NCS01703_2024Permit_Initial

2024
Permit and Registration
Septic OPS
is hereby issued a Septage Management Firm Permit,
�szArr of
Permit Number NCS-01703
o and registered as a e D
-�= Septage Management Firm �� fE w� nmentalQulity
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. Long Creek WWTP, Albemarle 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 this registration expire on December 31, 2024.
L�
Edward Mussler, lChief
Solid Waste Section

PDF.js viewer
7/26123, 9:27 AM
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-tGU
(1.) Firm name: (The "Fitt name" must be UM& as it is shown on your vehicle(s)).
- S C-P f t oeS Th C-
Street address of ofrm: _ 6 I ) $ Tr /ti _ P G'f G f u
Qty 6,-p I.-p i ,' state:—&t� ziip. 3
Mailing address (if different):
City: State: Zip
Phone:. 01 G Fax:
E-Mail: U ��' L U fP5 Tut- ® AAq r` A T
Comityl w ti Septage Management firm per0*3
m t number: NCS # id
(2.) Firm owner's name: tz-
Mailing address (if oifferent): $� r tJ C-Pr-- d c-
Qt3r G rn "C-po t 5 State: 4n::: rp 2 8 O K f
Phan: C S 6, S- 9 (a Fax. -
Firm operator's name:_'- CR F K E7 Firm operators title:
Mailing address (if different):
Qty..
Phan:
>vQ-
(4.) TyPe(s) of Septage Pumped: f *10 in the number of QR11M RWMW in last 12 mew (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant I Industrial/Canmerdat
G — _ la a
(5.)
(6.) TOW Number of Pumper� f Vehicles Operated: _
Number used for. Domestic Septage. Grease (restaurant):
OBE: Potable Toilet Waste:
Vehicle Information: (use additional paper needed)
APPLICATION CONTINUED ON PAGE 2
iS"
https://edocs.deq.nc.gov/WasteManagement/PdfV!ewer.aspx?file=...1405537%26dbid%3DO%26repo%3DWasteManagement%26pdfView%3Dtrue Page 2 of 18

PDF.js viewer
7/26/23, 9:27 AM
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 yea above, you must attest to the following statement before a permit may be issued.
"I certify, under penally of law, that the pumper vehicle or vehicles fisted 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 I SA 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? ( ) yes ( ) no Initial. _ Date
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( } yes { ) no. If yes, submit Wastewater Treatment Aub)a ation 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)
Sl AS# Expiration Date: SIRS# Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF4 Expiration Date: SDTF#: Expiration Date:.
U / (9.) Septage Management Firm Open4pr Training Completed:
^►,�,/// Date: ( 3 Location: CJ ►^ ,�ry�t I� Hours:
Training Sponsored or Provided by-. .' G
(10.) Septage Land Application Site Operator Training Completed:
Date: Location: Hours:
Training Sponsored or Provided by: _
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
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 infarmaF%n that materially affected the decision to Issue the permit and that there are
criminal penalties for knowing making a false statement, representation, or certification.
si9matura ( of coRnrarrornel8l regr�
pia Name
Other comments:
Date
Title
PAGE
�t
Rev.1K7-2020
https://edocs.deq.nc.gov/WasteManagement/PdfViewer.aspx?file=...1405537%26dbid%3D0%26repo%3DWaste Management%26pdfView%3Dtrue Page 3 of 18

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality RECEIVED
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646 DEC 11 'Z023
SOLID WASTE SECTION
Fee assessments and waste determinations will be required at the discretion o t e wastewater
treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the
incoming Wastewater stream.
`1989 �S C/i
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
Lo- 9 Crce K
iI `f7Y (mob dj IC _�t t(�nJC '4/3R� 02 gr�
(Address)
78Y,T6 3do hereby authorize -e k-c-
(Phone Number) (Owner/Operator of Septage Management Firm)
of - e. )� �; S In Ncs
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste !�
grease Septage (grease trap pumpings) 11122 commercial/industrial septage from
' On
(County or other Geographic Area) `
at the above named wastewater treatment facility. Septage shall be discharged at:
Lo-1 LP-e- K G-5+P
(Location) j
between the hours of 7, - 3,' r,' F
Reintroducing partially treated liquid into a grease trap is acceptable
Yes JCNo
This authorization shall be valid until JCL e 3 I D�
(Usually December 3/1, Year)
Signed Date
(Facility Operator)
Suribed and affirmed before me this
Lk ��L
N P bl'
My Commission expires: _. iJ i' -ti 'J O a y
( Mary u Ic)
r 1 ``��uuiluir►yr<
d I ty/PS §\ \�\E M
.�
y Notsry,Publip.�
I� s
r" perrt. Py� s Stanly'
County
?� , , -� �� l•, d , �d� `� My Comm. Ezp.
/ AAC-
Note: Falsification of this document by the septage management firm shall lead to permit revojl�j92-25-2024 P
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018
'��ii���HrCAROv��`1

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Dlvi5ion 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 anv wastes to the
incoming astewater stream.
"��"r /_o.- ,�, OiceK
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
(Address)
���
98y 96 3 do hereby authorize U
(Phone Number) (pwner/Operator of septage Management Firm)
of NCS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste t
grease septage (grease trap pumpings) commercial/industrial septage f` Z? , from
p er. r1 r�1 e c� On G I'J'� �• r' —� c�rr�� �5
(County or other Geographic Area)
at the above named wastewater treatment facility, Septage shall be discharged at:
ems: d , 4;,,CJ L0-1
(Location) j
between the hours of
Reintroducing partially treated liquid into a grease trap is acceptable Yes _4LO
This Guth tion shall be valid until��
(Usually December 31, Year]
Signed Date �—
(Facility Operator)
Sub it�ed and affirmed efore me this
day iaf 2❑
r
r-
\. A A V, My Commission expires-���
(Ngtary i lic}
Notary FFICIPLti c{���
5tanly
county'
My Comm, Exp.
�f Note: Falsification of this document by the septage management firm shall lead tv iim%—Mon
S:/Safid_Wa5te/CLA/5EPtAGE/FORM5/2018 Firm Application/WLNTP AuthoriYation Form 2018
CAIR �,y�lly+1 ���,�

ROY COOPER
Governor
ELIZABETH S. BISEP,
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Derek Drye
Septic OPS Inc.
6178 Irish Potato Road
Kannapolis, NC 28083
NORTH CAROLINA
Environmental Quality
August 11, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
Septic OPS Inc. NCS-01703
Dear Mr. Drye:
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 for compliance with the rules and approved by the Division. When
the Permit to Operate a Septage Management Firm is issued, the Firm Permit Number will be NCS-
01703. 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-01703. 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,
Digitally signed by Chester Cobb
DN:Chester Cobb, o=NC DEQ, ou=Division of
Waste
Management,
email=[e-mail], c=US
r Date: 2023.08.11 15:36:32-04'00'
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
owr
�� NOrth Carolina Department of Envirunmentai Quality I Division of Waste Management
z.,-DEf
217 West Janes Street 1 1646 Mai Service Center I Raleigh, North Carolina 27699.1646
919.707.8200