HomeMy WebLinkAboutNCS01699_2024Permit_Initial2024
Permit and Registration
First Call Septic and Environmental Services LLC
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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
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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
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of Hicko
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(Plant Operator and Name of Plant)
(Address)
828-323-7427 do hereby authorize Michael Killian
(Phone Number) (Owner/Operator of Septage Management Firm)
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(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)
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Note: Falsification of this document by the septage management firm shall lead to permit revocation.was 0 so
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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}
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Print Name
Date
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Title
S.ISolid Waste%claS5eptagelformslPumper Vehicles Cetificalion.doc
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