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Permit and Registration
Elite Piping Solutions
is hereby issued a Septage Management Firm Permit,
STATE�
Permit Number NCS-01745
- o and registered as a
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e:,e
NORTH CAROUNA
-�� Septage Management Firm bepa►unent }Enulr nmentalllty
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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. Town Creek WWTP, East Spencer 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 this registration expire on December 31, 2024.
W m Perry Digitally signed by
Y Wm Perry Sugg
Sugg 114:24:23- 1 04'00'
Perry Sugg, Environmental Compliance Branch Head
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
M (Pumpers)
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC
27699-1646 (1.) Firm name: (The "Firm name" must
e
Street address of office:
as it is shown on your vehicle(s)).
City: / State: N Zip:
Mailing address (if different):
City:
State: Zip
Phone: '3 � 6 " 5 c� K- 0 51 Fax:
E-Mail: EI,'AeD 'n,l
'ca X-7 _
County: bmve Septage Management Firm permit number: NCS #
(2.) Firm owner's name:_7`,5�1,7. }L► ,, ;.e r�
Mailing address (if different):
City: State:
Phone: Fax:
Zip.
(3.) Firm operator's name: 3'u l ' C.e� :- t r Firm operator's title: Uwn t ✓
Mailing address (if different):
City:_
Phone:
State: Zip:
Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000).
Domestic
0
Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial
0 r) ® C-9
(5.) N.C. Counties of Operation: Dav►'C
(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)
PAGE 1 of 2
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(7.) Do you plan to operate pumper vehicles? (check one) (✓f 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? (vl'yes ( ) no Initial Date 3-
(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 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: 3-/Y-2 Location: : ' n 1
Hours:
Training Sponsored or Provided by: —jr-; 4)2Jbr.(Z 'a vt t36-54-c
(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:
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.
Sign ure (Signature of companyofficial required) Date
S. s 4.1-7 --
Print Name
Other Comments:
Title
Rev. 04-26-2021
PAGE 2
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.
Charles Wood WW4 990826 of Town Creek WWTP
(Plant operator in Responsible Charge (ORC), ❑RC License Number, Name of Plant)
704-638-5377
(Phone Number)
of ! /Z
850 Heiligtown Rd, East Spencer, NC 28039
(Address)
do hereby authorize — -u ►r7 _�,t7�, j -e
(Owner/operator of Septage Management Firm)
nagement Firm Name and NCS number)
to dispose of: domesticseptage _ Yes portable toilet waste Yes
grease septage (grease trap pumpings) NO commercial/industrial septage NO , from
ROWAN COUNTY ONLY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Town Creek WWTP - Influent Installation
(Location)
between the hours of 8 am to 6 pm
Reintroducing partially treated liquid into a grease trap is acceptable Yes x No
This authorization shall be valid until
nn h (Usually December 31, Year)
Signed L w ICA— Date_ ..2 3- D q
(Facility operator}
Subscribed and affirmed before me this 2LA i day of A 20,2 �I
My Commission expires: Q - k'j"L
(otary Public)
Vickie Eddleman
Notary Public (OFFICIAL SEAL)
Rowan County, NC
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
5;/Solid_Waste/CLA5EPTAGE/F0RMS/2018 Flrm Application/WWTP Authorization Form 20IS
SaI&A qff��
Septic Hauler Agreement
Applicants must submit the following documents each calendar Year in order to discharge septage at our
wastewater treatment facility;
Septic Hauler Agreement Form (signed)
Authorization to Discharge Form
■ Current copy of Permit to Operate a Septage Management Firm
Septage Firm Name: r p,` Sa u 41 , ,v7 �
NCS Permit #: Q 17 y
Owner/Operator Name:
Physical Address: !�f j,-� R-b&k-, 6 6 1<5 jZ J lc
Mailing Address: I 6 f--16L-- RoCk VJ At&C)<$1,'I%e C .7-`20 A
Email: /5-171 .)r- 0 i D 10 c 5(e,;
Phone: 2 r b �{l 7 Cell #: 7
Discharge Requirements
• Septage tickets can be purchased at SRU Administration Office, 1 Water Street, Salisbury, NC 28144.
Tickets are $75 (up to 2,000 gallon limit per ticket) and farms of payment are checks or money orders_
❑nlv made out to City of Salisbury.
• SRU accepts domestic septage and portable toilet waste from Rowan County only. Septage being
discharged must be within a pH range of 5.0-10.0 standard units and its temperature cannot exceed
104 degrees Fahrenheit.
• Septage shall be discharged at Town Creek WWTP (850 HeiIigtown Rd, E. 5pen cer, NC) Monday -Friday
between the hours of 7am-5pm.
• Manifests are to be completely filled out consisting of address and phone number when turned in to
wastewater staff.
■ Please note that violation of this agreement is also a violation of the City's Sewer Use Ordinance (SUO)
Ch. 25 Article V111 Sec. 2S-202 and may be subject to enforcement action including, but not limited to,
the issuance of a civil penalty and/or termination of your agreement with SRU as a domestic disposal
site.
I HAVE READ AND AGREE TO THESE CONDITIONS.
Dated: q W - Z f Signature of Applicant:
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Justin Waller
Elite Piping Solutions
146 Flat Rock Road
Mocksville, NC 27028
NORTH CAROLINA
Environmental Quality
February 1, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
Elite Piping Solutions NCS-01745
Dear Mr. Waller:
We have received an Application for a Permit to Operate a Septage Management Firm and a permit fee
payment in the amount of $800. Also, we have record of your attendance at the New Operator Class on
March 14, 2024. However, your Application to Operate a Septage Management Firm will not be
processed until you have submitted at least 1 disposal authorization, and the vehicle has been
inspected for compliance with the rules and approved by the Division. When the Permit to Operate
a Septage Management Firm is issued, the Firm Permit Number will be NCS-01745. Please note that
this letter is not a permit.
Requirements for the pumper vehicle(s) can be found within 15A NCAC 13B .0835 of the Septage
Management Rules. As noted within Rule .0835 (b), the firm name, town name, phone number, and
permit number, NCS-01745, must be visible and permanently attached on both sides of the pumper
vehicle. Each letter must be at least 3 inches in height. When the required lettering has been completed,
please contact Ms. Stephanie Williams, Environmental Specialist II in the Asheville Regional Office at
(828) 296-4701 or email at Stephan ie.WilliamsCa)-deg.nc.gov to request a truck inspection.
This letter shall not be considered as a permit to operate a Septage Management Firm. Please
note that you may not legally operate a septage management firm in North Carolina without a
permit. General Statutes, GS 130A-291.1 (c) states in part "A septage management firm that
commences operation without first having obtained a permit shall cease to operate until the firm obtains a
permit under this section." You are hereby advised that, pursuant to N.C.G.S. 130A-22, an administrative
penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Statute or
Regulations. If you have any questions, feel free to contact me at 919-707-8283.
Sincerely,
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
copied: Stephanie Williams, Environmental Specialist II, Asheville Regional Office
�� NOTth Carolina Department of Environmenta Quality I Division of Waste Management
,/-,�-D Et
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699 -16 46
919.707.8200