NCS01712_2024Permit_Initial

2024
Permit and Registration
NC Septic & Pump Specialist, LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01712
o and registered as a
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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. Town Creek WWTP, Spencer NC
2. Rocky River WWTP, Concord 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 registration expires on
December 31, 2024.
Wm Perry Digitally signed by Wm
Perry Sugg
Sugg Date: 2024.01.18 10:58:21
-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*
NC Septic & Pump Specialist, LLC
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-01712
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
1000 Robinhood Ln.
Address Line 2
City
Kannapolis
Postal / Zip Code
28031
County*
Cabarrus
Mailing address same as street address of office?*
Yes 0 No
Phone*
7047915619
Email *
[e-mail]
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Jonathon Martin
Mailing address same as street address of office?*
Yes No
Phone* Fax
7047915619
Operator Info
Firm operator's name* Firm operator's title
Jonathon Martin Owner
Mailing address same as street address of office?*
Yes 0 No
Phone* Fax
70479156198

Type and amount of septage pumped in the last 12 months ^
Amount in gallons*
Domestic 32,000
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:
Rowan
Cabarrus
Union
Mecklenburg
Lincoln
Gaston
Iredell
Vehicle Info l�j
Do you plan to operate pumper vehicles?*
DQ Yes U 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
,7;0A1A #eA1 414�-"At
Date *
12/12/2023
Title*
Owner / Operator
Choose how to add vehicle descriptions*
0 Add vehicles individually 0 Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage TN-9506 5PVNE8JT594S52976 2,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.

Approved wastewater treatment plant*
0 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*
Rocky River Regional WWTP
Town Creek WWTP
Septage Land Application Sites (SLAS)*
0 Yes * No
Septage Detention or Treatment Facility (SDTF)
Yes No
Other disposal method*
Yes No
Expiration Date* Authorization*
12/31/2023 WWTP 466....
Authorizat...
RR
WSACC.pdf
12/31/2023 Authorizat... 48.4...
WWTP - Town
Creek.pdf
Septage Management Firm Operator Training Completed
Date * Hours*
9/14/2023 6
Location *
Virtual — Online from state
Training Sponsored or Provided by*
NC DEQ - New Operator Training
Septage Land Application Site Operator Training Completed
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
lJ

Select one*
O Registered Portable Sanitation Firm
Registered Septage Management Firm
O Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes
I have not received copies of the 2024 WWTP Authorizations at
the time I have submitted this.
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
IVA/,477{VAI A 'Lq '%J
Date
12/12/2023
08:49:12 AM
Print Name* Title*
Jonathon Martin Owner / Operator

AUTHORIZATION TO DISCHARGE SE12TAGE TO A WASTEW'ATIER'rREATMENT FACILITY
North Carolina Department of Environmental Ctu._Iity
Division of Waste Management - Solid Waste 5ec:ion
1646 Maul Service Center, Raleigh, NC 27699-1611•6
Fee assessments and waste determinations wilt be required at the discretion of the wastewater
treatment facility. The facility has the uit+mate prerogative to deny dischary7es cf any wastes to the
incoming wastewater stream.
Charles E Wood License# WW4990825, Town Creek, ww-fP
[Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
850 Heili town Rd. E. Spencer, NC, 28039 _
(Address)
704-791-5619
(Phone Number)
do hereby authorize
of NC Septic & Pump Specia"S't, LLC
Jonathon Martin
(Owner/operator of Septage Management Firm)
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage �'es portable toilet waste Yes
NCS # 01712
grease septage (grease trap pumpings) No commercial/industrial septa€;e No from
Rowan County ONLY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Town Creek WWTP- Influent Installatiorl
(Location)
between the hours of 8AM TO 4PM Mon -Fri
Reintroducing partially treated liquid into a grease trap is acceptable ___Yes X No
This: authorization shall be valid until December 31st, 2024
(Usually ❑ecember - 7, Year)
1
Signed _ 4�� 0 [1 �'� Date 1:� Y 1 S - 2-3—
(Facility operator
Subscribed and affirmed before me this � � �w day of at! ►' k c: 20
My Commission expires: �
(Notary Public]
Vickie Eddleman (0FFICIAL SEAL)
Notary Public
Rowan County, NC
Nate: Falsification of this document by the sept age management firm shall lead to permit revocation.
5-/Solid—Waste/CLA/SEPTAGE/FARMS/2016 Firm Apphratior/WWTP Authorization Form 2016

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of FnvironmentaIQuality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC27699-1646
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.
I, James Christian Sims #999309 Rocky River Regional Wastewater Treatment Plant
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
6400 Breezy Lane, Concord, Forth Carolina 28025
704-788-4164, x114�do hereby authorize Jonathon Martin (704-791-5619)
(Owner/Operator of Septage Management Firm)
of NC Septic & Pump Specialist, LLC NCS # 01712
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage YES , portable toilet waste YI✓S ,
grease septage (grease trap pumpings) _ NO
Cabarrus and surroundinq counties_
commercial/industrial septage NO , from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage~ shall be discharged at:
6400 Breezy Lane, Concord, NC 28025
(Location)
between the hours of 7AM and!.PM Monday -Saturday,
Reintroducing partially treated liquid into a grease trap is acceptable Yes d No
This authorization shall be valid until December 31 2024
(Usually December 31, Year)
Signed //11LDate October 23, 2023
,Alames Christian Sims, Facility ORC
Subscribed and affirmed before me this
0-4-'�aia'kAk'a'
Angela K. Hill, 4otary Public
23rd day of October , 20 23
My Commission expires:
c-
f Z/B
Note: Falsification of this document by the septage management firm shall lead to permit
5:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Applicatlon/WWTP Authorization Form 2019