NCS01753_2024Permit_Initial

2024
Permit and Registration
Hamrick Septic Tank Inc
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01753
o and registered as a
e:,e D E
-�� Septage Management Firm �rtmen� f� w� nmentai�ilty
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. First Broad River WWTP, Shelby, 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: 2024.06.04 12:33:03-04'00'
Perry Sugg, Environmental Compliance Branch Head

-)(:- N/�Vj rir-IK
APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC 276WI646
(1.) Firm name: (The "firm name" must be gaqk as it is shown on your vehicle(s).
Hamrick Septic Tank Inc
Street address of office:1254 Maple Springs Ch Rd
City: Shelby State: NC Zp28152
Mailing address (if different):
City: State: Zip:
Phone: [phone] Fax
E-Mail: [e-mail]
CountyCleveland Septage Management Firm permit number: NCS #
(2.) Firm owners name:Joseph Craig Hamrick and Clayton Andrew Hamrick
Mailing address (if different):
City:
State: Zip:
Phone: Fax:
(3.) Firm operators name:Joseph Craig Hamrick
Mailing address (if different):
City:
Firm operators title: President
State: Zap:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number ofQallons pumped in 2015 (Example: Domestic: 50,000).
Domestic Portable Toilet Waste 1krease Restaurant Treatment Plant Industrial/Commercial
0 00 O I
(5.) N.C. Counties of Operation: Cleveland, Rutherford, Lincoln, Gaston
(List each county you do business in)
(6.) Total Number of Pumper Vehides Ope ated
::l
Number used for DomesW Septage
Other.
Vehide Information: (use additional paper if needed)
Grease (restaurant): 0
Portable Toilet Waste—n
License Tag #
Vehide Identification #
Tank Capacity
1
YA183423
1 HTMMAAN8EH485618
2,500
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.) 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 .083 c 4) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS# Expiration Date: StAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit !Numbers. (use additional sheets if needed)
SDTFM Expiration Date: SDTF#: Expiration Late:
(8.) Septage Management Firm Operator Training Completed:
Date: Location: New Operator Class Hours:
Training Sponsored or Provided by: State of Arc 1 leffery Rr rllarrll
(9.) Septage Land Application Site Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(10.) Registration type requested: CHECK ON
Registered Portable Sanitation Firm:
Registered Septage Management Firm: ]ZL
registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
t 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. t 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.
41
'� /"- - -
ign�bAj nature q#ompanyofficial requimo
Joseph Craig Hamrick
Print Name
Date
President/Owner
Title
Other Comments:
Both Joseph and Clayton are 50/50 owners and operators, with both completing New Operator
Training on 9-14-2023 and both completing continuing education on 2-16-2024 from NCSTA.
SJWd-wasteJCLAISEPTAGEIF0RMSM16 Firm Ap ka4ordRrmPerm! ftMigSonM16
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.
I, .Steve Srkkkl•,,'0Q`l�oo '- —It. Or'"V4 R%'Itr Wr�s���rr+��� TreRi
(Plant Operator in Responsible Charge (ORC), ORC License Number, Name of Plant)
1 Ll ` o -LAII i A�a e-ste S�ree_-1 s1nE11D4 r.1C 2_y 15L,
(Address)
_7&y '-ley -'cg SO do hereby authorize a fl1
(Phone Number) (Ow�erator of Septage Management Firm)
of k l rrn NCS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage ✓ __, portable toilet waste w I A
grease Septage (grease trap pumpings) N I A commercial/industrial septage from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hoursof._%:
Reintroducing partially treated liquid into a grease trap is acceptable NJEYes /N0
This authorization shall be valid until _ i tCevri�-mac -22A 51-- 2.0 2.�4
(Usually Decembe--r``31, Year)
Signed T
Date - 7-2-
ZoZ'�
(Facility Operator)
• ii
Subscribed and affirmed before me this i'1 411 day of (20 I 20
My Commission expires: f
(N tary Public)
,.w LAURA K BUSKILL
Notary Public, North Carolina
Cleveland County (OF ICIAL SEAL)
My Commission Expires
September 06, 2028
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
5:/5olid_Waste/CLA/5EPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018

City of Shelby, North Carolina
Septage Permit
In compliance with the provisions of the City of Shelby's Sewer Use Ordinances, lawful standards, and regulations
as specified by the City s NPDES permit from the State of North Carolina the following Septage Firm; hereafter
referred to by the name or as the permittee,
Septage Management Firm:
Hamrick Septic Tank Inc.
Owner:
Joseph Hamrick / Clayton Hamrick
NC5 Number:
NCS#
is hereby authorized to discharge domestic septage collected by the permittee and transported by the permittee
to the septage receiving station at the following location:
IUP Control Authority WWTP name:
City of Shelby First Broad WWTP
NPDES Number:
NCO024538
WWTP Address:
1940 South Lafayette Street
City, State, Zip:
Shelby, North Carolina 28150
in accordance with all conditions set forth in this Septage Permit.
Effective Date: This permit and the authorization to discharge
shall become effective at 12:01 a.m. on this date:
January 1, 2024
Expiration date: This permit and the authorization to discharge
shall expire at midnight on this date:
December 31, 2024
3.2
Date Brian Wilson; Director of Water Resources
,Ar�
Date ptage o pany Authorized Representative/Title
Document: WWT-7001.000
Effective: 1/1/2016

Shel
b�y4,-NORTH CAROLiN
i
Post Office Box 207 Shelby, NC 28151-0207
April 22, 2024
City of Shelby
Department of Water Resources
Wastewater Treatment
To Whom It May Concern,
After receiving your copy of the septage permit, please sign the statement
below for the City of Shelby's Wastewater Treatment records.
have received a copy of the
notarize septa permit from the City of Shelby. This permit covers
the year Z-02
Q-26 -.261-
Date ptage any Authorized Representative
«,AN--.cit-Vofshelby.com