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Home My WebLink AboutNCS00790_2024Permit_Initial2024 Permit and Registration Shamrock Environmental Corporation is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00790 o and registered as a 7 aw-g� E e:,e D E� M -�� Septage Management Firm �rtmen� f� w� nmentai�ilty 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-41-03 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 9g Date: 024.02.07 16:41:10 S u g g OS 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* Shamrock Environmental Corporation The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #)* NCS00790 Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX) Street address of office* Street Address 6106 Corporate Park Dr Address Line 2 City Browns Summit Postal / Zip Code 27214 County* Guilford Mailing address same as street address of office?* 0 Yes 0 No Phone* 3364781202 Email * jhollingsworth@shamrockenviro.c om Owner Info State / Province / Region NC Country United States Fax 3364781202 Firm owner's name* SHAMROCK ENVIRONMENTAL CORPORATION Mailing address same as street address of office?* Yes No Phone* Fax 3364781202 3363781801 Operator Info Firm operator's name* Firm operator's title Terry Healy CEO Mailing address same as street address of office?* 0 Yes 0 No Phone* Fax 3363751989 3364781202 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 0 Portable Toilet Waste 0 Grease (Restaurant) 23,612 Treatment Plant 0 Industrial/Commercial 17,226 North Carolina counties of operation List each county you plan to do business in, All NC Counties 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 * 11/21/2023 Title* VP HS&E Choose how to add vehicle descriptions* 0 Add vehicles individually 0 Upload List Upload vehicle list* You can upload a file with a list of vehicles to be used. Please be sure to include the following information for each vehicle on your upload: Usage, License Tag #, Vehicle Identification #, and Tank Capacity. SEPTAGE UNITS 2024.pdf 54.59KB 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 Septage Detention or Treatment Facility (SDTF) Yes No Permit Verification 0 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-4103 8/31/2023 Other disposal method* Yes No Septage Management Firm Operator Training Completed} Date * Hours* 10/30/2023 4 Location * Greensboro 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* 0 Registered Portable Sanitation Firm 0 Registered Septage Management Firm 0 Registered Portable Sanitation and Septage Management Firm Comments and Notes hj Comments or notes SDTF in renewal process with NCDEQ 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 11/21/2023 01:33:11 PM Print Name* Title* Jim Hollingsworth VP HSE Septage Units Usage Tag VIN Capacity Unit ID Other NE-6872 1XPFDR9XXSN377409 3500 VT-2 Other LT-3226 1NP5LROXOWN483637 3500 VT-6 Other NE-6897 1NP5LUOX83D803680 3500 VT-9 Other ND-4298 2M2N179Y3HC008033 3500 VT-13 Other ND-4297 1XPGDB9X84D827451 3500 VT-14 Other AH-78473 5HTNA422095E23572 6000 T-27 Other AH-78474 1PMA14228B1037913 6000 T-28 Other DA-40607 1A9114123Y1005065 6000 T-8 Other ND-7440 1NPCXPEX5KD260938 3500 VT-12 Other AM-82887 1A911412211005015 6000 T-15 No.7198926861 Please post payment for: AvidXchange, Inc. Shamrock Environmental Corp PO BOX 36250 Shamrock Environmental CHARLOTTE, NC 28236 Payment ID: 326467 Payment ID: 326467 Payment delivered by AvidPay Bill Payment Payment delivered by AvidPay Bill Payment DATE: 12/07/2023 VENDOR NAME: NC HAZARDOUS WASTE SECTION VFNnnR NO: 1454002 INVOICE NO INVOICE DATE DESCRIPTION GROSS DISCOUNT NET NCS-00790-2024 11/01/2023 1,500,00 0.00 1,500.00 TOTALS: 1,500.00