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HomeMy WebLinkAboutNCS01539_2024Permit_Initial2024 Permit and Registration MEG is hereby issued a Septage Management Firm Permit, STATE Permit Number NCS-01539 oand registered as a 4sr -�� Septage Management Firm ��en� f� w� nmenta�llty 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-92-12 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. Wm Perr Digitally signed by Y Wm Perry Sugg Date: 2024.02.07 Sugg 16:42:44-05'00' Perry Sugg, Environmental Compliance Branch Head APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (Pumpers) 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 vehkle(s)). Street address of office: 8205 Old McCullers Road City:. Raleigh State: NC Zip: 27902 Mailing address (if different): 169 Stone Castle Road City:_ Rock Tavern State:__Ny _Zip 12575 Phone: 845-569-1200 Fax: E-Mail: jdoerre@millerenv.com County: Wake Septage Management Firm permit number: NCS # NCS-01539 (2.) Firm owner's name: Miller Environmental Group Inc. Mailing address (if different): 169 Stone Castle Road City: Rock Tavern State: NY Zip 12575 845-569-1200 x 1255 (3.) Firm operator's name: Rudy Streng Firm operator's title: CEO Mailing address (if different): City: State: Zip: Phone: 631-369-4900 Fax: (4.) Type(s) of septage pumped: Write in the number of gallons oumned in last 12 months (Example: Domestic: 50,000). Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial 12000 loop a (5.) N.C. Counties of Operation: Wake, Durham, Johnson, Franklin, Gifford (List each county you are authorized to do business in) Total Number of Pumper Vehicles Operated: Number used for: Domestic Septage: 4 Other: Vehicle Information: (use additional paper if needed) 2 Grease (restaurant): 4 Portable Toilet Waste: License Tag # Vehicle Identification # Tank Capacity 1 VA- 72853P 1M2AX09C4M006740 3000 2 VA- 72840P 2NPNLZ9X85M848499 3000 3 - 77Q95P 1FVHCY545HU64184 4 NY-CB59685 2C9TA32XKC005940 4500 5 PAGE 1 of 2 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (7.) Do you plan to operate pumper vehicles? (check one) (X) yes ( ) 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? (x) yes ( ) no Initial Date 1-24-2024 (8.) Septage Disposal Method: (check one) a) Approved wastewater treatment plant: ( x ) yes no. If yes, submit Wastewater Treatment Authorization for each plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules. b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed) SLAS#: Expiration Date: SLAS#: Expiration Date: c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed) SDTF#: Expiration Date: SDTF#: Expiration Date: (9.) Septage Management Firm Operator Training Completed: Date: 2"2 M Location: C Hours: 8 Training Sponsored or Provided b . n (10.) Septage Land Application Site Operator Training Completed: Date: Location: Training Sponsored or Provided by: (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Firm: Registered Septage Management Firm: X Registered Portable Sanitation and Septage Management Firm: Certification Statement Hours: 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. Sig re (Signature of companyofficial required) ohn Doerre Print Name Other Comments: 1-24-2024 Date Vice President. Compliance & EHS Title Rev.04-26-2021 PAGE 2 AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE'TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to Indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) , d C- V`MSG 14,4rck- (Facdtty Operator) (Operator Address) do hereby authorize: ,LAI IkeA eAld I AIIPN7J I, 116 &O ] X 4'J C (Owner of Septage Management Firm) Aj�La 6A1y_1&AWAnlL- JfPOL;P% 7X--AJC NCS# Q/S3 (Natne of Septage Management Firm) (Address of Septage Management Firm) to utilize septage.detention or treatment fatuity # —%a2 _ for the treatment or storage of septage'` In 20,,I, . The facility will be opeiated in accordance with the Septage Management Rules •#. Date•/i/d161i1AP jgg� Sign -�' (Facility Operator) ' As defined in G.S. 130A.290(a)(32) " As defined in 15A NCAC 13B .08M Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646