NCS01677_2024Permit_Initial

2024
Permit and Registration
Redbox + of Cape Fear
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01677
o and registered as a
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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-10-22
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.
W m Perry Sugg Digitally signed by Wm Perry Sugg
Date: 2024.01.29 08:45:03-05'00'
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*
redbox+ of Cape Fear
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-01677
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
2260 Ocean Hwy W
Address Line 2
City
Supply
Postal / Zip Code
28462
County*
Brunswick
Mailing address same as street address of office?*
Yes No
Mailing Address*
Street Address
1905 Tempo Court
Address Line 2
City
Greenville
Postal / Zip Code
27858
Phone*
9105068628
Email *
[e-mail]
Owner Info
Firm owner's name*
Charles York
Mailing address same as street address of office?*
0 Yes * No
State / Province / Region
NC
Country
USA
State / Province / Region
NC
Country
USA
Fax

Mailing Address*
Street Address
1905 Tempo Ct
Address Line 2
City State / Province / Region
Greenville NC
Postal / Zip Code Country
27858 USA
Phone* Fax
7042232162
Operator Info
Firm operator's name* Firm operator's title
Jennifer Matharu operator
Mailing address same as street address of office?*
0 Yes * No
Mailing address*
Street Address
1905 Tempo Ct
Address Line 2
City State / Province / Region
Greenville NC
Postal / Zip Code Country
27858 USA
Phone* Fax
7046774469
Type and amount of septage pumped in the last 12 months^'
Amount in gallons*
Domestic 0
Portable Toilet Waste 1,200
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business irl
Brunswick, New Hanover
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
Date *
10/3/2023
Title*
Operator
Choose how to add vehicle descriptions*
n Add vehicles individually O Upload List
Pumper Vehicles
Usage* License Tag #*
Portable Toilet YA151231
Waste
Portable Toilet YA159103
Waste
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
Yes No
Vehicle Identification #* Tank Capacity*
2NKHHM7X9KM352018 98
2NKHHM7X6LM380263 98
Septage Land Application Sites (SLAS)*
J Yes No
Septage Detention or Treatment Facility (SDTF)
* Yes No
Permit Verification
0 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-10-22 3/13/2024
Other disposal method*
Yes No
Septage Management Firm Operator Training Completed
Date * Hours*
3/9/2023 4

Location *
online — new operator training
Training Sponsored or Provided by*
NC DEQ — New Operator Training
Septage Land Application Site Operator Training Completed
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
Select one*
0 Registered Portable Sanitation Firm
O Registered Septage Management Firm
n 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
6�14V e
Date
10/3/2023
01:56:35 PM
Print Name*
Charles York
Title*
President