WQ0006193_Renewal (Application)_20230321

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources
15A NCAC 02U — CLOSED -LOOP RECYCLE SYSTEM — RENEWAL
FORM: CLRS-R 02-21
Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting
documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A
NCAC 02T .0100, 15A NCAC 02U, and Division Policies. For more information, visit the Water Quality Permitting Section's
Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as
a single Portable Document Format (PDF) file to https://edoes.deg.nc.gov/Forms/NonDischarge-Branch-Subm►ttal-Form-Ver2,
or emailed to Non-Discharge.RepartsAnedenr.gov if less than 20 megabytes (NO).
SECTION I — APPLICANT INFORMATION
1.
Applicant: BILLS MOBILE CRANE SERVICEE INC.
2.
Permit No.: WQ006193
3.
Signature authority: Teri Bartlett
Phone number: [phone] Office
Title: President
Email: [e-mail]
4.
Mailing address: 443 Wilkes Rd.
City: Fayetteville
State: NC Zip: 28306-
5.
Contact person: Eddie Bartlett
Primary phone number: [phone] Office
Email: [e-mail]
Secondary phone number; [phone] Cell
SECTION II - FACILITY INFORMATION
1. Physical address: 443 Wilkes Rd.
City; Fayetteville
2. Treatment facility coordinates to the sixth decimal degree:
Latitude: 35.2185
County:
Cumberland
State: NC
Parcel No.: 0436-42-2941
Zip: 28306-
Longitude:-78.88587' Method: Aerial photography with ground control
SECTION III — BILLING INFORMATION
1. Billing address: 443 Wilkes Rd.
City: Fayetteville State: NC Zip: 28306-
2. Verify the Applicant does not have any overdue annual fees:
https://deq.nc. gov/about/divisions/water-resources/water-resources-permits/wq-cpayments
Pursuant to 15A NCAC 02T .0120(c), permits for renewing facilities shall not be granted if the Applicant or any affiliation has
an unpaid annual fee.
SECTION IV — OPEN -ATMOSPHERE STRUCTURES
1, List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if
necessary.
Type
Parcel No.
Volume (gal)
Liner Type
Freeboard (ft)
Latitude
Longitude
Treatment/Storage
0436-42-2941
2,400
Apron, concrete
35.21850
-78.885870
Select
Select
- °
Select
Select
0-
°
Select
Select
°
- 0
FORM: CLRS-R 02-21 Page 1 of 3

SECTION V — RELATED PERMITS
1. List all wastewater permits (i.e., sewer, collection system, NPDES, residuals) that have interactions with the renewing permit.
Attach additional sheets if necessary.
Permit Type
Permit No.
Relationship Type
Select
Select
Select
Select
Select
Select
SECTION VI — MONITORING WELLS
1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
Well Name
Parcel No.
Status
Gradient
Location
Latitude
Longitude
Select
Select
Select
°
- °
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
°
ATTACHMENT A — SITE MAP
Was the facility originally permitted or had a major modification issued after September 1, 2006?
❑ Yes —Pursuant to 15A NCAC 02T .0105(d), submit a site map pursuant to the requirements in l 5A NCAC 02U .0201(d). These
requirements are:
❑ A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing
all facility -related structures and fences within 500 feet of the treatment, storage, and recycle areas.
❑ Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108.
❑ Setbacks as required by 15A NCAC 02U .0701.
❑ Site property boundaries within 500 feet of all treatment, storage, and recycle sites.
® No — Skip Attachment A.
ATTACHMENT B — SIGNATURE AUTHORITY DELEGATION
Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106{b)?
® Yes — Skip Attachment B.
❑ No — Submit a delegation letter pursuant to 15A NCAC 02T .0106 c authorizing the signature authority to sign.
ATTACHMENT C — EASEMENT, ENCROACHMENT, AND LEASE AGREEMENTS
Does the Permittee own all of the land associated with the treatment, storage, and recycle system?
❑ Yes — Skip Attachment C.
® No — Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements
allowing the Pcrmittee to operate and maintain the treatment, storage, and recycle system on property not owned by the Permittee.
ATTACHMENT D — AFFILIATIONS
Are the Permittee's affiliations of record correct? Check affiliations.
® Yes — Skip Attachment D.
❑ No — Provide the corrected affiliations and their contact information.
FORM: CLRS-R 02-21 Page 2 of 3

ATTACHMENT E — COMPLIANCE SCHEDULES
Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit)
❑ Yes — Submit documentation that the compliance schedules have been met.
® No — Skip Attachment E.
i ATTACHMENT F — CIVIL PENALTIES AND OUTSTANDING VIOLATIONS
Does the Permittee have any existing civil penalties or outstanding violations?
❑ Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request.
❑ Yes (violations) — Submit a copy of your response to the Notice of Violation.
® No — Skip Attachment F.
I ATTACHMENT G — INDUSTRIAL WASTEWATER I
Does the closed -loop recycle system treat and/or store industrial wastewater?
❑ Yes — Proceed to the next question.
® No — Skip Attachment G.
Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of
new materials or chemicals, etc.)?
❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02U .0201(a). Provide an
overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;
and an overview of the cleaning and treatment methodology.
❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the
manufacturing process; and an overview of the cleaning and treatment methodology.
ATTACHMENT H — SETBACK WAIVERS
Does the existing permit include setback waivers?
❑ Yes — Pursuant to 15A NCAC 02U .0701(g), provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with 15A NCAC 02L .0107.
® No -- Skip Attachment H.
APPLICANT'S CERTIFICATION
1�l�(Z`C"��`1 T �Y:CS attest that this application
(Signature authority's name as noted in Section I, Item 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application package are not completed, and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any
parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned
a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance
schedule in a permit, settlement agreement, or order; not paid an annual fee.
Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b}. An alternate person may be delegated as
the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(e). Pursuant to § 143-215.6A and § 143-215.6B, any
person who knowingly makes any false statement, representation, or certification in any application package 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 S25,000 per violation.
Signature:-C/ Date:
THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email: Laserfiche Upload:
Non-Discharge.Report_s__ a,_n__alenr.gov https://edues.deg.nc.Eov/Forms/NonDischarge-Branch-
Submittal-Form-Vert
FORM: CLRS-R 02-21 Page 3 of 3

NORTH CAROLINA
CUMBERLAND COUNTY
LEAS E
THIS LEASE AGREEMENT, made and entered into this lst
day of October, 1980, by and between BILLY H. BAREFOOT and
wife, ALICE R. BAREFOOT, Party of the First Part, herein-
after called "Landlord"; and BILL'S MOBILE CRANE SERVICE,
INC., a North Carolina corporation, Party of the Second
Part, hereinafter called "Tenant"; all of Cumberland County,
North Carolina.
WITNESSETH:
That, subject to the terms and conditions hereinafter
set forth, Party of the First Part, as Landlord, does hereby
let and lease unto Party of the Second Part, as Tenant, and
said Party of the Second Part, as Tenant, does hereby accept.
as Tenant of Party of the First Part, as Landlord, a certain
tract or parcel of land, together with the improvements
thereon, located at 365 Wilkes Road, Fayetteville, Cumberland
County, North Carolina.
THE TERMS AND CONDITIONS OF THIS LEASE ARE AS FOLLOWS:
Term. This Lease shall begin on the lst day of October,
1980, and shall exist and continue, unless sooner terminated
as hereinafter provided, to and including the 30th day of
September, 1981.
Rent. Tenant agrees to pay Landlord, without prior
demand therefor, without any setoff or deduction whatsoever,
to Landlord at such address as Landlord may in writing
designate, $ per month, payable in advance, on

or before the lst day of each and every calendar month
included in this term, beginning on the lst day of
October, 1980. It is further agreed that should the Tenant
vacate the property during any month of this Lease, prior to
the fifteenth (15th) day of that month, the rent shall be
prorated according to the number of days Tenant occupies the
premises, and rebated back to the Tenant.
Use of Premises. The premises during the term of this
Lease shall be used and occupied by Tenant in full compliance
with all laws, ordinances, orders and regulations of any
lawful authority having jurisdiction over the premises,
including but not limited to, such as shall relate to the
safety, occupation and use of said premises. Tenant hereby
further agrees that the premises shall not be used for any
noxious, offensive or objectionable purpose.
Assigning and Subletting. It is hereby specifically
agreed that Tenant shall not assign nor sublet the demised
premises, or any part thereof, without the prior written
consent of Landlord.
Alteration of Premises. It is hereby specifically
agreed that Tenant shall not alter the premises or any
improvement thereon in any way without the prior written
consent of Landlord.
Repairs. It is understood and agreed that Tenant
accepts said premises in the physical condition in which the
same now are, and that Tenant shall be responsible for any
and all repairs, replacements or maintenance to said
-2-

premises during the term of this Lease, and that said
repairs, replacements or maintenance shall be made in
a timely and workmanlike manner.
Taxes and Insurance. It is understood and agreed that
Tenant shall be responsible for maintaining hazard insurance
and paying all real and personal property taxes on the
premises and the structures located thereon.
Utilities. It is understood and agreed that Tenant
shall be responsible for payment of all utilities, and
deposits therefor, during the term of this Lease.
Examination of Premises. Landlord shall have the right, at
any time during business hours, to enter upon the said premises
for the purpose of inspecting the same to determine the manner
in which Tenant is using and caring for said premises.
Option to Renew. Tenant shall have the right to renew
this Lease annually at the termination of this current and
subsequent Lease periods, if any, said renewals to be
subject to all of the terms and conditions of this Lease,
said renewal to take effect automatically unless Tenant
gives written notice to Landlord otherwise at least thirty
(30) days prior to the expiration of this Lease.
IN TESTIMONY WHEREOF, the parties hereto have hereunto
set their hands and seals the day and year first above written.
LANDLORD: TENANT:
7
BILL' S. MOBILE CRANE SEVI,CE , INC.
Billy,I Barefoot By
�Bily H. Bare.foot, President
f.
Alice R. Barefoo) Attest r
Alice R. � j refoot L Secretary
tC,-)rnorai_e Seal)
-3-