NCS01704_2023Permit_Initial

2023
Permit and Registration
The Cooke Boys Septic Services
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01704
o and registered as a
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-�� Septage Management Firm�� �� w� ��nrai�utr
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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:
Anson County Regional WWTP, Wadesboro NC
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
Sugg Date: 0 3:50 07— 04'00'7
Perry Sugg, Environmental Compliance Branch Head

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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.) F.i-rim-,name: (The "Firm name" must be exacfiv as it is shown on your vehicie(s)).
Street address of office:
City: 'Ll V Stater(,) , L Zip:zl-37fl
Mailing address (if different):
City: State: Zip
Phone: '' C t- o Fax:
E-Mau: et;. 1. c 6ttl- `✓
County: k 6NnA Septage Management Firm permit number: NCS # t
(2.) Firm owner's name: —r
Mailing address (if different):
City: _ State: Zip_
Phone-- Fax:.-
(3.) Firm operators name: MPCCtjc . I �,. C.c,,O�S Firm operator's title: , yv L -
Mailing address (if different):
City: ._ _ State: Zip:
Phone:
0
tp N, Q
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(4.) Type(s) of septage pumped: Wln Mg number of aa� Uonpr,�(1a 12 mnnrhs (Example; Domestic: . U Q
Domestic
(5.) N.C. Counties of Operation:
Fax:
Waste i Grease
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: I_ - - -
Number used for. Domestic Septage:_ _ k. _ Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Capacity
1
D a
L 2 SZZ
Zoo©
2
3
4
-
-- -
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (V yes ( ) 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 138.0844(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?) yes ( ) no Initial' li Date
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant ( yes ( ) no. If 4s, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0833(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SIRS) Permit Numbers: (use additional sheets if needed)
SLASit_Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTFM -. -`-- _Expiration Date: SDTF# Expiration Date: -
(9.) Septage Manage" nt Firrp Operator Training Completed:
Date: Location: �Z�F (-GA!6S Hours:
Al —
Training Sponsored or Provided by: U�oca
(10.) Septage Land Application Site Operator Training Completed:
Date: Location: Hours:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm: -
Registered Septage Management Firm: •�
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
I certify that the information and representations In this application for a permit are We, 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.
Sllq j'ura (Signatrme of comppa yo�f"ifcial requkeo
Print Nam Wn e(,Asu) < e eaoAP
Other Comments:
Date
1),')
Tide

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 GARRISON: 990415 ANSON COUNTY REGIONAL WASTEWATER TREATMENT PLANT
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) v
POST OFFICE BOX 553 WADESBORO NC 28170 _
(Address)
910-417-7500 do hereby authorize Andrew Leon Cooke
(Phone Number) (Owner/Operator of Septage Management Firm)
of The Cooke Boys Septic Service NCS#
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage _ [XI portable toilet waste ---jXl
grease septage (grease trap pumpings) _ commercial/industrial septage , from
ANSON. RICHMOND SCOTLAND & UNION COUNTY NC
CHESTERFIELD DARLINGTON LANCASTER & MARLBORO COUNTY SC
(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 & 4:30pm 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 ua ! Date a
(Facility Operator)
Subscribed and affirmed
beforeemethis _ 26 day of Jule
*-- �A sb�� _ MyCommission expires:
(Notary Public)
(OFFICIAL S
�i A�1' ° •��'�
MY
CO"DI!MCN ExoIRES
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
5:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016

ROY COOPER
Governor
ELIZABETH S. BISEP,
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Jeffery Cooke and Mr. Andrew Cooke
The Cooke Boys Septic Services
981 Airport Road
Rockingham, NC 28379
NORTH CAROLINA
Environmental Quality
August 11, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
The Cooke Boys Septic Services NCS-01704
Dear Sirs:
We have received an Application for Permit to Operate a Septage Management Firm, payment of $550
for the permit fee, and a disposal authorization for Anson County Regional WWTP. Also, we have record
of your attendance at the New Operator Class on July 13, 2023. However, your Application for Permit
to Operate a Septage Management Firm will not be processed until 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-01704. 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
Dermit number. NCS-01704. must be visible and Dermanently attached on both sides of the Dumoer
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 email at Chester. Cob b(a)deq. nc.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,
Dig cnl Cheste by Chester Cobb
DN: cn=Chester Cobb, o=NC DEQ, ou=Division of Waste
Man agement,email=[e-mail],c=US
r Date: 2023.08.11 15:46:52-04'00'
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
owr
�� North Carolina Department of Environmentai Quality I Division of Waste Management
z.,-DEf
217 West Jones Street 1 1646 Mai Service Center I Raleigh, North Carolina 27699.1646
919.707.8200