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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.