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Home My WebLink AboutRutherford Co. - Industrial Wastewater Pump & HaulWfASE ENTERPRISE N 2684 HARRIS HENRIETTA ROAD MOORESBORO, NC 28114 828-305-4505 828-657-9788 (FAX) November 08, 2017 Subject: Pump and Hau[Jfor Embalming Room 2689 Harris Henrietta Road MooresboroiNC'28114 Dear Mr., Tim Heim J Hi this is Jason Wease Owner of Wease Enterprise. This letter is to explain thte circumstances for the pump and haul permit from,your office. The reason is beca6se this Funeral Home needs a safe place to store the Industrial Wastewater fro.m.the Embalming Room. Until its pumped and hauled. If you have any questions please call me at 828-305-4505 ri—'-: C; I'--- � V E D Division of "later Resources NOV 13 :2017 Water Quality Regional Operations Ashevi'lie 5ag-lcnial Office NOV I 10 O,+.,az J r o 1, IIVI�. 0/-0 4031U3 13 p.l I CLIFFSIDE SANITARY DISTRICT WWTP #NC0004405 136 HAWKINS LOOP ROAD MOORESBORO, NC 28114 November 17, 2016 NCDEQ— Division of Water Resources PROJECT: Jason Wease 2689 Harris -Henrietta Road _ Mooresboro, NC 28114 Dear Sirs/Madam: - This letter is to serve as part of the requirement of the pump & haul permitto accept waste water that is pumped and hauled by HST;Inc. from 2689 Harris -Henrietta Road, Mooresboro, INC, in Rutherford County. It is estimated that a 1500 gallon tank will be pumped once/month or as needed per the owne-r. A routine schedule will be established once the facility is up and running for a few months. If you have any questions, please call me at 704-300-8640. Sincerely, Mike Gibert, ORC Cliiffside Sanitary District WWTP Division of Vti'afer Resources i NOV 1 3 2017 Wate- n! 1ality Regional Operations As` !office Nov 07 17 03:47p HST, INC 828-453-0313 p.1 1356 RACE PATH CHURCH ROAD MOORESBORO, NC 28114 828-453-0548 82$-453-0313(FAX) November 7, 2017 i Subject: Jason Wease 2689 Harris -Henrietta Road ; Mooresboro,NC 28114 Dear Sir/Madam: This letter is to confirm that HST, Inc_ is capable and in agreement to pump & haul wastewater from i he above'address. i The pump truck holds 2500 gallons. i The contact person is Larry Harris (828-453-0548) or Phil Harris (828-429-7802). I Thank you, Larry Harris Office Manager HST+ Inc. i -- DiViSiUI! l.. '.. a,cl ,heHourCCS NOV 1 3 2017 i ;orai Querations i I. PRESUBMITTAL INFORMATION: 1. Contacted representative from regional office (Pre -submittal)?: Yes ❑ No 2. Contact name (For Regional Office): AQ sj Pk GQ /'774m 11. APPLICANT INFORMATION: 1. Applicant's name (Municipality, Individual, Corporation, etc): 7:5-,son 2. Applicant type: ❑Municipal ❑ State ❑Privately -Owned Public Utility ❑ County Other: T(_4 n.e 3. Origin of Wastewater: ❑ Residential Subdivision. 0, Apartments/Condominiums ❑ Mobile Home Park ❑ School ❑ Restaurant ❑ Office ❑ Retail (Stores, Shopping Centers) Domestic: (�D_% ❑ Institution Commercial: "�- % ❑ Hospital Industrial: JDO % ❑ Church Other: ieey, % Nursing Home - - Zother (specify) 4. Signature 'authority's name: per 15A NCAC 02T .0106(b) Title: 5. Applicant's mailing address: Zs;S3td H*Ows City: /� ,cz&jtoState: Zip: 6. Applicant's contact information: cw Phone number: IP) 305-A S Email: Gy-e�V h'c-�N� III. CONTACT/CONSULTANT INFORMATION: 1. Contact name:j9—�'"' Title/Affiliation: _ 2. Contact's information: I Phone number: aI) z/Z9- cZ j Email: Ph RECEIVING FACILITY INFORMATION: I I `if more than 1 facility has agreed -to accept the wastewater, please list all the owners_, facility names, and permit numbers as a separate attachment) 1. Owner: _6h Acsfele- 2. Facility name: 66 H4010;s 3. Facility permit number: lycoo 7 zwor i 4. WWTF permit number: Arciyac4y0r S. WWTF contact name: 1j9il;.v G' 1 b:44 Title/Affiliation: O %� G 6. WWTF contact information: Phone number: Email: APPLICATION P&H 01-16 Page 3 of 5 V. PROJECT INFORMATION: 1. Location of Project (physical address): Approximate Coordinates (Decimal Degrees): Latitude:35, 2-17M Longitude:-81.7T5gJJ 2. Duration of Pump and Haul Request (Six Months Typical): L:feToMc .off' +1.e- �Krocr4s 3. Has a prior permit been issued? ' /✓d lew ❑ Prior Pump & Haul Permit Permit No.: 4. Permanent Method of Wastewater Disposal: S. Date Permanent Disposal will be available: 6. Have permits / approvals for permanent disposal been obtained? ❑ Yes ,vo Permit Number: 7. Is there a Pretreatment Program in effect? ❑ Yes No _8. -Describe. any pretreatment prior-tQpumping_and hauling:__ 9. Volume of Wastewater Generated: Gallons per Day 10. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or Repre enta iv to If representative data describe: !7y-pac,-4 � ��P k�s ` ,y,,� Per- Body. 11. Describe Tank / Container wastewater will. be pumped from (attach description if necessary): l0'4J gal /VG `S'epa=ic I av�IC �nfG yvtll:�►j PA--,aick SA41.61 /V•C. 12. Is Tank / Container in place or will it be installed (attach description if necessary): W, 71 6. ,p1-141 e( By IZ -e -!7 13. What type of high water alarm does the container have (and/or): �uclible'anc!!Visu'al' ❑ Telemetry (Auto Dialer / SCADA) VI. CERTIFICATION: 1. Applicant's Certification: (Signature of Signing Official and Project Name) attest that this application for f�uM,o �•�l /�e►v% has been reviewed by me and ccurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed endthatif all-required-supporting-documentation-and_attachments are not.included, this application package is subject to being returned as incomplete' 1 1 understand that issuance of a permit will require pump and hal fac uilities or — activities to be inspected at least daily by me or a designated representative. Note:- In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B. any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. la. Official %/ r--1 aZ Date ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 15A NCAC 02T.0204(d). APPLICATION P&H 01-16 Page 4 of 5