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Permit and Registration
Piedmont Portables
is hereby issued a Septage Management Firm Permit,
STATE� Permit Number NCS-00724
- o and registered as a
D EQ�J
e:,e
NORTH CAROUNA
-�� Septage Management Firm Department }Enulr nmentalllty
Esr,�,,.
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. East Burlington WWTP, Burlington 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 Digitallysigned by
Wm Perry Sugg
6
Sugg
112:3134-0500
Perry Sugg, Environmental Compliance Branch Head
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(Pumpers)
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC
27699-1646 (1. Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)).
Pied w . Pd C
Street address of office: 3150 L r'Dr i d e
City: +�'Y7 c�►/ State: Ale- Zip: , `VI
Mailing address (if different): PO j6Ux 19S`7
City: b 11 %n O/U State-.-zLC Zip ''Ja
Phone: ?0v.RI6-6701 336-1137.023 Fax: 33&-,437-v 3
E-Mail:
County: A ./a m Rm c< Septage Management Firm permit number: NCS # 07d
(2.) Firm owners name: r Tp er Al.
Mailing address (if different):
City:
State: Zip,
Phone: Fax:
(3.) Firm operator's name: Sri � �h�r JYO, Aril �'17 Firm operators titre:
Mailing address (if different):
State: Zip:
Phone:
(4.) Type(s) of septage pumped: Write in the number of gallonsyumoed in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste I Grease (Restaurant) Treatment Plant
aDa qo
(5.) N.C. Counties of Operation:
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:
Other:
Vehicle Information: (use additional paper if needed)
Grease (restaurant):
Portable Toilet Waste:
PAGE 1 of 2
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(7.) Do you plan to operate pumper vehicles? (check one) 0 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 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 are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? (.� yes ( ) no InitiaDate 40-1a # -a 3
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant:( V ) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#: Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#:— Expiration Date: SDTF#: _Expiration Date: _
(9.) Septage Management Firm Operator Training Completed:
Date: (/ .aD� _ Location: X&,I, . 1:Y�. C Hours:
Training Sponsored or Provided by: AIC 111&,44�
(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 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
� (Siggnat f companyofficial required)
libGa' 6--L& Cyr //y• �!'e
Print Name
Other Comments:
Axo. SV41
Date
Title
Rev.04-26-2021
PAGE 2
PIEDMONT PORTABLES
CMG VENTURES II, LLC
P O BOX 1957
BURLINGTON, NC 27216
LICENSE # VIN#
NCS#00724
TANK
CAPACITY
GAL. TRK # MAKE/MODEL
KY9574
1HTMMAAL27H447903
1500
9
INTERNATIONAL 4300P
KY9570
1HTKHPVKIMH653712
900
11
CHEV.SILVERADO/HD
KY9578
1 GBE5C 1999F402345
1250
24
CHEVROLET 5500P
KY9579
1HTMMAALX6H342234
1500
25
INTERNATIONAL 4300P
KY9577
IFVACWDT4EHFS5386
2000
15
FREIGHTLINER
KY9576
1FVACWDT6EHFS5387
2000
18
FREIGHTLINER
KY9575
3ALLACWDT8HDJE5048
2000
14
FREIGHTLINER
NR9208
3HAEUMMN8LL356187
2000
19
INTERNATIONAL MV607
NC S. "iPTAGE MANAGEMENT PERM
Recertification of Pumper Vehicle(s)
Septage Firm Permit #: NCS- G!9 7�21-1
Number of Pumper Vehicles: S
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 13B .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."
Signature (Signature ompany of lcial required)
Print Name
!U ay1.Z3
Date
//&h-e I '-d-
Title Li
S:lSolid_WastelclalseptagelformslPumper Vehicles Cetification.doc
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, N.C. 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.
I, Darrin Allred, Chief Operator of the East Burlington Wastewater Treatment Plant
(Plant Operator and Name of Plant)
225 Stone Quarry Rd., Burlington, NC 27217
(Address)
( 336 ) 578-0515 do hereby authorize Christopher Griffin
(Phone Number) (Owner/Operator of Septage Management Firm)
Of Piedmont Portables
(<
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage N/A , portable toilet waste X
grease septage (grease trap pumpings) N/A commercial/industrial septage N/A ,
from Alamance County Only at the above named wastewater treatment facility.
(County or other Geographic Area)
Septage shall be discharged at: 3158 Lear Drive. Burlington NC 27215
(Location)
between the hours of 8:00 —11:30 am / 12:00 - 5:00 pm Mondav — Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
Thi uthorization shall be valid until December 31 2024
/ (Usually December 31, Year)
Signed �7 Date
(Facility Operator)
Sworn to and subscribed before me this
(Notary Public)
day of 6clober . 20 23
My Commission expires: 7— 4q— 2-7
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
H:CLA/FORMS/2009 Firm ApplicationNVVVTPAuthorizationForm2010
(OFFICIAL. !Y L,k�''
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North Carolina Department ufEnvironmental Quality
Division ofWaste ManagementNORTH CAROUNA INVOICE
-EhVhVMenta1QUaV1y Solid Waste Section
Division of Waste Management To Henry Scott
Solid Waste Section Piedmont Portables
l646Mail Service Center PUBox1957
Raleigh, N[27599-1646 Burlington, N[27Z16
Date: 10/03/2023
Piedmont Portables (NCS-00724)
Burlington, NC 27216
Annual Fee 2024 - Pumper/Number of Trucks: 8
Date Due: 12/15/2023
LATE FEES: fin acco-rclanawft'l NC Gener i}Statutes GS 13-0A 2e]�e2)1,ao',he applied to any innual oe! rrit fees mot mbm�ttecl by
Anuaiyt.11(1?4
Payment
E-check Available online at|���yc�
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown onthis invoice maccess your account. |fazip code |snot listed, use the code: 9eygoalong with the invoice number.
Credit Card Available online at den nc.Qov/sw ellavmenah'
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown
on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
[*Convenience Fee of 2.65% added to amount invoiced.]
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
[G.S.2S-3-506:A$25.00 processing fee will be changed onall returned
Explanation of Invoice Amount is Based on FiWs Current Permit Status7
Pursuant to North Carolina General Statute 13OA-291.1 you are required to pay fee(s) based on your solid waste management
activities. The fee(s) shall be used to support the septage management program.
Staff Contacts:
Connie Wylie (919)707-8298orconnie.wvie@dpqncgov
[hester[nbb(9M9)7O7'8Z83orchester.cobb@deq.nc.gov
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - -h e
North Carolina Solid Waste Program - 1 itLps:Z/d,-o.n,-