NCS01701_2023Permit_Initial

2023
Permit and Registration
VP Site Services, LLP
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01701
and registered as a
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NORTH-� -�� Septage Management Firm�� �� w� ��nta��ity
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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. Eastside WWI'P, High Point NC
2. City of Asheboro WWTP
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 Perry Digitallysigned by
Wm Perry Sugg
Sugg Date: 2023.08.17
13:49:38-04'00'
Perry Sugg, Environmental Compliance Branch Head

NSW oeEe-I'k-vbf-
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
State: Zip
Phone: k0 — l0%:--) LA' rl 1 w 4 Fax:
E-Mail: 1,
County: b Septage Management Firm permit number NCS #
(2.) Firm owner's name: A�A
Mailing address (if different):
City:
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
(1.) Firm name: (The "Firm name" must be exa as it is shown on your vehicle(s)).
� S► � ,ex i t�5 IGLP
Street address of office: 31, wj a qyi y'i cxle- .
City: State: NO Zip: 2g
Mailing address (if different):
City:
Zip
Phone:—3 3 kO 1- 6-1 b4 Fax:
(3.) Firm operator's name: tr,, YYl'il C-1 Firm operator's title: Oi' ru-y
Mailing address (if different):
City:
Phone:
State: Zip:
(4.) Type(s) of septage pumped: Write in the number of gallons aumned in last 12 alpfi#hs (Example: Domestic: 50,000).
Domestic Portable Toilet Waste I Grease
(5.) N.C. Counties of Operation: n
Treatment Plant Industrial/Commercial
S�
you are authorised to
(6.) Total Number of Pumper Vehicles Operated: 1
Number used for Domestic Septage:- Grease (restaurant):
Other. Portable Toilet Waste: _ 1
Vehide Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Capacity
1
'a� 2�125Z
fir -5VGF 2a2 L00
2
q UU5
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) ( yes ( ) no.
If you checked yes above, you must attest to the Tollowing 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 13B .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? (9 yes ( ) no Initial Date
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ('`P) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0833(c)(14) of theSeptage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#:. Expiration Date: SI AS#- Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date:__ _ _ SDTF#:, __ Expiration Date: _
(9.) Septage Management Firm Aerator Training Completed:
Date: 2 Location: W i n e. Hours:
Training Sponsored or Provided by:
(10.) Septage Land Application Site Operator Training Completed:
Date:
Training Sponsored or Provided by:
(11.) Registration type requested: CHECK ONE
Location:
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm: ✓
Certification Statement
Hours:
E
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 awam 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.
Signature [Signature of companyofficial requirex�
0
l�p'YGI
Print Name
Other Comments:
®� -wa
Date
Oo')n V Vp
Title
PAGE 2
Rev.10-27-2020

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.
John Thomas, Certification # 1000478, City of High Point Eastside WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
5898 Riverdale Drive Jamestown NC 27282
(Address)
336-822-4730 do hereby authorize Daniela Herrera
(Phone Number) (Owner/Operator of Septage Management Firm)
of VP Site Services LLP NCS #t01701
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage Yes portable toilet waste Yes
grease septage (grease trap pumpings) No commercial/industrial septage No from
Triad Area
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Eastside WWTP Septage Receivina Station
(Location)
between the hours of 7:00 AM - 5:00 PM Monday - Sunday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until
December31, 2023
(Usually December 31, Year)
Signed 1 �' Date 1
(Facility Operator)
S cribed ano affirmed befo me this ZD Z ; day of 20
My Commission expires: I L/ Z DZ
(No ry P blic) .NpA G egg
ti
�FFI�®JFAS��L} �N
O pU8 t_IG U
Note: €akif}-U{gxi of this document by the septage management firm shall lead to pefVk *vocation. ,�k
S:/Sale Waste/CLA/SEPTAGE/FARMS/2018 Firm Apphc Mun/WWTP Authorization form 2018
�.izz�NrrCO�1",�

AUTHOR I ZATI 0 N TO 131 SC14ARG E SEPTAG E TO A WAST E yfl{ATE R TR EAT M ELF EAVOTY
HgrI4 Carolina Department of � nwiran monii aria Natural Fkk-saU rC85
0jv1s.lon4ofWviikeManagernrrnk - Spud Wa&ReSrctkin
1646 f+dalf 5e rvice Cer'r�r, hale igh, NG 27 9-164 6
Fib assessrrti a; a rid waste dettrM MOM■ Mn Will be requeed at the d I&uetLon Of the w&;rew-aler
trearmeni facility. zlw fpolityr has the jftimaxe PTQtCgp#IWe to den if disaarre5 or anw wastes [43 the
Pncofndng wastewater str6a m.
f, Michell K. Wisernnn, 0R Q ky4Its �Fis� arfi,�ate� Platit�i
�Plarfr 0Pera10r Jul ftWorl!Wbre Chage [bRPr (M LIctnsLL Nunnhet, dame a! PL—Tli
14122 Borikemewrr [5_riur. Randleman, K 273i7 _
�.ressl
336,72-QE5 doerubyr�14hori�e
I Phone NurMhei)
Qa rpiel$ Herrera
j Ow ri er/Chqe r.Mew br 5e�5[a e�rlaiF.7R.;rrrgnq krr )
[if VP &* Services, LLB 0170f
j6ep4gp, anO PCS numbee)
yea dispose of- crgme#kitm*Ptage J Ro+#al�ls I-Qilfik waste X
grease sepTjogC (grea5-q trap pumpings� _ commer4laUindusir*1 seprage from
Pandolall 17jourLtie
fCgunty or obher Gvojrjvtwc Areas
at the a#nu4 named wasqzuokertre,arrtr m f;3614}- Septage shill 1),e discharged aR:
m as N 7
[Locatlanj
bt W& n t he Fouts ar 00 a.m. t-0 5 r00 -M. Mandy ri On
$fiir5 e"riiiing partially Imited liquid Ilk* agtease trap is a{r ble Ye# —4—f#O
Fhis auklhotltaklOrl Aall be valid urrkhl Vecohec
gjss+,illy Qeee nbgr 3 L Year)
Signed. r sr . ", page '
(Fi011ryrQperptor�
Sulpxr+bed a iW 4(firme6 befor-e me the _ ' day Di � . 0 _
My cam nhl#5i h expi 1 rs
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ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Ms. Daniela Herrera
VP Site Services, LLP
3189 Bowers Creek Road
Randleman, NC 27317
NORTH CAROLINA
En vironmen (a I Quality
July 28, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
VP Site Services, LLP NCS-01701
Dear Ms. Herrera:
We have received an Application for Permit to Operate a Septage Management Firm and payment of
$550 for the permit fee. 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 at least one disposal authorization has been submitted to this Office and the
vehicle(s) have been inspected forcompliance with the rules and approved bythe Division. When
the Permit to Operate a Septage Management Firm is issued, the Firm Permit Number will be NCS-
01701. 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-01701, 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 email at Chester. Cobb(cDdeq. nc.gov to request a truck inspection.
This lettershall 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: 2023.07.28 16:53:22-04'00'
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