NCS01712_2023Permit_Initial

2023
Permit and Registration
NC Septic & Pump Specialist, LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01712
o and registered as a
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-�� Septage Management Firm�� �� w� ��nffi��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. Town Creek WWTP, Spencer 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 Perry
Sugg
Digitally signed by
Wm Perry Sugg
Date: 2023.10.12
09:59:49-04'00'
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.) Firm name: (The "Finn name" must be exactly as it is shown on your vehicle(s).
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Street address of office: (0() O
City: Ci oUs State: t C Zip: -2�6661
Mailing address (if different): c,--- V-*a-,re
City: State: Zip:
Phone: 4 - 191- -2 Let ci Fax:
E-Mail: G C G
County: CLLL,3 rLay s Septage Management Firm permit number: NCS # Pip I%5;113
(2.) Firm owner's name: 4_ V_et:sc.&4CC—:AI
Mailing address (if different): _,5c+_ a ; CL,ioavIIE.
City:
Phone:
State: Zip:
Fax:
(3.) Firm operator's name: 3ojno_- -"wj Mo,r-(t✓t Finn operator's title: ()WY\R_v'
Mailing address (if different): S cL-vCko oL�o v Z
City: State:
Phone: -1b q- 1q I- 5 (�, 1 21 Fax: _
Zip:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in 2015 (Example: Domestic: 50,000). 11
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant —Industrial/Commercial
(5.) N.C. Counties of Operation:
Gn Cal Sri r-r a -
1 i6V1 (rtUcwvus -`n
(List each county you do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage: Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Ca aci
1
0 aA- 0-5s vi e of
52 \/ -E" 63 1 5 914 55 Z9 7 f,
2. o v 0 c o A
2
re ce'�vi ; u g wce�s
3
4
5
APPLICATION CONTINUED ON PAGE 2
0
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: yespc4)
no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagrap .0833 of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS* Expiration Date: _ SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date: SDTF#: Expiration Date: —
(8.) Septage Management Firri-, Operator Training Completed:
Date. q ; t Location: \(���.t0
Training Sponsored or Provided by:
(9.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
Hours: QP
VA l PC Hours:
(10.) Registration type requested: CHECK ON
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm: F
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to
the best of my knowledge and belief. I am aware that a permit may be suspended or revoked upon a finding that its
issuance was based upon incorrect or inadequate information that materially affected the decision to issue the
permit and that there are criminal penalties for knowingly making a false statement, representation, or certification.
b -Ik- 23
Signature. fig atare of company official required) Date
Print Nam6l Title
Other Comments: Jb(\)4-f140A) (�Aoj-
Eo
i
S:ISolid_Waste:/CLAISEPTAGFJFORMS12016 Finn Application/FirmPerm!tApplicaton20l6
PAGE 2

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.
Charles Wood Of Town Creek, WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
850 Heiligtown Rd. E. Spencer, NC, 28039
(Address)
704-638-5377 do hereby authorize
(Phone Number)
of NC Septic and Pump Specialist, LLC
Jonathon Martin
(Owner/Operator of Septage Management Firm)
(Septage Management Firm Name and NCS number)
to dispose of: domestic Septage YeS , portable toilet waste Yes
NCS # In process
grease septage (grease trap pumpings) No . commercial/industrial septage No _ , from
Rowan County ONLY
r (County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Town Creek WWTP- Influent Installation _
(Location)
between the hours of 7 am to 5 pm
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until
(Usually December 31, Year)
Signed UM Date_
(Facility Operator)
Subscribed and affirmed before me this I - day of _ .20 �3
OTC. � rWQ� � :
(Notary Public)
MACY EMORY
Notary Public, North Carolina
Lincoln County
My Commission Expires
Ma.y 09, 2028
My Commission expires: 5 f N 1 C�9 6
(OFFICIAL SEAL)
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

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Jonathon Martin
NC Septic & Pump Specialist, LLC
1000 Robinhood Lane
Kannapolis, NC 28081
NORTH CAROLINA
Environmental Quality
September 14, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
NC Septic & Pump Specialist, LLC NCS-01712
Dear Mr. Martin:
We have received an Application for Permit to Operate a Septage Management Firm and payment of
$550 for the permit fee. Also, we have received a disposal authorization for Town Creek WWTP.
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. Also, we will need to confirm your attendance at today's New Operator Class. When
the Permit to Operate a Septage Management Firm is issued, the Firm Permit Number will be NCS-
01712. 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-01712. 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,
r
Digitally signed by Chester Cobb
DN: cn=Chester Cobb, o=NC DEQ, ou=Division of
Waste Management, email=[e-mail],
c=Us
Date: 2023.09.14 17:30:29-04'00'
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
owr
�� Nvrth Carolina Department of Envirunmentai Quality I Division of Waste Management
z.,-DEf
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699.1646
919-707-8200