SDTF3612_APPLICATION_RENEWAL_2023

RECEIVED
JUN 15,-2023
APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE ffifft"WdhCTION
TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
Operator and Facil
1. Applicant
Address
-Pd � Gi° '5-'3
W"5
� 54 opl N'
Sao 7'7
Phone
2. Contact person for site operation (if different from applicant): I c
Title or position uv�n-.— Phone - Z
Address 11 S fs i Le S 2O1
5%1
3. Landowner
Address 11 S $ ►-r--, ;
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4. Site Location: County —LL�-Fv State Road Number
Directions to site: 1 32� to t }
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5. Is the location on a permitted Septage Land Application Site?
If yes, give the site permit number here: SO-C - 3Ul 2
6. Indicate whether project is: new renewal -L— modification
For a permit renewal or modification, indicate the existing permit numbeand the
permit expiration date 01
7. Attach written, notarized landowner authorization to operate a septage storage or treatment facility
form signed by the landowner (if the permit applicant does not solely own the property)-'4a
corporation owns the land use a corporate landowner authorization form. If Limited Liability
Company owns the land, use a limited liability company landowner authorization form.
8. Aerial photograph scale 1 inch = 400 feet with site property lines accurately located on the photograph
must be enclosed (if 1 inch = 400 feet is not available,1 inch = 660 feet may be substituted).
9. Vicinity map (county road map showing site location).
10. Land application site or wastewater treatment plant to be used after treatment or storage:
(over)

Facility Information: the following information shall be included with the application form.
1. Facility to be used for; Storage ,K. Treatment
G M''oL 1
2. Types of septage to be stored or treate[l: �c�$ u,o-�``
Domestic Septage Grease Trap Pumpings
Portable Toilet Waste Commercial/Industrial Septage_
3. Types of treatment to be provided: pH Adjustment (lime stabili a 'on)
Screening Other(attach explanation if other)
4. A description of the proposed detention or treatment facility including the size, type, and number of
structures to be used and how those structures will be constructed or installed (use additional
paper to explain, if necessary): ft , F
5. An explanation of how septage will be discharged into and removed from the facility (use
additional paper to explain, if necessary):
I 'N i-L-h O!
6. An explanation of how any leaks or spills at the facility will be cleaned and how odors will be
controlled (use additional paper to explain, if necessary):
Certification
I hereby certify that:
1. The information provided on this application is true, complete, and correct to the best of my
knowledge, and
2. 1 have read and understand the N.C. Septage Management Rules.
3. 1 am aware of the potential consequences, including penalties and permit revocation, for
failing toZe
II a licable rules and the conditions of a Septage Detention or Treatment
Facility
Si nature (Signature of company ciairequired) Date
Print name
Title
Note: This application will not be accepted for review until all parts of the application are complete.
S:Solid WastelclalseptagelformslSDTF-Application & Authorization\SDTF Permit Application -Jan 2016.docx
Rev 01-07-16

Wylie, Connie S
From:
Wylie, Connie S
Sent:
Tuesday, September 19, 2023 1:15 PM
To:
Robert Ray
Cc:
Cobb, Chester
Subject:
RE: [External] Re: SDTF-36-12
Thanks for letting me know— I will correct the application per this email. We will move forward with the new permit.
Connie
Connie S. Wylie
Environmental Specialist ll
Division of Waste Management
North Carolina Department of Environmental Quality
Office: [phone]
connie. lip n de .nc. o1
Frorn: Robert Ray <[e-mail]>
Sent: Tuesday, September 19, 2023 1:13 PM
To: Wylie, Connie S <[e-mail]>
Subject: [External] Re: SDTF-36-12
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Yes, I am sorry we marked the wrong section. It should be domestic septage, grease trap pumpings and
commericallindustrial septage marked.
Thank you,
Renee
On Tuesday, September 19, 2023 at 12:58:19 PM EDT, Wylie, Connie S <connie.wylie(@dea.nc.aov> wrote:
Hello
I am temporarily out of retirement to assist with permitting in the Septage Branch. I am currently working with Chester on
your renewal application for SDTF 36-12. 1 noticed on the back page of the recent application (section II, 2) that only
domestic septage was marked to be stored at this facility. The previous application in 2018 had domestic septage, grease
trap pumpings and commercial/industrial septage marked. Please respond to this email to verify what types of septage
you wish to be included in the new SDTF permit.
Thank you,