NCS01742_2024Permit_Initial

2024
Permit and Registration
Sea Salt Solutions LLC
is hereby issued a Septage Management Firm Permit,
�szArr of
Permit Number NCS-01742
o and registered as a�EQ
-�= Septage Management Firm Department fE wrnmentallltp
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. Elizabeth City WWTP, Elizabeth City 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.
W m Perry Digitally signed by Wm
Y Perry Sugg
Date: 2024.06.27
Sugg 13:18:07-04'00'
Perry Sugg, Environmental Compliance Branch Head

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)).
Sea Salt Solutions LLC
Street address of office: 402 Wallace Street
Citv: Kill Devil Hills
Mailing address (if different):
rIr`
State:
Same as above
Zip: 27948
City: State: Zip
Phone: [phone] Fax:
E-Mail: [e-mail]
County: Dare
Septage Management Firm permit number: NCS #
(2.) Firm owner's name: Joey S. Russell
Mailing address (if different): Same as above
City:
Phone:
252-455-0117
State: Zip
Fax:
(3.) Firm operator's name: Joey S. Russell Firm operator's title:
Mailing address (if different): Same as above
City: State: Zip:
Phone: Fax:
Owner
(4.) Type(s) of septage pumped: Write in the number of alb uummged in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation:
Dare, Camden, Currituck, Pasquotank
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for: Domestic Septage:
Other:
Vehicle Information: (use additional paper if needed)
Grease (restaurant):
Portable Toilet Waste:
License Tag #
Vehicle Identification #
Tank Capacity
1
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) (X) 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 .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? ( ) yes ( ) no Initial
Date
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( X ) yes ( ) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(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 Management Firm Operator Training Completed: 4-6
Date: 03/14/2024 Location: Online Training Hours:
Training Sponsored or Provided by:
NC DEQ, DWM
(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:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
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 knowingly making a false statement, representation, or certification.
Signature (Signature of companyofficial required)
Print Name
Other Comments:
Date
Title
PAGE 2
Rev. 04-26-2021

2/2/24,3:45 PM Now Submission
---* ;- E C iqT�_ ' T) �j
State of North C.'Arolina Application for Permit to Operate a
E, n vironrnentai Quality -tage Management Firm
Waste NIHna(
Sep
For questions regarding this form or the online application process, please contact Jeffrey Bullard (hftp:/Imailto: [e-mail])
(919-707-8285) or Chester Cobb (hftp)Imail to:[e-mail])(919-707-8283).
Firm Info
Firm name*
S �x� S�-f -� �b ��c��o •v s L �
The "Firm name" must be exactly as it is shown on your vehlcle(s).
Septage Management Firm permit number (NCS #)*
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
Address Line 2
bttN://edocs.deq.nc.gov/Forms/wm--oeptagetitTn 1/7

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY
•lorth Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
-ee assessments and waste determinations will be reouired 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 (ORt), ORC License Number, dame of Plant)
(Address;
Asa 33 do hereby authorize \1 & I?t (Phone Number) (Owner/Op6rator of Septage Management Firm) D f 7 4 Z
of SC-4 S PA—lV SC. UAlZ�%%J LCC
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage =/ portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage . TrOr:
DARE.. CAM7)CAI,
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage-shall be discharged at:
[ 5-D A4,oU5 ( trey Or- C'LZald�l 6'� v. , 'Uc v2 7101
(Location)
between the hours of 07OO .- 15/ 0() ��jj
Reintroducing partially treated liquid into a grease trap is acceptable Yes KNo
he'fThis authorization shall be valid until eL r /r C' 7
(Usually December 31, Year)
Signed c Date L: i iz 2
(Facility Operator)
Suribe and affirm before me this (� day of 20
My Commission expires:
V
bry yPublic)
(OFF CIAt SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit reyacatior,.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 201F