NCS01770_2024Permit_Initial

2024
Permit and Registration
S & R Environmental
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01770
o and registered as a
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-�� Septage Management Firm�� �� w� ��nffii�utr
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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 and 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.
Wm Perry Digitally signed by Wm
Y Perry Sugg
Date:
024.08.0910:37:01
Sugg 0
Perry Sugg, Environmental Compliance Branch Head

(Pumpers)
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1616 MAIL SERVICE CENTER, RALEIGH, NC
27699-1646 (1.) Firm name: (The "Finn name" must be exa as it is shown on your vehicle(s)).
� r ` ,-,i So i�Sii -/JV C,0 K &WI- L
Street address of office: l qu`,I Goan N rot" -Le -
city., ckK ej­a arc: State: i- a
Mailing address (if different):
City: State: Zip
Phone: J7 O 4 �?v -1 31 s 9 Fax:
E-Mail: C. K'O I S o SA(3L-k,
County: f4c4bc-,&(zL.L i Septage Management Firm permit number. NCS #
(Z.) Firm owner's name: AL Zu s S
Mailing address (if different):
City: State: Zip.
Phone: Fax:
(3.) Finn operator's name: 5/AL RL.Y g-v Finn operator's title: c) w 2
Mailing address (if different):
City: State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write In th number ofgglfls N=ed in last 12 m0a (Example: Domestic. 50,000).
Domestic I Portable Toilet Waste I Grease (Restaurant) I Treatment Plant I IndusWaYCommercial 1.
'2q, 0ur)
(5.) N.C. Counties of Operation: Hacu u,,, , h kavnN fi
L, ", .J i
(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
t
f ri-Ae x
Zs -Da
2
3
4
5
PAGE 1 of 2

A"LILPA I ium rV1'( I'G'' mi i I V Vt' t" i C A acr I AVC IvimAVCIY m I riron
(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 .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 -7 q - -)-4
(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 .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#: 3(.- fSr Expiration Date: IAty zv2 s' SDTF#: Expiration Date:
(9.) Septage Management Firm Operator Training Completed:
Date: Location: Hours:
Training Sponsored or Provided by:
(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 companyofcial required)
Print Name
Other Comments:
Date
Title
Rev. 04-26-2021

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farm$
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AMMORWATM TO t?lSGH RGE SE"AGE AT ASEPrAGETREMMEWORSTORAGE
FA13UTYPERMITMO TO SOMEONE CYTHERTHANYOURSELF
fTh s frsrm e. used by a detention or treatment faafitypermit holderto indicate that permission Eras been
given n to permitted Septage Management Firm to discharge septage into the permit holders detention
or treatment facility)
I. David Ryder;
{Fac ityoperat )
tOperatorAddress) ;
do hereby authorize.,SAL i kv"S S- 0 aern.e S
jOwnerof Septage Management Firm)
CName of Septage Management Firml
14o-,II ou'Lt,'j Cep.
(Address of Septage Management Firm)
to utilize septage detention facility'SDTF-36-15 forthe treatment or storage of septage* in 2024, The
facility yvill be operated in accordance varith the Septage Management Rules.'
Date : nuery L 2024 Signed: DaVIZYr "
I Facility Operator)
As defined in G.S. 13DA-29MaX32)
As defined in 1SA NCAC 138.0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1w Mail Service Center
Raleigh, NC 276991,646

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
NORTH CAROLINA
Environmental Quality
July 15, 2024
Sent via Email
Sal Russo
S + R Disposable Environmental
14021 Conlan Circle
Charlotte, NC 28277
Re: New Firm — Assignment of Permit Number (NCS#)
S + R Disposable Environmental NCS-01770
Dear Sal Russo:
You have been assigned the Septage Management Firm Permit Number of NCS-01770 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-01770, must be visible and permanently attached on both sides of the pumper
vehicle. Each letter must be at least 3 inches in height. When ready to schedule an
inspection, please contact Mr. David Coleman with Mecklenburg County Solid Waste
Management at 980-314-3858 or by email at
David.Coleman(a)_mecklenburgcountync.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