NCS01249_2024Permit_Initial

2024
Permit and Registration
Scenic Ridge Country Campground
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01249
o and registered as a
e:,e D
NORTH
EQ�J
%L 12. 9*
-�� Septage Management Firm�� �� w� ��nffii�utr
E,%r Q'M
NORTH CAROLINA (NON -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-55-03
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 S U g g Date: 2024.02.05 11:43:35
-05'00'
Perry Sugg, Environmental Compliance Branch Head

NON -PUMPER - $200 FEE PER FACILITY
Facility
Facility Name:*
Scenic Ridge Country Campground
NCS Number*
NCS-01249
Ex. "NCS-01234"
Street address:*
3458 Zion Hill Road
Street address - City: *
Cherryville
Street address - State: *
NC
Street address - Zip: *
28021
Street address - County: *
Lincoln
Mailing address same as Street
Yes O No
address: *
Owner
Facility Owner's Name:*
Richard Todd Black
Mailing address:*
3458 Zion Hill Road
Mailing address - City:*
Cherryville
Mailing address - State:*
NC
Mailing address - Zip:*
28021
Phone:*
704-435-0938
Email:*
[e-mail]
Operator
Facility Operator's Name:*
Richard Todd Black
Mailing address:*
3458 Zion Hill Road
Mailing address - City:*
Cherryville
Mailing address - State:*
NC
Mailing address - Zip:*
28021
Phone:*
704-435-0938
Email:
[e-mail]
Septage
[^
Type(s) of septage managed:*
(check all that apply)
❑ Domestic 19 Portable Toilet Waste
❑ Grease (restaurant) ❑ Treatment Plant
❑ Industrial/Commercial

Facility Types:
Provide the permit numbers for all that are applicable.
a. Septage Land Application Site United States
b. Boat Pump -Out Storage
c. Septage Storage Tanks SDTF-55-03
d. Septage Treatment
e. Grease Treatment
Septage Management firms using facility:
Provide name and permit number of all permitted septage management firms using facility.
..........................................................................................................................................................
Permit Number Firm Name
SDTF-55-03 R.V. Campers Only
Certification
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:
(signature of company official required)
Date: 10/5/2023
Title: Owner
Email:* [e-mail]

North Carolina Department of Environmental Quality
CAROUNA Division of Waste Management INVOICE
NORTM
Envlronmenror Qaarky Solid Waste Section
Division of Waste Management To: Todd Black
Solid Waste Section Scenic Ridge Country Campground
1646 Mail Service Center 3458 Zion Hill Road
Raleigh, NC 27699-1646 Cherryville, NC 28021
Date: 10/03/2023
Invoice #: NCS-M249-2024
Septage - Annual:
Scenic Ridge Country Campground (NCS-01249)
3458 Zion Hill Rd $500.00
Cherryville, NC 28021
Annual Fee 2024 - NonPum er/Number of Trucks: 0
Date Due: 12/15/2023
LATE FEES. In accordance with NC General Statutes GS 130A-291.1(e2), a late fee will be applied to any annual permit fees not submitted by January 2024
Payment Options:
E-check Available online at https://epay.deq.nc aov/sw-epayments html
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 invoice 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 https //eoay deq nc gov/sw-epayments htmi
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. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation 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 feels) based on your solid waste management
activities. The fee(s) shall be used to support the Septage management program.
StaffContacts:
Connie Wylie [phone] or [e-mail]
Chester Cobb [phone] or [e-mail]
Jeffrey Bullard [phone] or [e-mail]
More information Available on the web:
North Carolina Department of Environmental Quality (DEQ) - https://deo.nc.gov
CA
North Carolina Solid Waste Program - ht� s: de l.nc_ov about divis - 'waste-mana ement'solid-waste-section
North Carolina Septage Management Program - htt;_s_' d e. i . nc.-L, ov about/divisions/tir aste-mana_•emen•/sol i d- was te-section 5_,eci I-wastes-and-alternative-
handling/septaae