NCS01733_2024Permit_Initial

2024
Permit and Registration
Blue Line Septic LLC
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01733
o and registered as a
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NORTH
EQ�J
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-�� Septage Management Firm�� �� w� ��nffii�utr
E,%r Q'M
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. Septage Detention or Treatment Facility- SDTF-98-08
2. Black River WWTP, Dunn, 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
9g
024.06.21 12:51:01
S u g g 04'00'
Perry Sugg, Environmental Compliance Branch Head

(JA-le to 1=1 y^A 4-
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 "Firm name" must be exactly as it is shown on your vehicle(s)).
Street address of office: Y rv, i MII - LA
City: ; -,t lvt. b V-1 Stater Zip: 2-S
Mailing address (if different): cmna"gl� XV
City: a vt vt
_ State: AFL Zip 2 Y3 3
Phone:_ �� 3�S'��5 Fax:
E-Mail: , c,-k4dlCY 45�:n �� 4K4CILt C0 >'6-t
County:_ S2.6, 15 el Septage Management Firm permit number: NCS #
(2.) Firm*ownees name:,
Mailing address (if different): �? �n_rdf,il6 ai[ �
Phone:
q(D -3tS7- W tx5
(3.) Firm operator's name: _ msw Ok-tiltSbo Firm operator's title:
Mailing address (if different):
City: State: Zip:
Phone: E?/D - 3,d `r_ j 1 _
S Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons qumaed in last 12 months (Example: Domestic: 50,000).
Domestic
Portable Toilet Waste I Grease (Restaurant) I Treatment Plant
(5.) N.C. Counties of Operation: It $ay► Kc,( ';,a�6Pjgj F o k;,siv-e}
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage: 1 Grease (restaurant): I
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
ItMA M NkC'A3YS7:3
Tank Capacity
1
2.2,
2
3
4
5
APPLICATION CONTINUED ON PAGE 2
PAGE 1

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (�) 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 .0844(a) and vehicle lettering
as required by 15A NCAC .0844(b). Furthermore, I also certify that a log is maintained of each septage pumping event as
required by 15A NCAC 13B .0839(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? yes ( ) no Initial —Date t 1 i a
(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 .0833(c)(14) of theSeptage 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 Managem nt Firm Operator Training Completed:
Date: iI ► Location: f L%; Hours:
Training Sponsored or Provided by: &&aj
(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:--Az—
Registered Portable Sanitation and Septage Management Firm:
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 knowingl making a false statement, representation, or certification.
GcJ - 11
Sign ure (Signature of companyofficial required) Date
j atsur! 40fe—1 ip'l500
Print Name
Other Comments:
' Flrm
Title
PAGE 2
Rev.10-27-2020

AUTH Olt IZATIO N TO 1011 SCHARGE -SEITAGE AT A SEP7AG E T R E ATM ENT OR
STORAG E FACI LITY PER MITT E D TO 50 ABED NE OTHER THAN VOURSE LF
FhE5 farm i s used by -a Bete nt I oo or treatment facility p ermit h We r to in d i sate that Dean issio n
h8s been given to a Permitted SeptaGe Man agem en t 1= rm to d is Ch a rge se-ptage into th e p e rrn it
hold M detent inn or treatment faci I itY-11
�F Mty Ooeral ar l
t
1� V &4
P t t_ R.4 j0peu tnr Address
. kph t b %&-rt 1�4 4—
do hereby a uthorixe:
(Namt of Septale Ma-n
(Addr�s
-, 0 o
t #_.:3 3- --.
enr FjrA
ge Manage rnent Venn) -� ne r tti - 3$ 9- 4q
to tauge septer d niion ae tfc8trnenc facility OF
.Se*
Ok S - 0
L) -n -qP
for the kreatrnerot or Stara ge r�t
in 2-0 r r . The (aafity wiII be oPVrNed In B=rdGnG8 withthe Sep�ap Manage-rn;rM RuEe5
- f
Date;
As 10ined in 13,S, 13DA-2910W(32)
g v 4& def;intd I rM ISA iCAC 1 N .09OG
1m«rn Che properly oampleted f g r m I d;
rti CSr-0Lina t}&Pbr MLLFet Of F.Gviro n m6w Al Quality
-:.on of Waste Mo nalgennam
v..YWaste Sensor
1.E4:s Mail Service Cen1tr
ftaleFgh, NC 27699-1646

AUTHC R RATIO I'd TO DISC H A 96 E SEPTAGE TO A WASTEWATER TREATNI E NT FAC M'LITY
Noah C4r-olina D�fiartmeak of Environmental QuaLity
Divisi-on of Waste Managq!men?t , Si)li d Waste Seq.tlOn
16+46 Mail SeMre C"tpr, Ra le ighr NC 27 9-16-46
Fee OGSessmeintS and w;pste deterrrFlnatlons xuill be required at the di5cretiOn -Pf the waswwater
treatrnEnt facility. The facility Itas the ultirnete prera.Se4ive to deny disch iar�es of a:nY W@Ste5tQ the
inC*ming wastewater stream r
I, fir? r
f P4aM Operatpr irk R-esp4"jWa! Charee JORCjr ORC uGM312 19Umberr Nonw of PC&nt)
(Address)
l � y r`V1cS0 VI
_do j
50
(Phone Number) J �Owriwjoperator of 5-eprsge Management Firm
Iseptage Management FirM N=La and WS ntiimbcr)
to d ispose: of; domestic-septage porta ble toi let waste
givasv septage (&rs-2 trap purnpings) om merciaVirtdustNal septa e . from
ftc 4 I •
County or other Geographic Area]
at the ebbve named wart-ewat-ar tre�atm ent facIfrty+ Septage shall be disdharged at;
ti V-0'c� l
�L�aratio:��
betwoen the hours of
RaIrrroducing partialIVtreat-ed Liquid Irtto a greasye trap is acceptably Yes N-0
This a uth o riza#ion shall be val id u ntil - 15
rUsuaLtV grnber 31, Years —
Signed Dot
[Facility Gperjtor)
Subscribed and affi td re me this d:&V of 2-0 _04
My ComrrrlSSi � �+
Notary Publid ~
= t (.0 FF I A SEAL)
ti }
Note; raIsification of this document by the seP?tege migna$ement firtrt shall 1668,t~ ���v

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Jason Dickinson
Blue Line Septic LLC
150 Cavenaugh Road
Dunn, NC 28334
NORTH CAROLINA
Environmental Quality
January 31, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
Blue Line Septic LLC NCS-01733
Dear Mr. Dickinson:
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 November 16, 2023
New Operator Class. 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-01733. 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-01733, 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 Mr. John Farnell, Environmental Specialist II in the Wilmington Regional Office at (910)
796-7397 or email at John. Farnell(a-)deq.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: John Farnell, Environmental Specialist II, Wilmington 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