NCS0703_2023Permit_Initial

2023
Permit and Registration
HST LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00703
o and registered as a
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-�� Septage Management Firm�� �� w� ��ntai�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:
1. Town of Spindale WWTP
2. Septage Detention or Treatment Facility, SDTF-81-05
3. Septage Land Application Site, SLAS-81-05
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
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.09.06
15:46:04-04'00'
Perry Sugg, Environmental Compliance Branch Head

For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707-
8283).
Firm Info
Firm name*
HST LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS00703
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
1356 Race Path Church Rd
Address Line 2
City
Mooresboro
Postal / Zip Code
28114
County*
Rutherford
Mailing address same as street address of office?*
0 Yes 0 No
Phone*
8284530548
Email *
[e-mail]
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Thomas W Harris
Mailing address same as street address of office?*
Yes No
Phone* Fax
8284530548
Operator Info^'
Firm operator's name* Firm operator's title
Thomas W Harris
Mailing address same as street address of office?*
_, Yes U No
Phone* Fax
8284530548

Type and amount of septage pumped in the last 12 months ^
Amount in gallons*
Domestic 560,100
Portable Toilet Waste 96,000
Grease (Restaurant) 63,700
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Rutherford, Cleveland, Polk, Gaston
Vehicle Info
Do you plan to operate pumper vehicles?*
Yes No
"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 .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 significant penalties for false certification including the possibility of fine and imprisonment."
Signature
�.111d,
Date *
8/28/2023
Title*
Owner
Choose how to add vehicle descriptions*
0 Add vehicles individually 0 Upload List
Upload vehicle list*
You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle
Identification #, and Tank Capacity.
VEHICLE4License.xlsx 13.21KB
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 Yes 0 No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section

1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name* Expiration Date* Authorization*
Town of Spindale 12/31/2023 WWTF.pdf 279....
Septage Land Application Sites (SLAS)*
Yes No
If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site.
Permit Verification
E2 I certify that I AM the permit holder for this SLAS.
If unchecked, please attach a signed land application authorization form for each site.
SLAS #*
SLAS-81-05
Expiration Date*
4/26/2022
Septage Detention or Treatment Facility (SDTF) *
Yes No
Other disposal method*
Yes * No
Septage Management Firm Operator Training Completed
Date * Hours*
1/27/2023 6
Location *
NCSTA —Hickory Convention Center
Training Sponsored or Provided by*
NC Septic Tank Association
Septage Land Application Site Operator Training Completed,
Date Hours
1/27/2023 6
Location
NCSTA —Hickory Convention Center
Training Sponsored or Provided by
NC Septic Tank Association
Registration Type
Select one*
O Registered Portable Sanitation Firm
Q Registered Septage Management Firm
Q Registered Portable Sanitation and Septage Management Firm
Comments and Notes

Comments or notes
Certification Statement
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.
Signature
teo'll--fl
Date
8/28/2023
12:58:31 PM
Print Name* Title*
Thomas W Harris Onwner

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2NPLHZ7X15M848467
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2NP2HJ7X9HM445789
YEAR
MAKE
MODEL
BS
1999
INTL
PUMP
TK
1999
INTL
PUMP
TK
2005
PTRB
CONVENTION
TK
2007
FORD
LGT CONVTNL
TK
2017
PTRB
#2
TK
PLATE ID NOTES
LM8792 INT PJ-33000 LBS GW(PJ)
YA92638 4900-33000 LBS GW
YA129136 PETERBILT-33000 GALLONS GW
CL6929 PJ Truck
YA92637 PETERBILT-33000 GALLONS GW

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Llivision 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.
o C;a'�.r c,r q 9 5'?ca 2. Town of f Spindale
(Plant operator in Responsible Charge (ORC), ORC License Number, Name of Plarrt).
327 Ecology Street, S 0clale, NC, 28160
(Address)
828-286-3407 d❑ hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
of I-/4 r r! s S- f e- hk NCS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage XXX portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage from
Rutherford County, Cleveland Count
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
The influent distribution box inside the plant
(Location)
between the hours of &00 AM & 3:00 PM No weekends or Holidays
Reintroducing partially treated liquid into a grease trap is acceptable Yes xxx No
This authorization shall be valid until 1-2 �Jd2 3
Signed
(usually December 31, Year)
Hate f 0 ��r✓L 2-
(Facility Operator)
Subsc ' ed and affirmed befo a me this day of�0 4Z� . 20
a — My Commission expires:
(Votary Public) e4ti t1111i�1j�
s4f,
IAL S )Oda �'`
x:
Note: Falsification of this document by the septage management firm shall lead to per";, F�y�c" C iP. d
S /$Diid_WO$te/CLArSEPTAGEYFORMi2DlS Firm Appllcatimi/WWTP Authorization Farm 207$
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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,
(Plant Operator in Responsible charge (ORC), ORC License Number, Name of Plant)
828-248-5217 do hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
of NCS #
(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 - , from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
397 Riverside Dr. Forest City NC 28043
(Location)
between the hours of 7:QGAM a d 30EM
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 Date— °l - 3
(Facility O rator)
Subscribed and affirmed before me this day of I 20
Nl\My Commission expires:_ +
(Notary Public),ett11111r►►I,
(OFFICIAL JU rrrr
Q U ��
Note: Falsification of this document by the septage management firm shall lead to permit revoca6r�l
5-/Solid Waste/CLA/SEPTAGE/FORMS/2015 Firrn Application/WWTP Authorization Form 2016 �r `�O�ta►

North Carolina Department of Environmental Duality
prvision of Waste Management INVOICE
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
T-r, Thomas W Harris Phillip L Harris
HST LLC
1356 Race Path Church Rd
Mooresboro, NC 28114
Invoice Date: September 27, 2022
Invoice #: NCS-00703-2023
I nESCRIPTION I AMOUNT ©UE
Septage-Annual:
HST LLC (NCS-00703)
1356 Race Path Church Rd
Mooresboro, INC 28114
Annual Fee 2023 - Number of Trucks: 5
Pavment Qotions:
$800.00
Total Amount Due i $800
Date Due. December 15, 2022
E-check - Available online at https,l/epay.deq.nc.gov/sw-epayments.htmi
Requires bank account and routing information. You will need to use the zip code in the description box and the Invoice number
shown on this invoice to access Vour account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card - Available online at https:l/epay.deq.nc.gov/sw-epayments.html
Accepts MasterCard, Visa, and discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip coda is not listed, use the code: 99999 along with the invoice number.
"Convenience Fee of 2.65% added to amount invoiced.
Paper check - Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and Invoice number on
check. If you are paying by electronic transfer, Include the invoice number with your electronic transfer. Please return a copy of this
Involce with vour ❑avment.
Mail paper checks to:
N.C. division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Facility's Current permit Status_
Pursuant to North Carolina General Statute 13OA-291.1 you are required to pay fee(s) based on your solid waste management activities. The fees) shall
be used to support the septage management program.
SeptaAe Management Program Contacts:
Chester Cobb [phone]
Jeffrey Bullard [phone]
LATE FEES:
In accordance with NC General Statutes GS 130A-291.1(e2 ), a
late fee will be applied to any annual permit fees not submitted
by January 1, 2023.
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http://deq.nc.govi
North Carolina Solid Waste Program - http //deq.nc.gov/about/divisions/waste-managamentJsolid-waste-section
NC DEO:WM Solid Waste invoice Farm 1-2023

8130123, 3:05 PM
NC DEC] ePayments
rui official websae of the State of North Carolina Aii official uvet)site of NC How you know v_Q
NC.GOV AGENCIES JOBS SERVICES W Select Language
Solid Waste ePayments Receipts
ePayments - Online Payments
WARNING: Do not click the browser back button! Doing so may cause a payment to be
processed!
Thank you for your payment.
Payment Type: VISA
Amount Paid: $821.20
Date Paid: 8/30/2023
Confirmation number: 23083000813970
Authorization Code: 03O2O6
Disclaimer: The ePayments System will not be updated immediately with your payment
transaction until the next business day. Therefore, paid invoices will continue showing
outstanding in the system until 1 business day or 24 hours after the transaction was
made.
Would you like to pay another invoice?
https://epay.deq.nc.govisw-epayments-receipts.html7c=2&m=""&o=23083000813970&t=821.20M =8%2f30%2f2023&z=030206&ct=VISA&hash=490E... 112

North Carolina Department of Environmental Quality
s Sld Division of Waste Management INVOICE
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
T�?: Thomas W Harris Phillip L Harris
HST LLC
1356 Race Path Church Rd
Mooresboro, NC 28114
Invoice Date: January 24, 2023
Invoice #: NCS-00703-2023LF
DESCRIPTION AMOUNT DUE
Septage-Penalty: $400.00
HST LLC (NCS-00703)
1356 Race Path Church Rd
Mooresboro, NC 28114
Late Fee 2023 - Number of Trucks: 5
Total Amount Due
Date Due: February 24, 2023
Payment Options:
F-check - Available online at htips:llepay.deq.nc.govlsw-epayments.html
Requires bank account and routing information, You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card - Available online at hUps:llepay.deq.nc.gov/sw-epayments.html
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
'Convenience Fee of 2.65% added to amount invoiced.
Paper check - Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with vour payment.
Mail paper checks to-
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
[G.S. 25-3-506. A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Facili 's Current Permit Status:
Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management activities. The fees) shall
be used to support the septage management program.
Se to a Management Pro ram Contacts:
Chester Cobb [phone]
Jeffrey Bullard [phone]
LATE FEES:
In accordance with NC General Statutes GS 130A-291.1(e2), a
late fee will be applied to any annual permit fees not submitted
by January 1, 2023.
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http:lldeq.ne.gov/
North Carolina Solid Waste Program - http:/Ideq.nc.gov/abouUdiv[sions/waste-monagementlsolid-waste-section
NC DEQ: WM Solid Waste Invoice Form 1-2023

8130123, 3:07 PM
NC ❑EQ ePayments
An otticlal webslte of the State of Borth Carolina All of iciat web -site of NC How you know \,/ Q
NC.GOV AGENCIES JOBS SERVICES W Select Language
Solid Waste ePayments Receipts
ePayments - Online Payments
WARNING: Do not click the browser hack button! Doing so may cause a payment to be
processed!
Thank you for your payment.
Payment Type: VISA
Amount Paid: $410.60
Date Paid: 8/30/2023
Confirmation number: 23083000814423
Authorization Code: 030380
Disclaimer: The ePayments System will not be updated immediately with your payment
transaction until the next business day. Therefore, paid invoices will continue showing
outstanding in the system until 1 business day or 24 hours after the transaction Was
made.
Would you like to pay another invoice?
https:liepay.deq.nc.gov/sw-epayments-receipts.html?c=2&m=""&o=23083000814423&t=410.60&d=B%2f3O%2f2p23&z=030380&ct=V I SA&hash=C9C ... 112