NCS01608_2024Permit_Initial

2024
Permit and Registration
Appalachian Liquid Waste
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01608
o and registered as a
e:,e D E
-�� Septage Management Firm �rtmen� f� w� nmental�llty
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. Septage Detention or Treatment Facility, SDTF-36-15
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
Sug
Wm P e r ry S u g g Dag,: 2024.07.31 09:47:39
-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)).
3
) y
/ � NG._r. Vf•_t�/ •//LV .
Stre..t address of office: l I&AUVALki AS- 60 AhOl L ,. 9,1, 91 _
City: Wa I State:. AIC, Zip:
Mailing address (if different):
City:_
State: Zip
Phone: 2A - S SQ -3.2 yg Fax:
E-Mail:
County:
Septage Management Firm permit number: NCS #
(2.) Firm owner's name: r,,' Evu,f_,
Mailing address (if different):
City:
State: Zip
Phone: ;, - SS_ - 3.2 y8 Fax:
(3.) Firm operator's name: .. ,_: s Firm operator's title: Qlamer
Mailing address (if different):
City: State: —Zip:
Phone:- Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumUed in last 12 months (Example: Domestic: 50,000).
Domestic Portable Toilet Waste Grease (Restaurant) I Treatment Plant Industrial/Commercial
(5.) N.C. Counties of Operation: �u�wox� f�.rcrydaLe��,►t�s=�SD..�, GGa
(List each county you are authorized to do business in)
(6.) Total Number of Pumper Vehicles Operated: 1-
Number used for: Domestic Septage: Grease (restaurant):
Other: Portable Toilet Waste:
Vehicle Information: (use additional paper if needed)
License Tag # Vehicle Identification # Tank
1
2 1 T a — 7.0 L, 7 f i A ► r e— rn It
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) (0 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 In' 18 2
(8.) Septage Disposal Method: (check one) If
a) Approved wastewater treatment plant: ( ) 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 I irm Operator Training Completed:
Date: 7 // Location: Hours:
Training Sponsored or Provided by:
(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 (Signature panyofficial required)
�vun S
Print Name
Other Comments:
i
7 8 �oz
Date
Title
Rev, 04-26-2021
PAGE 2

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission
has been given to a permitted Septage Management Firm to discharge septage into the permit
holders detention or treatment facility.)
4C ac
acility
r Address)
do hereby authorize: �/ Y
(Owner of Septage Management Firm)
L/ /r Q.fG NCS#
(Name of Septa.Qe Management Firm)
77/�2 lam vtc �/I/.SUI/ C
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # $DTF - --%-15 for the treatment or storage of
septage *
in 20-_. The facility will be operated in accordance with the Septage Management Rules **.
Date: t o Signed
(Facility Operator)
* As defined in G.S. 130A-290(a)(32)
** As defined in 15A NCAC 13B .0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

ROY COOPER
Governor
ELIZABETH S. BISEP,
Secretary
MICHAEL SCOTT
Director
Sent via Email
Erik Evans
64 Hazelview Drive
Waynesville, NC 28786
NORTH CAROLINA
Environmental Quality
July 24, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
Appalachian Liquid Waste NCS-01608
Dear Erik Evans:
You have been assigned the Septage Management Firm Permit Number of NCS-01608 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) 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-01608, 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)_deq.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