NCS01741_2024Permit_Initial

2024
Permit and Registration
ADC Portable Toilets
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01741
and registered as a
e:,e D E
-�12 -�� Septage Management Firm ��en� �� 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. Town of Spindale WWTP
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 Wm
Y Perry Sugg
Date:024.05.15 14:45:31
Sugg 0
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION —1646 MAIL SERVICE CENTER, RALEIGH, NC 27699-1646
0.) Firm name: (The "Firm name" must be exactly as it is shown on your vehicle(s).
ANr
Street address of office: -7 Z ' 2
City: r0 ,- e State: IBC_ zip: 2 8 4 33
Mailing address (if different):
City: State: Zip:
Phone: 2y Fax:
E-Mail: .61a. r; 4 -Co. c o y
County: L-'r►1Co r Septage Management Firm permit number: NCS #
(2.) Firm owner's name: `So
Mailing address (if different):
City:
State: Zip:
Phone: ®-- qU (ZFax:
(3.) Firm operator's name: S/--SO- Firm operator's title: dc.) ner
Mailing address (if different):
City:
State:
Phone: 0 Fax:
Zip:
(4.) Type(s) of septage pumped: Write in the number of gallons gumaed in 2015 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
(5.) N. . Counties of Operation: I—i'rvc6 1 n
_8_4CLc, 0rx_ , BkrV e , AA
(List each
you Uo 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 # IVehicle Identification #
Tank
APPLICATION CONTINUED ON PAGE 2
PAGE 1

ub'-� 'V-0(Y\VA-
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( yespc4)
no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagrap .083 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:
(8.) Septage Management Firm Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(9.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(10.) Registration type requested: CHECK ON
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
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.
Signat (signature of company official required)
Print Name
r7-
Date
_C)wh
Title
Other Comments: O Y-V\ a C u r,rerj CO
� -� .� �otild reet�l-e �.� q�,►c�a>nce
oc l-c, l-e ---o+ tJ6 W\y Services' °l y
or ec� cif v�-�1��`S ma-4er 1 T7iAkN X i,, &jL;akc-e
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S:/Solid_Waste:/CLA/SEPTAGE/FORMS/2016 Firm Application/FirmPermRApplication2016
PAGE 2

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ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Blake Johnson
ADC Portable Toilets
2732 Hallman Drive
Crouse, NC 28033
NORTH CAROLINA
Environmental Quality
March 18, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
ADC Portable Toilets NCS-01741
Dear Mr. Johnson:
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 a 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-01741. 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-01741, 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
[phone] or email at Stephan ie.WilliamsCdDdeq.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