yes X no
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. This Authorization shall be valid until December 31., 2023.
Si ed: Date -
(facility Operator or Authorized Representative)
Note: Falsification of this document by the septage management firm shall lead to permit
revocation
Citv 4 Xln3ii4)v t 110 Bnx h() ► Nh)nroe. NC yS i T 1-!] i79
www.monroenc.org

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, NC 27699-1646
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, GARY GARRISONZ 990415, ANSON COUNTY REGIONAL WASTEWATER TREATMENT PLANT
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
POST OFFICE BOX 553 WADESBORO, NC 28170
(Address)
(7041 994-3281 do hereby authorize Juan Carlos Rocha Villa
(Phone Number) (Owner/Operator of Septage Management Firm)
of Lago Vista Septic NCS 4 NCS-01671
(Septage Management Firm Name and NC5 number)
to dispose of: domestic septage 1XI . portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
RICHMOND, MOORE, MONTGOMERY SCOTLAND & ANSON COUNTY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
THE MAIN LIFT — WWTP SITE — 1360 HOLLYWOOD ROAD WADESBORO NC
(Location)
between the hours of 7:30am & 4:30 m Monday — Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes _[X]—No
This authorization shall be valid until December 31, 2023
(Usually December 31, Year)
Signed pate 5/23/2023
(Facility Operator)
Subscribed and affirmed before me this 23rd day of May, 2023
ar My Commission expires: May 12, 2024
(Notary Public) ;�e-,
kA
(OFFICIAL SEAi� �
�V44h7f�4fOt11 rXPJAES
(/B tt jo
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016
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