NCS01165_2024Permit_Initial

2024
Permit and Registration
Fontana Lake Waste Recovery, Inc.
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01165
o and registered as a
e:,e D E
-�� Septage Management Firm ��en� f� w� nmental Ouallty
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. Septage Detention or Treatment Facility, SDTF-38-01, SDTF-38-02
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.
Digitally signed by Wm Perry
Wm Perry Sugg Sugg
Date: 2024.01.29 08:43:53
-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*
Fontana Lake Waste Recovery, Inc
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NC-01165
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
7230 Grassy Branch Rd
Address Line 2
City
Bryson City
Postal / Zip Code
28713
County*
Swain
Mailing address same as street address of office?*
0 Yes O No
Phone*
8284883841
Email *
[e-mail]
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Randy Smart
Mailing address same as street address of office?*
Yes No
Phone* Fax
8284883841
Operator Info
Firm operator's name* Firm operator's title
Matthew Smart Operator
Mailing address same as street address of office?*
_, Yes U No
Phone* Fax
8287681233

Type and amount of septage pumped in the last 12 months
Domestic
Portable Toilet Waste
Grease (Restaurant)
Amount in gallons*
150,000
1
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in:
Swain, Graham
Vehicle Info
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
a 1 C/- u rttlll_
Date *
10/5/2023
Title*
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
NC
0502
DB
SOM27951A505
450
Domestic
Septage
NC
5087
DC
SOM27958BSOS
450
Domestic
Septage
NC
5086
DC
SOM28127C505
450
Domestic
Septage
NC
5148
DC
SOM27953A505
450
Septage Disposal Method^
For each method, indicate whether you plan to use it by checking yes or no.

Approved wastewater treatment plant*
0 Yes No
Septage Land Application Sites (SLAS)*
Yes No
Septage Detention or Treatment Facility (SDTF)
* Yes O No
Permit Verification
Q I certify that I AM the permit holder for this SDTF.
If unchecked, please attach a signed detention/treatment authorization form for each site.
If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for
each site.
SDTF #*
Expiration Date*
SDTF-38-02 12/9/2024
SDTF-38-01 12/9/2024
Other disposal method*
Yes No
Septage Management Firm Operator Training Completed
Date * Hours*
5/31/2023 4
Location *
Doubletree Biltmore 115 Hendersonville Rd, Asheville
NC
Training Sponsored or Provided by*
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
Date Hours
5/31/2023 4
Location
Doubletree Biltmore 115 Hendersonville Rd, Asheville
NC
Training Sponsored or Provided by
NC Septic Tank Association
Registration Type
Select one*
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes

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
Date
10/5/2023
12:28:13 PM
Print Name* Title*
Matthew J Smart Operator