NCS01773_2024Permit_Initial

2024
Permit and Registration
Yellow Dog Septic Services
is hereby issued a Septage Management Firm Permit,
�szArr of
Permit Number NCS-01773
o and registered as a e D
-�= Septage Management Firm �� fE w� nmentalQulity
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. North Harnett Regional WWTP, Lillington, 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 Sugg
Digitally signed by Wm Perry
Sugg
Date: 2024.07.29 13:07:04
-04'00'
Perry Sugg, Environmental Compliance Branch Head

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, 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 Billy J. Thomas Grade IV WW # 995445 ORC North Harnett Regional Waste
Water Treatment Plant NPDES # NCO021636
607 Edwards Brothers Drive Lillin ton NC 27546
910-893-2424
do hereby authorize 0 Sg
of
#012"73
(this will also incluAe duly appointed drivers of the company)
to dispose of: domestic septage from Harnett County and Service Areas
at the above named wastewater treatment facility. Septage shall be discharged at:
Se to a Receiving Station at NHRWWTP
between the hours of 7AM-5PM Nov -Mar and 7 AM-6 PM (Apr -Oct)
Mon -Fri (except Holidays)
This authorization shall be valid until 12-31-24
Signed
f
Date 7 c24f
(Facility Operator)
Su cribed and affirmed before me this '(ht day of `` 201 W
My Commission expires,
(Notary u OFFICIAL SEAL
ioNotary Public; North Carolina OFFICIAL SEAL
Countyof Hamett()
Carolyn K. Murayama
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2014 Firm Application/W WTP Authorization Form 2014

APPLICATION FOR PER -11T TO OPERATE A SEPTAGE MANAGEMENT FIRM
Nel-�j veg� �
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)). JC
Vtt(ow Do2,�eQf.t- Serv�cf-S 160'
Street address of office: 1G.15 ZA c Do o !3.,qd Q.J +' s
City:. �- 41i o,�- ^� State: IJ C Zip: 2 -7 s `l ri
Mailing address (if different): _ _
City:
State: Zip
Phone: 0110 Seto 0 32y Fax:
E-Mail: s5 US © .� ateeo. Co^
County: 1�-,c,-v�.k-kr Septage Management Firm permit number: NCS #
(2.) Firm owner's name: E-c r'� o S S Yalip Q^ ital w5 < j-xml5e ans LLG
Mailing address (if different):
City: State: Zip
Phone: Fax:
(3.) Firm operator's name: —& Firm operator's title: Owe �
Mailing address (if different):
City: State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of aallons numned in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste I Grease (Restaurant) , Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: �W r�
(List each county you are authonzed to do business in)
(6.) Total Number of Pumper Vehicles Operated: _
Number used for: Domestic Septage:Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag #
1A
L13qta
2
3
4
5
1 APPLICATION CONTINUED ON PAGE 2
��� PAGE

APPLICATION FOR PERN]T TO OPERATE A SEPTAGE MANAGEMENT FIRM
(CONTINUED FROM PAGE 1)
(7.) Do you plan to operate pumper vehicles? (check one) (✓) 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 .0844(a) and vehicle lettering
as required by 15A NCAC .0844(b). Furthermore, I also certify that a log is maintained of each septage pumping event as
required by 15A NCAC 13B .0839(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_ Lrti Date 1-1" 1 W Z"-_
(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 .0833(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#:T _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:
Date: a tvi-,t Location: r14. w Hours:
Training Sponsored or Provided by: 1)15 13•, Clues
(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 Firm:
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 knowingly making a false statement, representation, or certification.
Signature ( ignature of companyofticial required) Date
ly
A6 55
Print a e Title
Other Comments:
Rev.10.27-2020
PAGE 2

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
NORTH CAROLINA
Environmental Quality
July 22, 2024
Alex Moss
2693 McDougald Rd
Lillington, NC 27546
Re: New Firm — Assignment of Permit Number (NCS#)
Yellow Dog Septic Services NCS-01773
Dear Alex Moss:
You have been assigned the Septage Management Firm Permit Number of NCS-01773 based upon the
receipt of an Application for a Permit to Operate a Septage Management Firm and a permit fee payment
in the amount of $800. However, a Permit to Operate a Septage Management Firm will not be issued
until:
1) Submission of the disposal authorizations to cover the type(s) of septage you plan to pump and the
area you plan to serve. Authorizations can also be scanned and emailed to me at
lee. sorrel l(@deg.nc.gov.
2) Inspection of the pumper vehicle(s) for compliance with the Septage Management Rules and
approved by the Division. Requirements for the pumper vehicle(s) can be found within 15A NCAC
13B .0835 of the Septage Management Rules. As noted within Rule .0835 (b), the firm name, town
name, phone number, and permit number, NCS-01773, must be visible and permanently attached on
both sides of the pumper vehicle. Each letter must be at least 3 inches in height. When the required
lettering has been completed, please contact Lee Sorrell, Environmental Specialist II in the Raleigh
Office at [phone] or email at lee. sorrel l(a)deg.nc.gov to request a truck inspection.
This letter shall not be considered as a permit to operate a Septage Management Firm. Please
note that you may not legally operate a septage management firm in North Carolina without a
permit. General Statutes, GS 130A-291.1 (c) states in part "A septage management firm that
commences operation without first having obtained a permit shall cease to operate until the firm obtains a
permit under this section." You are hereby advised that, pursuant to N.C.G.S. 130A-22, an administrative
penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Statute or
Regulations. If you have any questions, feel free to contact me at 919-707-8292.
Sincerely,
Lee Sorrell, Environmental Specialist II
Division of Waste Management, NCDEQ
�� NOTth Carolina Department of Environmenta Quality I Division of Waste Management
,/-,�-D Et
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699 -16 46
919.707.8200