NCS01652_2024Permit_Initial

2024
Permit and Registration
Lance Professional Services
is hereby issued a Septage Management Firm Permit,
ZNti STATE ,, " Permit Number NCS-01652
o and registered as a
7 aw_g� E
e:,e D
-�� Septage Management Firm ��en� f� w� nmental Ouallty
QLLAM
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 River WRF, Asheville 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 Perry Sugg
Date:
024.07.12 13:47:20
Sugg 0
Perry Sugg, Environmental Compliance Branch Head

For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707-
8283).
Firm Info
Firm name*
lance Professional services
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)*
1652
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
20 CRABTREE MOUNTAIN ROAD
Address Line 2
City
CANTON
Postal / Zip Code
28716
County*
Haywood
Mailing address same as street address of office?*
no Yes O No
Phone*
8285086683
Email *
[e-mail]
State / Province / Region
NC
Country
United States
Fax
Owner Info L^'
Firm owner's name*
Shaylen Prickett
Mailing address same as street address of office?*
Yes No
Phone* Fax
8285086683
Operator Info
Firm operator's name* Firm operator's title
Shaylen Prickett Owner
Mailing address same as street address of office?*
_, Yes U No
Phone* Fax
8285086683

Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 55,000
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
North Carolina counties of operation
List each county you plan to do business in: *
Haywood,Bumcombe,Henderson,Transylvania,Avery
Vehicle Info
Do you plan to operate pumper vehicles?*
Yes No
"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 significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date *
7/8/2024
Title*
Owner
Choose how to add vehicle descriptions*
0 Add vehicles individually 0 Upload List
Pumper Vehicles
Usage* License Tag #*
Domestic Septage YA166997
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Vehicle Identification #*
3ALACXFEXPDUG1621
Tank Capacity*
2,500
Approved wastewater treatment plant*
03 Yes 0 No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:

NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*
Metropolitan Sewerage District
Septage Land Application Sites (SLAS)*
Yes No
Septage Detention or Treatment Facility (SDTF)
0 Yes No
Other disposal method*
Yes No
Expiration Date* Authorization*
12/31/2024 Scan 20240... 366....
Septage Management Firm Operator Training Completed
Date * Hours*
9/15/2022 6
Location *
raliegh
Training Sponsored or Provided by*
NC DEQ - New Operator Training
Septage Land Application Site Operator Training Completed
Date Hours
0
Location
Training Sponsored or Provided by
Registration Type
Select one*
0 Registered Portable Sanitation Firm
OQ Registered Septage Management Firm
0 Registered Portable Sanitation and Septage Management Firm
Comments and Notes (^
Comments or notes
I cant find our hour citificate for training. It was me and
Hayden Prickett. I think it was 6 hours I know we had to take a
exam.
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 knowingly making a false statement, representation, or certification.

Signature
Date
7/8/2024
07:30:56 AM
Print Name* Title*
Shaylen Prickett Owner

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)
2028 Riverside Drive; Asheville, North Carolina 28804
(Address)
828-225-8224
do hereby authorize Shaylen Prickett
(Phone Number)
(Owner/Operator of Septage Management Firm)
of Lance Professional Services
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage Yes , portable toilet waste Yes
N CS#
01652
grease septage (grease trap pumpings) No commercial/industrial septage No , from
Buncombe, Haywood, Henderson, Madison, McDowell, Mitchell, folk, Rutherford, Transylvania & 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
(Facility Operato
December 31, 2024
(Usually December 31, Year)
Date Z d�
Subscribed and affirmed before me this 0 M day of , 20nwol 1&k I,
(Notary Public)
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 Appdcation/WWTP Authorization Form 2018