HomeMy WebLinkAboutNCS01489_2024Permit_Initial2024
Permit and Registration
Septics-R-US
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01489
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 (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. North and South Durham WRF, Durham, NC
2. Archie Elledge WWTP, Winston-Salem, NC
3. TZ Osborne WRF, McLeansville, NC
4. City of Eden WWTP, NC
Central Johnston County WWTP, Smithfield, 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.
Digitally signed by Wm Perry
W m Perry S u g g Date: 2024.02.05 11:44:28 05'00'
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*
Septics-R-US
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-01489
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
480 ROCK CREEK DR
Address Line 2
City
MILTON
Postal / Zip Code
27305
County*
Caswell
Mailing address same as street address of office?*
Yes 0 No
Phone*
434-770-3460
Email *
septicsrusnc@gmail.com
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Seth Robinson
Mailing address same as street address of office?*
Yes No
Phone* Fax
434-770-3460
Operator Info
Firm operator's name* Firm operator's title
Gary Gisclair Forman
Mailing address same as street address of office?*
Yes No
Mailing address*
Street Address
1041 Klyce St
Address Line 2
City
Eden
Postal / Zip Code
27288
State / Province / Region
nc
Country
Rockingham
Phone* Fax
919-638-2087
Type and amount of septage pumped in the last 12 months ^
Amount in gallons*
Domestic 189,400
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Caswell, Person, Vance, Granville, Alamance, Orange, Durham,
Franklin, Chatham, Lee, Harnett,Johnston, Wake, Guilford,
Rockingham
Vehicle Info^
Do you plan to operate pumper vehicles?*
J 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
��aF �f/It1J���dr7�
Date *
11/21/2023
Title*
Owner
Choose how to add vehicle descriptions*
0 Add vehicles individually O Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA154616 2NKHHM7X3BM285867 1,500
Domestic Septage JZ-5122 JALC4B16667007582 1,200
Septage Disposal Method^
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
0 Yes O 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* Expiration Date*
Durham's North And South Water 12/31/2024
Reclaimation Facilities
TZ Osborne
Archie Elledge
Eden Dump
Johnston County
Septage Land Application Sites (SLAS)*
Yes No
Septage Detention or Treatment Facility (SDTF)
Yes No
Other disposal method*
Yes No
12/31/2024
12/31/2024
12/31/2024
12/31/2024
Septage Management Firm Operator Training Completed
Authorization
Durham 224....
authorizat...
to
discharge[ ...
T Z 359....
Osborne,
2024
authorizat...
Archie 338....
Elledge
2024.pdf
Eden Dump 408....
2024.pdf
Johnston 50.8...
County .pdf
Date * Hours*
6/20/2023 4
Location *
1700 Winkler ST Wilkesboro NC
Training Sponsored or Provided by*
NC Septic Tank Association
Septage Land Application Site Operator Training Completed^
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
Select one*
U Registered Portable Sanitation Firm
Registered Septage Management Firm
0 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
10/19/2023
01:46:14 PM
Print Name* Title*
Seth Michael Robinson Owner
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Envlronment and Natural Resources
Dlvislon of Waste Management - Solid Waste Section
164G MaII Service Center, Raleigh, NC 27699.1VG
Fee assessmentsand waste determinAIons will be rcpulred at the dIscretIonof the vw+astewater
treatment facility. The facility has the ultimate prerogative to deny dIschsrees of any wastes to the
Incoming wastewater stream,
I. Matthew laul�i�e• u9978�ehll*�I�d�;l<VY��St�watPr Fa[+iltwr
IPlant Opt ratorIn ReiponslbleCi`raree (ORQ, ORC flcerrse Nurnbrr. Name of Plant)
] Gr llI h ftd. Win ton -Salem H 0
(Addwssa
336-765.0130 — _ d o h ere by aul ho rize - — lh Robinw
tPhoneNumber) {Own "/Opt r4tor of SeptoigeManage mentFarm)
of Septics-R-t.iS — NCS it DId$9
(Septage Management Flrm Name and NCS number)
to dispose 0f: dorrlestic septage x portable tollet waste X
grease septage {grease trap pumpingsl I ccmmerclaI/Jndustria l septage , from
Winston-SalemjForsyth County andAdlaCent CgunjleS.,
(Cou my or other Ccographit Area j
at the Aove named wa5tewa le r trea t m e nt facility. Septage shall be disehargedat,-
Archie FiledRe Wastewater FaciIitY
(Location)
between the hours 011' 6;00 am until 6,00 pm MorwdayThrough Saturday
Reintroducing partially treated liquid into grease trap is acceptable Yes X No
ThIs authorization shall be valid until December 31,1014
(Usti airy December 31, Yearl
Signed Date 1PI23
(FadlltV0Pe a rj
Subscrlbed andaffirmedbeforemethis_ I\", day of cA o cl- 20
-. jk=2'r _ My Commission expires; t 0-,Y
(Notary Public)
IsNARY #s. I3RpwNN
Nolery POW% Honk Crralwns ( FFIi`IAL SCAL)
Forsyth County
mY m11t14r4Ea� Ir1
Note: Falsification of this document by the wptage mmnagement firm shalt lead to permit revocation.
S:jkNd_Wj%1*/[WSEPTAGt1EORMV2DISFirm ApplicaHontOWPAuthofIzAonForm 203J!
IN
CITY OF
DURHAM
Department of Water Manage enf
AUTHORIZATION TO DISCHARGE
c2 iics-R-Us
}icreby is granted permission to discharge domestic se"a waste iinia City of Durham's
North and South Water Reclamation Facilities. This discharge shall be bwAcen dx hours
of8,00a.m. and 3:00p.m., fiiveday5 aweek. Permissloa to discharge is N-stficted 10'Aame
collected in the state of North Carolina. The maximum discharge volume ofeoch load is
16Q0 gallons.
Scr�tics- -Us _ shall comply With all provisions of City of Durham's Scmrr Use
Ordinance. Ifatsy provision of the City's Sewer Use Ordinanec is %iolated, this
authorization may be terrainaicd.
Fee assessment and paste determination may be requirrd at the discretion of ncc City of
Durham. Department of Water Managcment.
This authorization small be valid from 1anuafy 1, 2024 until Dccember 31. 2024.
,-4Gr�ce�
V Doan Mcmtt — ❑atc-
North Durham Water Reclxnation Facility
1900 Gast Club Boulevard
Durham. North Carolina 27704
fir
t~harlie docker - Rate
South Durham Water Reclamation Facility
6605 i"arrington Road
Chalxl l till, North Carolina 27517
AUTIIORIZATION TO DISCHARGE,EPTAGETO A WASTEWAUR TREATMENT FACILMY
NorIh Carolina DrparLmonI cf Cnylrommentat Quallly
Division of Waste ManaReMenL - SOM WAS11.0 StClIkIq
1646 Ntell Seevico CcnIof. ltaiolith, INC 76' 1646
fee s%%Pismeltts and wwa de[of mination* wIII be requIroil fit the dkicral Ion of the waitrwator
trenlment faclllIV, TIIo facility has the uIIIrnata pro roll; atlye io deny uIscharge& of any wastes to the
IncomIn$ wastcwatcr 51M1PTI.
I. Brofty Flynt ( r€ do IV 27171) ORC2 for T Z 0abomn 1+ alar Roclnmadon F aClilty
(✓"Ifni Otretftaf In rliIForktlblqP Cliara! 10F1Q brlC a k■h%Y fjumlPvr, IYani■ of PtwilI
2350 HuMna Mall Rond. MoLonoavIlio NO 27301
Wdroill
336-433-76 do herieby authorize
(Phone Numherj
Seth Robinson
(Own C r1opera tor of Septago N1arlasemen t Firm)
01 optics-R-Us NCS IF 1489
(Sep[agc Management Firm Name and M1rCS number)
NO
to dispose of: domestic septage _ 7( . portable toilet waste
grease Sept age (grease trap pumpingsl N0
Guilford County NC
commercial/industrial septage O , from
(County or other Cleographlc Area)
at the above named waswwater treatment facility. Sep rage shall be discharged aIt
City of Greensboro T. Z. Osborne later Reclamation Facility
(Location}
Wween the hours of 7:00 a.rcl. - 6:00 p-M. Monday through Saturday
Reintroducing partiailytreated liquid Intoa grease trap Is acceptable lYes xx No
This authoF113IIon Shall be valid until December 31. 024
(Usslally December 31. Year)
- I
Signed Date
t��
]
ra or)
Subscribed and affirmed before me this day of � 120 �,
F9LAA,4- My Cornmisslonexplres: 4 n
(Nowryfu C
L AVONNE R KNIGHT OFFICIAL SEAL)
Nolmy Putgk% North Carolina
RodcirM A Counay
My Canmisslon Exp"z
09.r25�D�T
Note: Falslflemlon of thIsdocument by the sep[ageinanagemeat firm sballIead to permit re+rocatian.
S-jWk Wm%1@lCUAS[PFAG[!FORMSM105I1m11rjWh€a16DMPArVTPAulnorltat6onForm2019
AUTHORIZATION TO DISCHARGE SEPTAOF TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Rmurces
DIY10on of Waste Management- Solid Waste Section
01 Oberlin Rd., Ste .150, Raleigh, N.D. 27605
Fee assessments and waste deteirminakions will be required at the discretion of the wastewater treatrrlent
taciliky. The facility has the ultimate prerogakjve to deny discharges of any wastes ko the irlmming
wastewater stream.
t, Matthew Tattle — Citv of Eden Wastewater Treatment Plant Dh lef Operator 1 CRC
(Plw pp"or and game cf
2M Metfane Bridgeload — Eden, NC 27288
tsl
336�27-1M exr. 130 Qo hmby autharira Se Robinson
(PAWO Number) fOymorrOper or of Septaor r s �agrrsr,rM F�rrn1
of _ enGcs — R . US NCS#
jSepUmp Mrmgenwi Fret Name a4 NCS mxrko
ID dispose cf. domesk septage X portable tok4 waste }(
gm, se septage (grease trap pumpings) MIA commerciaifindustrial septage WA , from
Rockinoham Counter and surrqundlna counties
(Cooney or OW CoMrapbe Areal
at the above named wastewater tmalment facility. 5eptage shall be discharged at
Mebane Bridge Wastewater Treatment Plant — 204 Mebane Bridge Road Eden, NO 27288
between the hours of 70 a.m. — 4fiQ a.m., Monday— Friday — Seotaye will be ameipted after hours by amL only
After hours g emergencies call; 336-627-1009 ext 4
Reintroducing partl ally treated liquid Into a grease trap Is acceptable ____Yes No
IWs authorisation shall be valid until
5 rnto and subscribed before me this, (P day of bpje' . 20 Z3
{Notary Pubrcj
My Communion expirtxs: 7
1 7-5-IaW
Note; Falsirication of Ws document by the septags management ltrm shall lead to parrot revaratlan.
AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department or Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Oberlin Rd., Ste.150, Ralelgh, N.C. 27605
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment
facility. The facility has the ultimate pnerogatrve to deny discharges of any wastes to the Incoming
wastewater stream.
I, John D. Wall Central Johnston County Regional Wastewater Teeamment Plant
lM 0pe►stor all d Nsm of ftQ
(Ad*m) ��
-t 9) 989.50z§ do hereby authorize t~ kM NCSO �
{PWO mrteri (0mis10parato► d S"p ! ix�gams�t Frm1
of _Sly' P{4CS - R —_US 7 � Q Ck G1'e tk Y � ►r� �o� N C 27731:2!;
(SeyjQe kkvag~ Fum Nme Arta addsss)
E_mailAddress: S tC.Sry6ACt0 (_-(-y" 'I Coy,
to dispose of domestic septage portable tolled waste
Johnston County does not accept grease traps and pumpings.
Johnston County, North Carolina
(Worth a oft G*vrsphc Area)
at the above named wastewater treatment fat, 4, Septage shall be dis�arged at
Johnston County Sludge Handrina FaWly, 680 County Home Road, Smithfield, North Carolina
(I.0121 n)
between the hours of 8:0t} A. M. tfw 4 45 P M.-Monday thmmh Friday.
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shalt be varld until December 31.2024
J (llu* December 31. Year)
S
19red `�-� Date John D. Wan (Fawityope%a X)
Swan to and subscribed before me ihis O day of
Y�r�r� �- �—d� l,-> R Ck My Commission eXPIMS: y S Izo -z Ss
(N(Aa? Pubic)
(OFFICIAL SEAL)
Vista genoriled In otbor counties will not be accepted. All waste must be
generated in Johnston County.
Note: F&IsMcatlon or this document by tha eeylage mtie>9ernerd Arm SHERRY L. E D WA R D S
stud lead to permit revocation•
NOTARY PUBLIC
JOHNSTON COUNTY, N.C.
My Commission Expires 4-5-2028.