NCS01682_2024Permit_Modified

2024
Permit and Registration
Union Septic Solutions LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01682
oand registered as a e:,e D
NORTH CAROLINA
EQ�J
%L iZ. ��
-�� Septage Management Firm awnen� f� wrnmenta�lty
4sr
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. Rocky River Regional WWTP, Concord, NC
2. Anson County Regional WWTP, Wadesboro, 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 registration expires on
December 31, 2024.
Digitally signed by Wm Perry
W m Perry
9g
Date: 2024.06.04 12:32:22
S u g g-04'00'
Perry Sugg, Environmental Compliance Branch Head

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1 646 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.
1, GARY GARRISON 990415 ANSON COUNTY REGIONAL WASTEWATER TREATMENT PLANT
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
POST OFFICE BOX 553 WADESBORO NC 28170
(Address)
704 994-3281 do hereby authorize Steve Vene as -A ala
(Phone Number) (Owner/Operator of Septage Management Firm)
of UNION SEPTIC SOLUTIONS LLC NCS # NCS-01682
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage 1Xl , portable toilet waste fXI
grease septage (grease trap pumpings) commercial/industrial septage , from
RICHMOND MOORS MONTGOMERY SCOTLAND & ANSON COUNTY
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
THE MAIN LIFT — WWTP SITE — 1360 HOLLYWOOD ROAD WADESBORO NC
(Location)
between the hours of 7:30am & 4:30m Monday —Saturday
Reintroducing partially treated liquid into a grease trap is acceptable Yes _JXI_No
This authorization shall be valid until December 31, 2024
(Usually December 31, Year)
Signed�1WrN)10r:-N Date October/5/2023
(Faciiity Operator)
Subscribed and affirmed before me this 5th day of October, 2023
I My Commission expires: _ May 12, 2024
(Notary Public)
(OFFICIAL SEAL) ,, " T`iP`-
tvy
EXPIRES
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Wa5te/CtA/SEPTAGE/FDRMS/2015 Firm Appiication/WWTP Authorization Form 2016 _ . ,;i:,is-'

UNION SEPTIC
2023
Gallons
Discharged
January
February
March
April
May
22,500
June
37,500
July
22,500
August
September
Total Gallons
Billed
82,500

OE0002 Transported Waste Manifest
Nonhazardous Waste Only
Revised 3130120
Generator Information (To be completed by the generator)
Name Telephone (�) -
Address
Street c it" State Zip County
Mailing Address
Street 1 PO Box City State Zip County
Business I Residence (circle one) Only Domestic Waste Allowed
I certify to the best of my knowledge, the waste removed from this/these sites contains no hazardous wastes. l
understand there are penalties for falsification.
Generator's Name (print) Date
Generator / Representative Signature
Name Telephone �) -
Address
Street City State Zip County
Mailing Address
Street J PO➢ox City State Zip County
Business / Residence (circle one) Only Domestic Waste Allowed
I certify to the best of my knowledge, the waste removed from this/these sites contains no hazardous wastes. I
understand there are penalties for falsification.
Generator's Name (print) Date
Generator / Representative Signature
Transporter Information
(To be completed by Transporter)
Business Name _ Union Septic Solutions LLC Telephone_980-328-1499
(AS IT APPEARS ON YOUR TRUCK)
Address _ 3329 Ansonville Road Marshville, NC 28103
NC Pumper Permit No, NCS-01682 Effective Date
Truck Number Gallons Pumped From This Source
Gallon Capacity of Truck �2500 (This is the amount for which you will be billed by Anson County at month end.)
I certify the above information provided in this document, to the best of my knowledge, is correct. I further
attest only waste certified for removal by the generator is contained in this vehicle. I am aware that
falsification of this document may result in revocation of my discharge privileges and/or civil and/or criminal
prosecution.
Driver Name (print) Date Time
Driver Signature
Anson County Regional WWTP Discharge Site
Operator Signature Date Time
Comments