NCS01398_2023Permit_Modify

2023
Permit and Registration
United Site Services (Gastonia)
is hereby issued a Septage Management Firm Permit,
�4 �Nti STATE
Permit Number NCS-01398
- o and registered as a
e:,e D
NORTH CAROUNA
EQ�J
ILL i2�ti�
-�� Septage Management Firm iM1epartmento}Enulr nmentalllty
aunrt
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. Long Creek WWTP, Dallas, NC
2. Cub Creek WWTP, Wilkesboro NC
This pen -nit does not entitle the pemut 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 mayresultin the Department suspending orrevokingthispermit,initiating action to enjoin the unpernutted 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 pen -nit and registration expires on
December 31, 2023.
W m Pe rr Digitally signed by
Y Wm Perry Sugg
Sugg 115:2726— 7 0400'
Perry Sugg, Environmental Compliance Branch Head

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality RECEIVED
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646 �
MAY
Fee assessments and waste determinations will be required at the discretion of th%Q G TE SEE710N
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
Incoming wastewater stream.
I, Glenn Clark, __ WW #998763 Town of Wilkesboro Cub Creek W147P_
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
7fNJSnvderStreet Wilkesboro NC28697
(Address)
336-981-1078 do hereby authorize United Site Services Gas nia
(Phone Number) (Owner/Operator of Septage Management Firm)
Of _ NCS-01398
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage X portable toilet waste X
grease septage (grease trap pumpings) commercial/industrial septage X from
Northwestern North Carolina
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
100 In der Street Wilkesboro AFC 28697
(Location)
between the hours of 7:00am —10:00 m
Reintroducing partially treated liquid Into a grease trap is acceptable Yes `X No
This authorization shall be valid until December 311t 2023
(Usually December 31, Year)
a
Signed
(Facility Operator)
Subscribed and affirmed before me this
(Notary Public)
Date a� cq F
day of .20 495
My Commission expires. aa10&3
Amber H Gai'w�
RMWSEAL)
My Cwwbw , E North Caroline
12-02 2
Mote: Falsification of this document by the septage management firm shall lead to permit revocation.
S,/S01d_WasW/CWSEPTAWFORMS/2018 Firm AppOcation/WWrP Authorization Form 2019