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NCS00033_2024Permit_Initial
2024 Permit and Registration Robinson Septic Tank Cleaning is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00033 oand registered as a E4 ()'M -�� Septage Management Firm �rtmen� f� w� nmentalOullty 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. West Brunswick Regional WWTP, Supply, NC 2. Septage Detention or Treatment Facility, SDTF-10-13 3. Septage Land Application Site, SLAS-10-13 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 this registration expire on December 31, 2024. Wm Perry Digitally signed by Wm Perry Sugg Sugg i110419-04'008 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* Robinson's Septic Tank Cleaning The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #)* 00033 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 2166 Big Neck Rd. NW Address Line 2 City Ash Postal / Zip Code 28420 County* Brunswick Mailing address same as street address of office?* Yes No Phone* 910-755-7670 Email * ryanhewett@atmc.net State / Province / Region NC Country United States Fax Owner Info L^' Firm owner's name* Ryan Hewett Mailing address same as street address of office?* Yes No Phone* Fax 910-368-3270 Operator Info^' Firm operator's name* Firm operator's title Jacob Hewett President Mailing address same as street address of office?* Yes No Mailing address* Street Address 1005 Bay Rd. SW Address Line 2 City Shallotte Postal / Zip Code 28470 State / Province / Region NC Country United States Phone* Fax 910-664-2000 Type and amount of septage pumped in the last 12 months ^ Amount in gallons* Domestic 990,000 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, * Brunswick, Columbus, 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 * 10/5/2023 Title* President Choose how to add vehicle descriptions * * Add vehicles individually O Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage ya151262 lhtSCAAPXXH635694 2,000 Domestic Septage ya161196 lhtshaar5rh571215 3,500 Domestic Septage ya151273 2fzaakak62aj74825 2,000 Domestic Septage ya167461 2fzhazcv45au51457 3,650 Septage Disposal Method �^ For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes No Septage Land Application Sites (SLAS)* Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. Permit Verification I certify that I AM the permit holder for this SLAS. If unchecked, please attach a signed land application authorization form for each site. SLAS #* Expiration Date* SLAS-10-13 6/7/2023 Septage Detention or Treatment Facility (SDTF) J Yes No Permit Verification d 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-10-13 6/7/2023 Other disposal method* Yes No Septage Management Firm Operator Training Completed Date * Hours* 5/25/2023 6 Location * Shallotte Training Sponsored or Provided by* NC Septic Tank Association Septage Land Application Site Operator Training Completed ^ Date Hours 5/25/2023 4 Location Shallotte Training Sponsored or Provided by NC Septic Tank Association Registration Type Select one* D Registered Portable Sanitation Firm OD Registered Septage Management Firm D Registered Portable Sanitation and Septage Management Firm Comments and Notes^ Comments or notes Public utilities has not sent renewals for wastewater treatment plant disposal yet. 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 03:07:54 PM Print Name* Ryan Hewett Title* President APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646 (1.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s)). ISO. ;AYen (f f e,tiC tn Street address of office: Z l b b etk 2 N City: A sh State: N C Zip: Z J9� ZC) Mailing address (if different): City: Mto- 7SS-7b7d E-Mail: State: County: r",,Nick Septage Management Firm permit number: (2.) Firm owner's name:__ a•„ N e ✓y+� Mailing address (if different): City: State: Zip NCS # OD03 (3.) Firm operator's name: eke t + Firm operator's title: Prtt,, Mailing address (if different): City: State: Phone: Fax: (4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000). Portable Toilet Waste Grease (Restaurant) Treatment Plant Ind ustriallCommercial (5.) N.C. Counties of Operation: r iAta ✓l c k Caly,hwi, 0 e a 14, ver (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated: _ Number used for: Domestic Septage: Grease (restaurant): . Other: Portable Toilet Waste: _ Vehicle Information: (use additional paper if needed) License Tag it Vehicle Identification # Tank Capacity 1 I SI 7141 114Tp)(Xh 6 4 ZSoo c F 2 YA I b' 14 — s71 21 ob o�r 3 YA 151 ZZ 2 A 7717- ZSto tl 47 W1 67461 2 F ZHA ZCvqrAuct4176so 5 APPLICATION CONTINUED ON PAGE 2 PAGE APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (CONTINUED FROM PAGE 1) (7.) Do you plan to operate pumper vehicles? (check one) (6'ryes ( ) no. If you checked yes above, you must attest to the following statement before a permit may be issued. "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 are significant penalties for false certification including the possibility of fine and imprisonment." Do you attest to the statement above? (,")"yes ( ) no Initial Q Date_ 12v 1 a, Z&L3 _ (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: (✓) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0834(c)(14) of theSeptage Management Rules. a"`rt't"' b Septage Land Application Site SLAS Permit Numbers: use additional sheets if needed SLAS#: , a- I S Expiration Date: _ SLAS#: Expiration Date: + c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) l SDTF#: 10-13 Expiration Date: — SDTF#:_ Expiration Date: __ (9.) Septage Managemei A Firm Operator Training Completed: Date:., Y ZS / Z o 13 Location: S'h a. u o d-the Hours: —I Training Sponsored or Provided by: N4'4h f"ra,;c a-k ASSo—'i4 �' - (10.) Septage Land Application Site Operator Training Completed: Date: S- ZS / 2 -' 0 Location: Sh a l t,-+4-c Hours: Training Sponsored or Provided by: rJarfi, la�cl �ng P,�tic To A (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: Registered Septage Management Firm: Registered Portable Sanitation and Septage Management Firm: 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 (signature of company ofcia rrequired) Vel Print Name Other Comments: Zo13 Date Title W) j "A +- W""�,rj for Q0,N1}1 f•r S IAX Id-13 PAGE 2 *.%3 S 01rF I0,I3 Rev.04-26-2021 AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environmental Quality Division of Waste Management - Solid Waste Section 1646 Mail Service Center, Raleigh, NC 27699-1646 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. I, Matthew Henry, #998880, West Brunswick Regional Wastewater Treatment Facility (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 235 Grey Water Road, Supply, NC 28462 (Address) (910) 755-7670 do hereby authorize Ryan Hewett (Phone Number) (Owner/Operator of Septage Management Firm) of Robinson Septic Tank Cleaning, LLC NCS # 00033 (Septage Management Firm Name and NCS number) to dispose of: domestic septage X portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from Brunswick Count (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: West Brunswick Regional Wastewater Treatment Facility, 235 Grey Water Road, Supply, NC (Location) between the hours of Monday -Friday 8 a.m. - 6 p.m., Weekends & Holidays 9 a.m. - 5 p.m. Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until December 31, 2024 (Usually December 31, Year) Signed I / Date le (Facili : Operator) Matthew Henry personally known to me 1 Subscribed and affirm d before me this I day of OM 20o3 16 My Commission expires: O 1P (Notary Public) tt%J11111111/�' �. oTARy 03:� AU130G z Note: Falsification of this document by the septage management firm shall lead to pQre �ation b : A, S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 ��j V8 09 ? ��\ 3 North Carolina Department of Environmental Quality NORTHAROLINA Division of Waste Management INVOICE �n vtr,..,. Solid Waste Section Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 Septage - Annual: Robinson Septic Tank Cleaning (NCS-00033) 2166 Big Neck Rd NW Ash, NC 28420 Annual Fee 2024 - Pumoer/Number of Trucks: 4 To: Ryan Hewett Robinson Septic Tank Cleaning 2166 Big Neck Rd NW Ash, NC 28420 Date Due: Date: 10/03/2023 Invoice #: NCS-00033-2024 $1, 500.00 023 LATE FEES: In accordance rsilh NIC General Statutes GS 130A-291.1(e2), a late fee will be 3ppiied m any annual permit fees not submitted by January t• 2024. Payment Options: E-check Available online at https://epay.deQ.nc.gov/sw-e2aayments.htmi 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://epay.deQ.nc.cov/sw-er)ayments.htrnl 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 $25.00 processing fee will be charged on all returned checks.] Explanation of Invoice Amount is Based on Firm's Current Permit Status: Pursuant to North Carolina General Statute 130A-291.1 you are required to pay fee(s) based on your solid waste management activities. The fee(s) shall be used to support the septage management program. Staff Contacts: Connie Wylie (919) 707-8298 or connie.wylie@deq.nc.gov Chester Cobb (919) 707-8283 or chester.cobb@deq.nc.gov wZ (4 1 !$©D Jeffrey Bullard (919) 707-8285 or Jeffrey.bullard@deq.nc.gov �q 17 9"Q More information available on the web: North Carolina Department of Environmental Quality (DEQ) - https://deo.nc.00v North Carolina Solid Waste Program -httode .ncgov/about/divisions,,waste-managemenTisolid-waste-section North Carolina Septage Management Program - htt s: de .nc. v/ab u /divisions.�waste-mana emen li -w ste-s ry ecial-was s-and-alternative- handling/septage 7i H Q u 0 V" 3 y z �L VLI ) z L _D 7 � o � a)o C� � ✓� W w � (m �V a A