NCS01530_2024Permit_Initial

2024
Permit and Registration
CMH Septic Solutions
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01530
o and registered as a
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NORTH
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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. Greenville Utilities WWTP, Greenville, 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.
Digitally signed by Wm Perry
Wm Perry Sugg sugg
Date: 2024.06.12 09:02:53
-04'00'
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*
CMH Septic Solutions
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
NCS-01530
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
2277 Brown Rd.
Address Line 2
City
Jamesville
Postal / Zip Code
27846
County*
Martin
Mailing address same as street address of office?*
0 Yes 0 No
Phone*
252-661-5737
Email *
[e-mail]
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Charles Winstead
Mailing address same as street address of office?*
Yes No
Phone* Fax
252-661-5737
Operator Info
Firm operator's name* Firm operator's title
Charles Winstead
Mailing address same as street address of office?*
Yes 0 No
Phone* Fax
252-661-5737

Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 45,000
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
martin county and surrounding 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 *
10/1/2023
Title*
owner
Choose how to add vehicle descriptions*
0 Add vehicles individually 0 Upload List
Pumper Vehicles
Usage* License Tag #* Vehicle Identification #* Tank Capacity*
Domestic Septage YA148974 1 1,500
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
03 Yes 0 No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:

NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*
Greenville Utilities
Septage Land Application Sites (SLAS)*
Yes No
Septage Detention or Treatment Facility (SDTF)
0 Yes No
Other disposal method*
Yes No
Expiration Date* Authorization*
12/31/2023 i 20231001... 265....
Septage Management Firm Operator Training Completed
Date * Hours*
10/19/2022 6
Location *
raliegh
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
OQ Registered Septage Management Firm
0 Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes
6
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
10/1/2023
08:54:49 AM
Print Name* Title*
Charles Winstead owner

'� Greenville
Lk'i Utilities
e5
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.
I, M. Jason Manning, WW-415210, Greenville Utilities WWTP
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
240 Aqua Lane PO Box 1847 Greenville, NC 27835
(Address)
[phone] do hereby authorize Charles Winstead
(Phone Number) (Owner/Operator of Septage Management Firm)
Of CMH Septic Solutions NCS # 01530
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage it 1 portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
Pitt County and Surrounding Areas
(County or other Geographic Area)
at the above -named wastewater treatment facility. Septage shall be discharged at:
Greenville Utilities WWTP
(Location)
between the hours of 8:30 AM — 4:30 PM, Monday through Friday
Reintroducing partially treated liquid into a grease trap is acceptable Yes V No
This authorization shall be valid until December 31, 2024
(Usually December 31, Year)
C it
f � Signed - G,G Date //k3
(Facil erator)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
SjSo lid Waste/CLA/SEPTAGF/FORMS/2018 Firm Application/WWTP Authorization Form 2018
Cnnn24ted To You Post Office Box 1847 1 Greenville, North Carolina 27835-1847 1 guc.com 1 252-752-7166

p, STATE �. v
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a a= North Carolina Department of Environmental Quality
Division of Waste Management
NORTH CAROLINA Solid Waste Section
Environmentw Oudufv
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
email: [e-mail]
Septage-Application:
CMH Septic Solutions (NCS-01530)
PO Box 471
Jamesville, NC 27846
2024 Annual Fee
To: Charles Winstead
CMH Septic Solutions
PO Box 471
Jamesville, NC 27846
Date Due
NVOICE
Date: April 30, 2024
Invoice #: NCS-01530-2024
X
':11 11
Payment Options:
E-check Available online at https://epay.deq.nc.gov/sw-epayments.html
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number shown on this
invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card Available online at https://epay.deq.nc.gov/sw-epayments.html
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number shown on this
invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.6S% added to amount invoiced.
Paper check Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit/Manufacturer Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this invoice with
your payment.
Paper checks can be mailed to:
INC Division of Waste Management According to North Carolina General Statute
Solid Waste Section 25-3-506: A $25.00 processing fee will be charged
1646 Mail Service Center on all returned checks.
Raleigh, NC 27699-1646
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http://deq.nc.gov/
North Carolina Solid Waste Program - http://deq.nc.gov/about/divisions/waste-management/solid-waste-section
NC DEQ: WM Solid Waste Invoice Form 1-2023