NCS00273_Cease_Op

NOTICE OF CEASED OPERATION AS A SEPTAGE MANAGEMENT FIRM
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION
1646 MAIL SERVICE CENTER
RALEIGH, NC 27699-1646
I hereby inform the Division of Waste Management that I will not be operating a Septage
Management Firm as of (date)',._
'S SEpTIC -renlK >�
RADIATOR SF-
H ROAD Name of Firm 221 BEU1�` �s NCS # c::;? 7-3
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Address 2
City, State _ C Zip c .
County
Phone Number
Owner Signature
Owner Name (please print)
Comments
S:/Solid_Waste/CLA/septage/forms/2018 Firm Application/cease-firm-2018 , £
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