NCS01744_2024Permit_Initial

2024
Permit and Registration
EPS Septic and Grading
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01744
and registered as a
i2. �� Septage Management FirmCAROL] � �nffi��NOR Ity
LULAH
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 Forest City WWTP
2. 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.
Wm Perry Digitally signed by Wm
Y Perry Sugg
S u g g Date: 2024.05.15 14:45:57
-na'nn'
Perry Sugg, Environmental Compliance Branch Head

Alec A QP I: wvi-ov\
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 "Finn name" must be exactly as it is shown on your vehicle(s).
Street address of office: 5 L-,jc V f �
City: State: NC Zip: (615a
Mailing address (if different):
City:
State: Zip:
Phone: 8a 803 - 'BLI 3 Fax:
E-Mail:
RE
County: I I Y Septage Management Firm permit number: NCS #
(2.) Firm owner's name:_a__ aY,;
Mailing address (if different):
City:
State: Zip:
Phone: Ba 8 - 903 - 8 y $3 Fax:
(3.) Firm operator's name: 13 c„ a vA '%A la Firm operator's title:
Mailing address (if different):
City: State: Zip:
Phone: Fax-
(4.) Type(s) of septage pumped: Write in the number of nallonspumped in 2015 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease Restaurant Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation:
(List each county you do business in)
(6.) Total Number of Pumper Vehicles Operated: I _
Number used for: Domestic Septage: Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag # Vehicle Identification # Tank Capacity
i soya o j plTrnm P, NL6jVA5B a 201-7 2200 -
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( yes no. If yes, submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagrap .0833 c�j 4) 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: 61- P: 43 Location: Hours:
Training Sponsored or Provided by: _I (C e 'Qa 11car d _
(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: la
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.
/ &?— -
Signature (Signature of company official required)
Print Name
Other Comments:
Date
V W rr{c
Title
S:/Solid Waste:/CLAISEPTAGE/FORMS/2016 Firm Application/FinnPermitApplication20l6
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.
Jacob Hodge (ORC), License Number WW1002183, Town of Forest City WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
P.O.Box 728 Forest City NC, 28043 Phsical Adderess 397 Riverside Dr Forest City NC, 28043
828-248-5217
(Phone Number)
(Address)
do hereby authorize Benjamin Elam
(Owner/Operator of Septage Management Firm)
of EPS Septic And Grading NCS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste X
grease septage (grease trap pumpings) commercial/industrial septage. from
Rutherford County North Carolina
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
397 Riverside Dr Forest City NC, 28013
(Location)
between the hours of 7:00 AM and 3:30 PM
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
Facility Opef r)
Date 3/4/2024
Subscribed and affirmed before me this `{ to day of AeCk 20 at4—
My Commission expires: /� , Qtti ' 003..``1
(Notary Public)
`,`��rinnrinrp,.
GEE M,
NQ
p� TLLg,,RI, .
Note: Falsification of this document by the septage management firm shall lead to it vo aNi . V
S:/Solid_Waste/CWSEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016 2021,� Z�.`

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.
G C-o,2 n ci g % %.3o 2 / a G.A S""' J, /'�'
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
302 7 �e%�y 57`rr�t S�•:►�ale NL .2a'��G
(Address)
2S6 —3 ` o 7 do hereby authorize
(Phone Number) (Owner/Operator of Septage Management Firm)
of FPS A,
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage portable toilet waste A --
grease Septage (grease trap pumpings) ./1V . commercial/industrial septage /Vy —, from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours of
Reintroducing partially treated liquid into a grease trap is acceptable Yes >Oc No
This authorization shall be valid until 11 /3/ I,76,? Y
(Usually December 31, Year)
Signed. Date 3ls 1
(Facility Operator)
Subscribed and affirmed before me this '54k day of CX 20
My Commission expires:
(Notary Public)
i"Y---
• do f,�=
= rn GB'9R� y : M
Note: Falsification of this document by the septage management firm shall lead to r' t revel et on. 'C
5:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWTP Authorization Form 2016 1�-0,�0?S
�2� �-•``G` �•
T ` ``,�

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Benjamin Elam
EPS Septic and Grading
385 Lucky Street
Marion, NC 28752
NORTH CAROLINA
Environmental Quality
March 27, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
EPS Septic and Grading NCS-01744
Dear Mr. Elam:
We have received an Application for a Permit to Operate a Septage Management Firm, a permit fee
payment in the amount of $800, and disposal authorizations for the Forest City WWTP and Spindale
WWTP. Also, we have record of your attendance at the New Operator Class on September 14, 2023.
However, your Application to Operate a Septage Management Firm will not be processed until the
pumper 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-01744. 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-01744, 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.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.
Sincerel�r,
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