NCS00025_2024Permit_Initial

2024
Permit and Registration
Master Porta Jon Service
is hereby issued a Septage Management Firm Permit,
STATE�
Permit Number NCS-00025
- 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. Lower Creek WWTP, Lenoir 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.
"I
Wm PerryD"lysignedbyWrn
Perry Sugg
024.01.26 12:31:14
Sugg
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*
Master Porta Jon Services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-00025
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
729 Harrisburg Drive
Address Line 2
City
Lenoir
Postal / Zip Code
28645
County*
Caldwell
Mailing address same as street address of office?*
0 Yes No
Mailing Address*
Street Address
PO Box 2309
Address Line 2
City
Lenoir
Postal / Zip Code
28645
Phone*
8287541074
Email*
[e-mail]
Owner Info
Firm owner's name*
Jeremy Kanagy
Mailing address same as street address of office?*
0 Yes * No
State / Province / Region
NC
Country
United States
State / Province / Region
NC
Country
United States
Fax

Mailing Address*
Street Address
PO Box 2309
Address Line 2
City
Lenoir
Postal / Zip Code
28645
State / Province / Region
NC
Country
United States
Phone* Fax
8287541074
Operator Info Q
Firm operator's name*
Jeremy Kanagy / John Ballew
Mailing address same as street address of office?*
O Yes * No
Mailing address*
Street Address
PO Box 2309
Address Line 2
City
Lenoir
Postal / Zip Code
28645
Firm operator's title
Owner / Operator
State / Province / Region
NC
Country
United States
Phone* Fax
8287541074
Type and amount of septage pumped in the last 12 months^'
Amount in gallons*
Domestic
0
Portable Toilet Waste
140,000
Grease (Restaurant)
0
Treatment Plant
0
Industrial/Commercial
0
North Carolina counties of operation
List each county you plan to do business irl
Caldwell
Catawba
Burke
Alexander
Wilkes
Vehicle Info
U

Do you plan to operate pumper vehicles?*
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
CIZM9 �J
Date *
11/15/2023
Title*
Owner
Choose how to
add vehicle descriptions*
, Add vehicles individually 0
Upload List
Pumper Vehicles
Usage*
License
Tag #*
Portable
Toilet
JT-5603
Waste
Portable
Toilet
KR-9089
Waste
Portable
Toilet
NZ-5782
Waste
Portable
Toilet
NZ-5873
Waste
Portable
Toilet
NZ-5781
Waste
Portable
Toilet
NZ-5700
Waste
Portable
Toilet
JB-7289
Waste
Portable
Toilet
NR-7710
Waste
Portable
Toilet
FR-3740
Waste
Portable
Toilet
KZ-6324
Waste
Vehicle Identification #* Tank Capacity*
1GBE5C1G76F421406 290
1GBE5C1959F405033 650
1HTSCAAM9TH385431 1,000
1GCJK33234F216294 400
JALC4W16987000832 550
1GDK7C1C77F414393 1,200
4KLB4B1U77J800230 550
2FZAAHCS42AJ77058 1,100
1GDJ6H1J1SJ523531 650
JALC4W16987000832 900
Septage Disposal Method �^
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
Yes 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*
Lower Creek WWTP
Septage Land Application Sites (SLAS)*
Yes 0 No
Septage Detention or Treatment Facility (SDTF)
Yes No
Other disposal method*
Yes No
Expiration Date* Authorization*
12/31/2024 SCAN0000. P... 68.8...
Septage Management Firm Operator Training Completed^
Date * Hours*
8/19/2023 4
Location *
Morganton NC
Training Sponsored or Provided by*
NC Pumper Group & NC Portable
Toilet Group
Septage Land Application Site Operator Training Completed^
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
Select one*
J Registered Portable Sanitation Firm
0 Registered Septage Management Firm
0 Registered Portable Sanitation and Septage Management Firm
Comments and Notes^
Comments or notes
Will scan in permit app from Lower Creek to Chester Cobb also.
He helped us finalize everything last year.

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
10bVA�P' CICWM�
Date
11/15/2023
01:14:45 PM
Print Name*
Jeremy Kanagy / John Ballew
Title*
Owner / Operator

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
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.
I, Donnie R. Hawkins, ORC, WWTP Operator 4 (987625) City of Lenoir - Lower Creek WWTP (NC0023981)
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1905 Broadland Road, Lenoir, NC 28645 (P.O. Box 958, Lenoir NC 28645)
(Address)
[phone] do hereby authorize
(Phone Number)
(Owner/Operator of Septage Management Firm)
of _ Master Porta-Jon Service, Inc NCS #00025
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage , portable toilet waste ONLY X ,
grease septage (grease trap pumpings) NEVER commercial/industrial septage NEVER ,
from Burke Caldwell Catawba Alexander and Wilkes
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Septage Receiving Station (@ Lower Creek WWTP
(Location)
between the hours of 7:00 a.m. until 7:00 p.m., Monday through Saturday
Reintroducing partially treated liquid into a grease trap,is acceptable Yes X No
This authorization shall be valid until December 31 2024
(Usually December 31, Year)
Signed Zvt; G� �'�� ' ,�� Date
(Facility Operator) T
Subscribed and affirmed before me this day of r 20
a.
��j/+� My Commission expires: `I.Ae Z 6 ZO�b
t(Notaryublic) yVOIV. "s' f � a
(ORO AL SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation. t bq U BL p', t
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WVVfP Authorization Form 2016
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]' North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
NOR f H CAROLINA
FnvironmentalQuality Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
To: John & Pamela Ballew
Master Porta- Jon Service
2505 Spring Meadow Road
Lenoir, NC 28645
ye, A f/ . / C rK • i� �a r �c_ / SrCi t� .
Qh ] , y� /�/ `G �``� ^ deg lie . Date: 10/03/2023
Gf-e.s1« C� 4 L's: - /// A,�a w/o -ems . Invoice #: NCS-00025-2024
Septage - Annual:
Master Porta- Jon Service (NCS-00025)
PO Box 2309 $1,500.00
Lenoir, NC 28645
Annual Fee 2024 - Pumper/Number of Trucks: 10
Date Due: 12/15/2023
LATE FEES: rn accorca ce 13,QA_2` {elf, - iati� bi.4po*d to.dh'Y anrHizl ^rit tin -'rat su zr ;lv ay.►aitiia ,r t, 2024
Payment Options:
E-check Available online at ric c° •:/sti:-e-?a.rrjents tail
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoke to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at i _ .os:/iepa� deq.ncclov/sm. -eouymens.ntr l
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 tc 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. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
1xiplanation of Invoice Amount is Based on Firm's Current Permit Status:
Pursuant to North Carolina General Statute 130A-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 [phone] or [e-mail] r;
Chester Cobb [phone] or [e-mail]
Jeffrey Bullard [phone] or [e-mail] CK. NO. v g7p2� �T
!I b�
More information available on the web: DATE
North Carolina Department of Environmental Quality (DEQ) - ht os✓:'deg.nc.Qov
North Carolina Solid Waste Program - ht:K�s!%decs.nc.gov about- ivis'ors'waste !r:a 'acer..tent- solid vaste- ec i_,n
North Carolina Septage Management Program - htts "d •,:.nco about divisio a',vaste r ana_;en:ent• _-_ - ___
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