NCS01663_2024Permit_Initial

NORTH CAROLINA
;Environmental Quality
2024
Permit and Registration
TST Cleaning Services
is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01663
and registered as a
Septage Management Firm
(PUMPER)
in the State of North Carolina.
NORTH CAROLINA �EQ
W/11
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. Tar River Regional WWTP, Rocky Mount 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.
Digitally signed by Wm Perry
Wm Perry Sugg Bugg
Date: 2024.01.11 13:52:04
-05'00'
Perry Sugg, Environmental Compliance Branch Head

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APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION - 1646 MAIL SERVICE CENTER, RALEIGH, NC 27699.1646
(I.) Firm name: (The "Firm name" must be exacd as it is shown on your vehicle(s)).
Street address of office: f LY, - -Z�& 802 Fountain St.
City" Tarboro State: /v Zip:_ ? 27886 New address
Mailing address (if different)- 0 J_v 316� provided by
City: -T-� y ---State: Zip Jamey Way
1/2/2024
Phone: -Fax:. [phone] <--- on truck
E-Mail: .57 C? -7,-1 4" 0,c, V,
County: 6ie,-e,,za C6 -Septage Management Firm permit number: NCS #
(1) Firm owner's
Mailing address (if different): PZ9-_S�'& f-
City: State: Zip 15? 11flyl
Phone:
Fax: T iV c- "I
(3.) Firm operator's name,- Tc_jf*Aei, Firm operator's title: C-,weg cC
Mailing address (if different):
City:
State: e' Zip:
Phone: ,) 3�, C�C> Fax:
(4.) Type(s) of septage pumped: Wdte in the number of gallons pumped in last 12 months (Example: Domestic: 50,000).
I reatment Plant 1 industriallcommercial
(5.) N.C. Counties of Operation:
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: I
Number used for: Domestic Septage:_ Grease (restaurant),
Other: Portable Toilet Waste:
Vehicle Information- (use additional paper if needed)
License
Vehicle I T.
A07M
(W V34a
VIN
1 HTMMAAM2CH43684"i
M00
APPLICATION CONTINUED ON PAGE 2
U-1tiz

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 yes above, you must attest to the following statement before a permit may be issued.
"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 138 .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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? ( ) yes (,-J no Initial Date G
(S.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( -yes ( ) no. if yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules.
b) Septage Land Ap lication Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#:� Expiration Date: �? _SLAS#: Expiration Date:
Pending permit renewal
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: q4-18 Expiration Date: SDTF#: Expiration Date:
Pendiniz nermit renewal
(9.) Septage Management Fi 0 rator Training Completed:
Date: _ i Location: W a>kj� Al c Hours:
Training Sponsored or Provided by: - __ K (� S:Iv( ,
(10.) Septage Land Application Tile Operator Training Complete
Date: _ _ _ ( to -3 Location: Hours: _
Training Sponsored or Provided by: CSC
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm: Lf'1-
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 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 (signature o cvnnpan iciat required)
Print Name
Other Comments:
k- -,Q3
Date -- - - - -
Title
1
Rev. 04-26-2021
PAGE 2

ti
ROCKY MOUNT
WATER RESOURCES
T!f£ CENTER Of rT ALt
SEPTAGE DISPOSAL PERMIT (SDP)
TST Cleaning Services
PO Box 383
Tarboro, NC 27886
CRM-01154 N/A
P%+rmit Number 40 GFR Category
The City of Rocky Mount (City) agrees to allow the discharge of septage wastewaters collected as described
in Part 1, D, into the Tar River Regional Wastewater Treatment Facility; herein "WWTP", at the designated
disposal site:
Tar River Regional WWTP
3031 Treatment Plant Rd
P.O. Box 1180
Rocky Mount, INC 27802-1180
Edgecombe County
NPDES Number: NCD030317
Effective date, this permit and the authorization to discharge shall become effective at midnight on this
date:
1/1/2024
Expiration date, this permit and the authorization to discharge shall expire at midnight on this date:
12/31/2024
]ames Costello, Wastewater Stiperintendent tE
City of Rocky Mount
SubscrasmL ibe and affirmed before me this day of 20�
jA
My Commission Expires; `Zp
(Notary Public)
Beverly Anna Harrelson Ricks
NOTARY PUBLIC
Nash County, NC
[OFFICIAL SEAL]

TST CLEANING SERV 12061
AMOUNT DISCOUNT NET AMT.
AM 5 - 250.00 0.00 250.00
�X- $550.00 paid on 01/18/2023, firm not permitted in 2023.
Date Y\
12/18/23 -7 —r
Pr
Check Number --------------------
00012061
Check Amount P
$ 250.00
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