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HomeMy WebLinkAboutNCS00724_2024Permit_Initial2024 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�'' z TA • o s • G. .0 Qy�� 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,-