2017 septage management firm permit application checklist

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P AT MC C R O RY Governor

DO N ALD R. V AN DE R V A ART Secretary

MIC H AE L S COT T Director

2017 SEPTAGE MANAGEMENT FIRM PERMIT APPLICATION CHECKLIST ***For faster processing please submit application by December 1, 2016***

 Be sure to enclose all ORIGINAL forms  Fully complete BOTH pages of the Application   



o list Gallons pumped in 2016 on question #4 (estimate through 12-31-2016) o sign and date the 2nd page of the application Be sure you have signed the Procedures to Clean a Point-Of-Use Grease Interceptor (or enclosed a copy of your own restaurant cleaning procedure) Make checks payable to DIVISION OF WASTE MANAGEMENT o Restaurant Fee - $550.00 (IF PAYING BY E-CHECK: Please see invoice for instructions) Mail payment (if not submitting by e-check) and all ORIGINAL application forms to (ORIGINAL forms must still be mailed): o Attn: Corinne Law Division of Waste Management Composting & Land Application Branch 1646 Mail Service Center Raleigh, NC 27699-1646 MOST IMPORTANTLY!!! If you have any questions please contact us: COMPOSTING & LAND APPLICATION BRANCH CONTACT UPDATES

Tony Gallagher, CLA Branch Head Corinne Law, Env. Technician Chester Cobb, Soil Scientist

Phone/Fax: 919-707-8280 Phone/Fax: 919-707-8285 Phone/Fax: 919-707-8283

[email protected] [email protected] [email protected]

FAYETTEVILLE REGIONAL OFFICE STAFF Connie Wylie, Soil Scientist

Phone: 910-433-3352

[email protected]

ASHEVILLE REGIONAL OFFICE STAFF Troy Harrison, Env. Senior Specialist

Phone: 828-296-4701

Troy. [email protected]

Additional Forms and Copies of the Septage Rules available at: http://portal.ncdenr.org/web/wm/sw/septage

State of North Carolina | Environmental Quality | Waste Management 1646 Mail Service Center | 217 West Jones Street | Raleigh, NC 27699-1646 919 707 8200 T