NCS01784_2024Permit_Initial

2024
Permit and Registration
Cruse Septic & Trailer MFG
is hereby issued a Septage Management Firm Permit,
�szArr of
Permit Number NCS-01784
o and registered as a
-�= Septage Management Firm �� fE w� rmentalQulity
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. Long Creek WWTP, Albemarle, 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
y Wm Perry Sugg
Date: 20
Sugg 14:48 04-04'00'3
Perry Sugg, Environmental Compliance Branch Head

8130/24, 6:54 PM
/ V e,
f New Submission
Application for Fehr- ; to opera
qep-r1nr---% NdanagE'mr>r� i- Fl rrY--
For questions regarding this form or the online application process, please contact Jeffrey Bullard (http://mailto:
Jeffrey. [e-mail])(919-707-8285) or Chester Cobb (http://mail to:[e-mail])(919-707-8283).
Firm Info
Firm name*
'Cruse Septic & Trailer MFG
The "Firm name" must be exactly as it is shown on your vehicle(s).
Septage Management Firm permit number (NCS #)
Please enter the complete NCS #, including the 5 end digits (NCS-XXXXX)
Street address of office*
Street Address
,6399 Mount Pleasant Rd South
Address Line 2
Ciiy
,Concord
Postal / Zip Code
28025
County*
'Cabarrus
Mailing address same as street address of office?*
® Yes o No
Phone*
704-453-3437
Email *
[e-mail]
State / Province / Region
NC
Country
USA
Fax p'{
(1AC
https://edocs.deq.nc.gov/Forms/wm_septagefirm 1 /6

8/30/24, 6:54 PM New Submission
Owner Info
Firm owner's name*
Raheem Cruse
Mailing address same as street address of office?*
Yes O No
Phone* Fax
704-453-3437
Operator Info
Firm operator's name* Firm operator's title
Raheem Cruse Owner
Mailing address same as street address of office?*
Yes O No
Phone* Fax
704-453-3437
Type and amount of septage pumped in the last 12 months
Amount in gallons*
Domestic 0
Portable Toilet Waste 0
Grease (Restaurant) 0
Treatment Plant 0
Industrial/Commercial 0
https://edocs.deq.ne.gov/Forms/wm_septagefirm 2/6

8/30/24, 6:54 PM
New Submission
North Carolina counties of operation
List each county you plan to do business in:*
Cabarrus, Stanly, Rowan, Union
Vehicle Info
Do you plan to operate pumper vehicles?*
Yes Q 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*
x
Date *
Date will be captured on form submission
Title*
,Owner
Choose how to add vehicle descriptions*
C Add vehicles individually Q Upload List
Pumper Vehicles
Usage * License Tag # *
Domestic Septage
+ Add more vehicles
Vehicle Identification # *
i5KJJAECV17PZ32864
Tank Capacity*
https://edocs.deq.ne.gov/Forms/wm_septagefirm 3/6

8/30/24, 6:54 PM New Submission
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Approved wastewater treatment plant*
® Yes O No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization
(https://fiiles.nc.gov/ncdeq/DWM/SW/Composting%2520and%252OLand%252OApplication/WWTP°/`2OAuthorization.pdf) 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 *
+ Add another WWTP
Septage Land Application Sites (SLAS)*
O Yes * No
Septage Detention or Treatment Facility (SDTF)
O Yes ® No
Other disposal method
O Yes 0 No
Expiration Date*
v
Authorization *
Uploa
Septage Management Firm Operator Training Completed
Date *
7/11/20 2-0
Location
WebEx
Training Sponsored or Provided by*
NC DEQ - New Operator Training
V
Hours*
I•
https:/Iedocs.deq.nc.gov/Forms/wm_septagefiirm 4/6

8/30/24, 6:54 PM
New Submission
Septage Land Application Site Operator Training Completed
Date Hours
'0
Location
Training Sponsored or Provided by
v
Registration Type
Select one*
O Registered Portable Sanitation Firm
® Registered Septage Management Firm
O Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes
AI �,ve, L'�,�n-, �a� a,��1�r,'ar vP,�fG/P inlS�eG .bl�.
'fir �f "";tA, 'r S 'rc�m �✓a.��Y p/a�tf
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*
a.-,- x
Date
8/30/2024
06:41:35 AM
https:Hedocs.deq.nc.gov/Forms/wm_septagefirm 516

8/30/24, 6:54 PM
New Submission
Print Name*
P
Raheem Cruse
Submit Save as Draft
Title*
Owner
https://edocs.deq.nc.gov/Forms/wm_septagefirm 6/6

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.
(Plant Operator in Responsible Charge (ORC),
o - 0�-/c 4' -'.— W/-/,
(Address)
RC License Number, Name of
'1/z d-ym /
>,T to
71 % F8/ 94 3Y do hereby authorize Raheem Joshua Jamar Cruse
(Phone Number) (Owner/Operator of Septage Management Firm)
of Cruse Septic & Trailer MFG
NCS # 01784
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X portable toilet waste /I/
grease septage (grease trap pumpings)
commercial/industrial Septage
from
Cabarrus, Rowan, Stanly, Union
T
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
Ic-
(Location) between the hours of %tx- 3p Akj
1
Reintroducing partially treated liquid into a grease trap is acceptable Yes
No
This auZ(Facility
hall be valid until /C ' 3f ` a Do) �f
(Usually December 31, Year)
9 —
SignedDatecO erator)
ubscribed and affirmed before me this day of Sn- 20 J
d "- My Commission expires: � y
(N -ar P blic)
(OFFICIAL SEQ'L �\. """"•••�ti��''•
v .o�Missio,7
NOTARY �•:
s E _
d
N pUBLIG ' Note: Falsification of this document by the septage management firm shall lead to permit revocatio& �A
S:/Solid_Waste/CLA/SEPTAGE/FORMS/2018 Firm Application/WWTP Authorization Form 2018 ��.� •• 0�25-202° :' •'���'•

2024 Holiday Schedule
Holiday
Observance Day Day of Meek
New Year's Day
January 1, 2024 Monday
Martin Luther King, Jr.
Birthday
January 15, 2024 Monday
Good Friday
March 29, 2024 Friday
Memorial Day
May 27, 2024 Monday
Independence Day
July4, 2024 Thursday
Labor Day
September 2, 2024 Monday
Veterans Day
November 11, 2024 Monday
Thanksgiving
November 28 & 29,
2024 Thursday &Friday
Christmas
December 24, 25 & Tuesday, Wednesday
26, 2024 & Thursday
Employees will also be granted one day of Floating Holiday per
fiscal year. The Floating Holiday must be scheduled and
iapproved in advance by the employee's supervisor. The leave
Floating Holiday
may be used by eligible employees for any single shift or
calendar day of personal significance, including but not limited
to days of cultural or religious importance, including Juneteenth.
This floating Holiday may also be used for employee birthday,
employee work anniversaries, or other scheduled workdays.

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Raheem Cruse
6399 Mount Pleasant Rd South
Concord, NC 28025
NORTH CAROLINA
Environmental Quality
September 11, 2024
Re: New Firm — Assignment of Permit Number (NCS#)
Cruse Septic & Trailer MFG NCS-01784
Dear Raheem Cruse:
You have been assigned the Septage Management Firm Permit Number of NCS-01784 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([e-mail].
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-01784, 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. sorrell(adeg.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
01-11- E Q�� North Carolina Department of Environmental Quality I Division of Waste Management
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699-1646
NORTH CAROLINA -
oepamnemof rnvimnmemmouaifty /� 919.707.8200