NCS00933_2024Permit_Initial

2024
Permit and Registration
Radio Island Yacht & Boating Club
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-00933
o and registered as a
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-�� Septage Management Firm�� �� w� ��nffii�utr
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NORTH CAROLINA (NON -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 only authorized to operate Septage Management Facilities listed below:
1. Septage Detention or Treatment Facility, SDTF-16-09
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. Also, this permit does not entitle the permit holder to operate a pumper vehicle for the transportation of Septage.
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, 2024.
Wm Perry Digitallysigned byWrn
Perry Sugg
023.10.26 11:25:40
Sugg 04'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE MANAGEMENT FACILITY
(NON-PUMPER-WFEE PER FACILITY
ON=N of WASTE hkANAt i • WASTE SECTION
1646 WUL SOME CENTER, RALEIGN, NC 27/1i IGO
Mating address (ddilarerd) Yn Yn A ;�- YJ y
County ' Pq—
(2,) Facility ownefs name
Mailing address
(3.) FaclUty operator's nerve
Mailing address 3
Phone 1�! % _ ' Emafi: J mar 13 L' 1'"L��y►e r�J/}�
(4.) Type(s) of Seplage managed (checkal that apply)
Domesfic _ Portable Toilet Waste Grease (restaurant)
Treaherd Plant _____ IndustriatfCanmerciai
(S)
Facility Types: Check all that are applicable and provide the permit numbers.
a) Septsge land appli atfan site
b) Boat pumpcut storage — I
c) Septage storage tanks
d) Septage treatment
e) Grease treabneM _ _ _
(5) Name and Pennh Nurer of all permitted Septage Management Finns using
(2) _
(3) — —
(Use additional sheets if necessary)
Certificatlon Statement
I certlfy that the Information and representations in this application for a permit are true, complete, and accumte to the
best of my knowledge and baitef. 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
ar>d tint there areatm' el penaities for knowingly making a false state m t, representation, or cerdlicafton.
-�USignatue T Date
Print Ware - TMhe
*signature of company ofRchd required.
&'Sold W 1a Fim .Me

hard- �IPCA
North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NORTH CAROLINA
awrommaddefflrf,. Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Septage - Annual:
Radio Island Yacht & Boating Club (NCS-00933)
PO Box 2434
Beaufort, NC 28516
Annual Fee 2024 - NonPumoer/Number of Trucks: 0
To: Jimmy Mercer
Radio Island Yacht & Boating Club
PO Box 2434
Beaufort, NC 28516
Date: 10/03/2023
Invoice #: NCS-00933-2024
$500.00
Date Due: J 12/15/2023
LATE FEES: accordance wrth INC Genefai Ssaautes G5 130A •291 Ite2] a late fee hill tze applied to any annual permit fees not submitted by January 1, 2024.
Payment Options:
E-check Available online at httos://ep_ay.deg.nc.ciov/sw-el2ayments.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 https://e2aay.deo.nc.00v/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.
i*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 your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Firm'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 fee(s) shall be used to support the septage management program.
Staff Contacts:
Connie Wylie [phone] or [e-mail]
Chester Cobb [phone] or [e-mail]
Jeffrey Bullard [phone] or [e-mail]
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - httos://deg.nc qov
North Carolina Solid Waste Program - httoslfdeg.nc.gov/aboutldivisionsrwaste-management/solid-waste-section
North Carolina Septage Management Program - httpsY/deo.nc.gov/abouVdivisions/waste-management/solid-waste-sectiorVsoecial-wastes-and-alternative-
handling septace