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HomeMy WebLinkAboutNCS01755_2024Permit_Initial2024 Permit and Registration Woodys Septic and Waste is hereby issued a Septage Management Firm Permit, ZNti STATE ,, Permit Number NCS-01755 o and registered as a e:,e D E ,ftL iZ. tip -�� Septage Management Firm �rtmen� f� w� nmenta�llty 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. French Broad WRF, Asheville, NC 2. Town of Waynesville WWTP, Waynesville, 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. Wm Perry Digitally signed by Wm Y PerrySugg Date: 024.05.24 11:25:48 S u g g 0 Perry Sugg, Environmental Compliance Branch Head APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (Pumpers) DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC .) Firp name:Fhe "Firm na e� "(nust be exactly as it is shown on your vehicle(s)). Saik. Iry wa.,JP Street address of office: -661 N UOA Uf l f CityState- ip: Z 1 Mailing address (if different): State: Phone:_.OL:h _ J County: ISepta Management Firm permit number: NCS # (2.) Firm owner's rnme-�& y l Mailing address (if different): City: State: Zip Phone: Fax: (3.) Firm operators Mailing address (if different): City:_ Phone: State:_ _Zip: Fax: operator's title: , &(— (4.) Type(s) of septage pumped:month(Example: Domestic: 50,000). Domestic Portable Toilet Waste Grease 0 — Plant (5.) N.C. Counties of Operation: a nCaM� (List each county you are authorized to do business in) (6.) Total Number of Pumper Vehicles Operated:. .) (y i Number used for: Domestic Septage: Onf" Grease (restaurant): _ Other: Portable Toilet Waste: ��- Vehicle Information: (use additional paper if needed) PAGE 1 of 2 APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM (7.) Do you plan to operate pumper vehicles? (check one) (/ys ( ) 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 .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 are significant penalties for false certification including the possibility of fine and imprisonment." Do you attest to the statement above? ( es ( ) no Initial _Date " � ✓� _ (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 .0834(c)(14) 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: (9.) Septage Mana eme t Fir Operator Training Complete Date: - I - Locatit — n(ti Ift/ V CA tl Hours: pul Training Sponsored or Provided by: '�11.1 i W (10.) Septage Land Application Site Operator Training Completed: Date: _ Location: Hours: Training Sponsored or Provided by: (11.) Registration type requested: CHECK ONE Registered Portable Sanitation Finn: Registered Septage Management Firm: Registered Portable Sanitation and Septage Management Firm: 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 knowinglyAnaking a false statement, representation, or certification. tre ature of any �k-tialquIrredo Date Print Name Title Other Comments: Rev.04-26-2021 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. (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) ;G urG l �d GU ! (Address) _do hereby AL6 n) (Phone Number) (Owner/Operator of Septage Management Firm) _ r of (�eptage Manage ent Firm Name and NCS number) to dispose of: domestic se Nt al;e _ , portable toilet waste grease septage (grease trap pumpings) _ commercial/industrial septage (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: a r (Location) between the hours of Reintroducing partially treated liquid into a grease trap is acceptable Yes NCS # _, from This authorization shall be valid until (Usually becember 31, Year) Signed Date & (Facility Operator) Subscribed and affirm d b ore me this dayNa'f �,� of 2011'J My- r�d?Psion e)(0 (Nota Public) W P sN ARY x � (OFFICIAL SEAL) i.7 POO LIC fj Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2016 Firm Application/WWiP Authorization Form 2016 AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Division of Waste Management - Solid Waste Section 1646 Mail Service Center, Raleigh, N.C. 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. Bart Farmer (991328), French Broad River Water Reclamation Facility (MSD of Buncombe County. NC) (Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant) 828-225-8224 (Phone Number) of 2028 Riverside Drive; Asheville, North Carolina 28804 (Address) do hereby authorize Nathaniel Woodard (Owner/Operator of Septage Management Firm) Woody's Septic and Waste NCS#_ TBD (Septage Management Firm Name and NCS number) to dispose of: domestic septage _ Yes , portable toilet waste No , grease septage (grease trap pumpings) No commercial/industrial septage No , from Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, TransvIvania & Yancey Co. (County or other Geographic Area) at the above -named wastewater treatment facility. Septage shall be discharged at: MSD's Septage Receiving Station at 2110 Riverside Drive; Asheville, North Carolina 28804 (Location) Between the hours of 24 hours a day / 7 days per week Reintroducing partially treated liquid into a grease trap is acceptable Yes X No This authorization shall be valid until Signed 71ac;it,0 perator) Subscribed and affirmed before me this (Notary Public) December 31, 2026 (Usually December 31, Yea Date Z��-2 day of , 20 My Commission expires: (OFFICIAL SEAL) Note: Falsification of this document by the septage management firm shall lead to permit revocation. S:/Solid_Waste/CLA/SEPTAGE/FORMS/2015 Firm Application/WWTP Authorization Form 2018