NCS01765_2024Permit_Initial

2024
Permit and Registration
KSS Kimsey Septic Services LLC
is hereby issued a Septage Management Firm Permit,
ZNti STATE
Permit Number NCS-01765
o and registered as a
e:,e D E
-�� Septage Management Firm �rtmen� f� w� nmenta1�11ty
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. Clay County WWTP, Hayesville, 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 S u g g sugg
Date: 2024.07.31 09:48:09-04'00'
Perry Sugg, Environmental Compliance Branch Head

/Vew Oprra401-
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.) Firmname: (The "Firm name must be exactly as it is shown on your vehicle(s).
KSS Kimsey Septic Services LLC
Street address of office:2732 Old Highway 64 West
City: Hayesville State: NC Zip28904
Mailing address (if different):
City: State:
�._Zip:
Phone( �� —4, 7 - 00fr, + Fax:
CountyOlay
(2.) Firm owner's name: Erik Kimsey
Mailing address (if different):
City:
Phone:
(3.) Firm operator's name: Erik Kimsey
Mailing address (if different):
City:
Septage Management Firm permit number: NCS #-' r ® 5
State: Zip:
Firm operator's title:
State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of giallons u din 2015 (Example: Domestic: 50,000)
Portable Toilet Waste I Grease
(5.) N.C. Counties of Operation: Clay, Cherokee
Treatment Plant 1 Industrial/Commercial
(List each county you do business in)
(6.) Total Number of Pumper Vehicles Operted 1
Number used for: Domestic Septage; Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed}
License - # Vehicle Identification # Tank
APPLICATION CONTINUED ON PAGE 2
PAGE 1
1
N

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 Subparag.0833 4) of the Se to a Management
p 9 Rules.
b) Septage Land Application Site (SLAS) Permit Number;: (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:
(8.) Septage Management Firm Operator Training Completed:
Date: Location:
Training Sponsored or Provided by:
(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: ✓
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
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.
r --
Signature (Signal of company official required)
r
Print Name
Other Comments:
6-al' o
Date
r
Title
SISOI�t-WastL-YCLA/SEFTAGE/FORMS/2016 Finn Appllcalwrt/FlrmperrflitAPPlicati n2016
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.
L- 0.c %A S 6, 1 u t 3 7 l 5 i C lCC ,A bn _ L ?2 W r- P
(Plant 6perator in Responsible Charge (ORC), ORC Licen a Number, Name of Plant)
(Address)
` /5-- IWO do hereby authorize
(Phone Number) (Owner/Operator Septage Management Firm)
of pC 5,� ICrnr�el jc�'t, c 5er✓tcf5 Z— �i NCS #
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage ✓ , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
between the hours of 6S :,,vr — '�' 4AI
Reintroducing partially treated liquid into a grease trap is acceptable Yes No
This authorization shall be valid until Ulf/ 31 119 9
(Usually December 31, Year)
Signed 4 Date Li A Li
(Facility Operator) ,,�
Su ribe nd affirmed before me this /Z Vk day o 20 -�
/ / G My Commission expires:
(Notary Public) \�
a„B0w
•n.
Note: Falsification of this document by the septage management firm shall lead to permit rN- ~' �.
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2o16 Firm Application/WWTP Authorization Form 2016 'y`�y,•,_

ROY COOPER
Governor
ELIZABETH S. BISEP,
Secretary
MICHAEL SCOTT
Director
Sent via Email
NORTH CAROLINA
Environmental Quality
June 27, 2024
Erik Kimsey
2732 Old Highway 64 West
Hayesville, NC, 28904
Re: New Firm — Assignment of Permit Number (NCS#)
KSS Kimsey Septic Services LLC NCS-01765
Dear Erik Kimsey:
You have been assigned the Septage Management Firm Permit Number of NCS-01765 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. sorrell(@deq.nc.gov.
2) Attend a New Operator Class for operating a Septage Management Firm. There is no fee for the
class. Currently, this Class is being taught virtually. The next scheduled New Operator Class
will be on Thursday, July 11th. Please contact Mr. Jeffrey Bullard about attending this Class so
that he can place you on the list of attendees. Jeff can be contacted by phone at 919-707-8285
or email at [e-mail].
3) 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-01765, 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 Ms. Stephanie Williams, Environmental Specialist II in
the Asheville Regional Office at [phone] or email at Stephan ie.Williams(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
copied: Stephanie Williams, Environmental Specialist II, Asheville Regional Office
�� 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