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HomeMy WebLinkAboutNCS01699_2024Permit_Initial2024 Permit and Registration First Call Septic and Environmental Services LLC ZNti. 0" 0. i7]y I�PI7i112 �Tl'Ib a E� punvtu♦ NORTH CAROLINA Environmental Quality is hereby issued a Septage Management Firm Permit, Permit Number NCS-01699 and registered as a Septage Management Firm (PUMPER) in the State of North Carolina. PlORTH CAROLiNA �EQ wll�pl Department of Environmental Quality 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. City of Hickory WWTP 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, 2024. W m Perry Digitally signed by Wm Y Perry Sugg Date: 2024.01.18 11:06:5 2 S U g g-05'00' 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* First Call Septic and Environmental Services LLC The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #)* NCS-01699 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 3420 Snow Creek Road NE Address Line 2 City Hickory Postal / Zip Code 28601 County* Catawba Mailing address same as street address of office?* 0 Yes O No Phone* 828-312-4463 Email * firstcallsepticllc@outlook.com Owner Info Firm owner's name* Michael Ray Killian JR Mailing address same as street address of office?* Yes No State / Province / Region NC Country United States Fax Phone* Fax 828-312-4463 Operator Info Firm operator's name* Firm operator's title Michael Ray Killian JR Owner Member Mailing address same as street address of office?* _, Yes U No Phone* Fax 828-312-4463 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 3,650 Portable Toilet Waste 0 Grease (Restaurant) 0 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Catawba, Iredell, Lincoln, Alexander, Caldwell, and Burke Vehicle Info Do you plan to operate pumper vehicles?* 6 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 Date * 10/14/2023 Title* Owner Member Choose how to add vehicle descriptions* 0 Add vehicles individually 0 Upload List Pumper Vehicles Usage* License Tag #* Domestic Septage YA178820 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Vehicle Identification #* 1FDXK84A1MVA05951 Tank Capacity* 1,850 Approved wastewater treatment plant* 03 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* City of Hickory 12/31/2024 image.jpg 2.92... Septage Land Application Sites (SLAS)* Yes No Septage Detention or Treatment Facility (SDTF) O Yes No Other disposal method* Yes No Septage Management Firm Operator Training Completed L^ Date * Hours* 1/27/2023 6 Location * Hickory Convention Center Training Sponsored or Provided by* NC Septic Tank Association Septage Land Application Site Operator Training Completed Date Hours Location Training Sponsored or Provided by Registration Type hj Select one* O Registered Portable Sanitation Firm Registered Septage Management Firm n 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 Date 10/14/2023 04:16:22 AM Print Name* Title* Michael Ray Killian JR Owner Member AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY • North Carolina Department of Environment and Natural Resources 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. of Shawn Pennell, Ci An I A Pivar Rri Wirko ■ 1 ■ A4 V %/I 1 %%All I 919W4;1+ of Hicko nir 9RR(V I 'I %W &= %r -W 'ft- — (Plant Operator and Name of Plant) (Address) 828-323-7427 do hereby authorize Michael Killian (Phone Number) (Owner/Operator of Septage Management Firm) Fird ('.all _(ZAr,tir% St FrnrimnmAnfial .04,prvit'P.q 11C s ■ % W 1.+� ■ I f f 1 L irrr 1 1 / I I I ■ ■ ■ r ..r . , .� _ — _ _ T (Septage Management Firm fame and NCS number) to dispose of: domestic septage x ,portable toilet waste NCS # 01699 grease septage (grease trap pumpings)-------- commercial/industrial septage--------- ,from Alexander, Burke Caldwell, Catawba. IrE.1dell and Lincoln (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: Old Brookford Plant (Location) between the hours of 7:0Oam and Toopm Reintroducing partially treated liquid into a grease trap is acceptable Yes This authorization shall be valid until December 31, 2024 (Usually December 31, Year) Signed (Facility Sworn to and subscribed before me (Notary Public) eraior} this � 1 X No DateIr 1p • l/, L3�� day of fill A MINIM My Commission expires: - —Jog B E /j.R do do Note: Falsification of this document by the septage management firm shall lead to permit revocation.was 0 so ll� 0 L) L01 � o ; llM � Z 4M r. 7. Jou 'B\W\cj O� M • I % *000000000 % 4j NC SEPTAGE MANAGEMENT FIRM Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- 0 lUq Number of Pumper Vehicles: CERTIFICATION: "I certify, under penalty of law. that the pumper vehicle or vehicles listed in the submitted permit application meet the requirements for safe and sanitary transportation of septage as required by15A NCAC 136 .0844 (a) and vehicle lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0839 (a). I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment." AdchaSignature lsigrtat- of ompariy oiFiciaf re fired} MI ' JK_ Print Name Date Or Ml Title S.ISolid Waste%claS5eptagelformslPumper Vehicles Cetificalion.doc w E w Im u tj W V 0 2 I� Q y z z 0 0 � +V �i V 1 it z 1 �.I boom I� [W M 1 z J 0 0 z i. ram+ tiG � r � a o � w � � +o� �E E x�.y 0 ou W�a zz x❑ G] W