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HomeMy WebLinkAboutNCG130108_Application_20220602RECEIVED FOR AGENCY USE NLY 'i)�i NCG13� U �) 02 i022 Assigned to: ARID FRO MRO WARO WIRO WSRO DEMLR-SlormwalerProgram Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG130000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities classified as: the wholesale trade of non-metal waste and scrap (hereafter referred to as the non-metal waste recycling industry) a Portion of Standard Industrial Classification Code (SIC) 5093 and like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products, by-products, or waste materials. The following activities are specifically excluded from coverage under this General Permit: facilities primarily engaged in the wholesale trade of metal waste & scrap, iron & steel scrap, and nonferrous metal scrap; facilities primarily engaged in waste oil recycling; and facilities primarily engaged in automobile wrecking scrap. You can find information on the DEMLR Stormwater Program at deq.nc. gov/SW. Directions: Print or type all entries on this application. Send the original, signed application with all required items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The submission of this application does not guarantee coverage under the General Permit. Prior to coverage under this General Permit a site inspection will be conducted. 1. Owner/Operator (to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible person as signed in Item (7) below: Waste Management of Carolinas, INC. Kyle Mertens Street address: City: State: Zip Code: 10411 Globe Road Morrisville INC 27560 Telephone number: Email address: 321-403-2544 KMERTENS@WM.COM Type of Ownership: - Government ❑County ❑Federal ❑Municipal ❑State Non -government ❑+ Business (If ownership is business, a copy of NCSOS report must be included with this application) ❑ Individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: Raleigh Hauling and MRF Kyle Mertens Street address: City: State: Zip Code: 10411 Globe Road Morrisville NC 27560 Parcel Identification Number (PIN): County: 0758.04-70-9100-000 Wake Telephone number: Email address: 321-403-2544 KMERTENS@WM.COM 4-digit SIC code: Facility is: Date operation is to begin or began: 5093 'O New [3Proposed [3Existing Jan of 2020 Latitude of entrance: Longitude of entrance: 35 deg 53 min 35.46 sec 78 deg 48 min 13.35 sec Page 1 of 5 Brief description of the types of industrial activities and products manufactured at this facility: *< emrv"+m r w.e tarn aa+o� n vm.aw o-man wum mvmm iu,we �r �a a u. wtu w.ae, m�oae`n m mMme �mlala. <mwn. aumws. �w .e.t,�we m eew�'n. wnro o<mm�. wpm maioeum. If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: EI N/A 3. Consultant(ifaoDlicable): Name of consultant: Consulting firm: NA NA Street address: City: State: Zip Code: NA NA NA _ NA Telephonenumber: Email address: NA NA 4. Outfall(s) At least one outfall is required to be eligible for coverage. 3-4 digit identifier:- Name of receiving water: Classification: ❑ This water is impaired. 001 Brier Creek (27-33-4), C; NSW ❑ Thiswatershed has a TMDL. Latitude of outfall: Longitude of outfall: 35 Deg 53' 32.91" 78 Deg 48' 18.16" Brief description of the industrial activities that drain to this outfall: Impervious Fleet Parking, all industrial activities are conducted indoors Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El No ,� - a If yes, how many gallons of new motor oil areused:each!month�when averaged overtlie'[alendaryear?= ��-��ti Vehicle Maintenance Activities are conducted:maintenance garage. ^-s-�-�'--t. - -4 3-4 digit identifier . .Name of receiving watery "I '} ,Classification:- f_ ❑ This water is impaii 6&SI } 1 f ❑ This watetshed has a MI)L. Latitude of outfall: _„� y� �j -., Congitude of outfall: «,;_� _N,�' Brief descnption,of the industrial activities thatdrain Yo this -outfall—'-- ez Do Vehicle Maintenance Activities occur in the dPainage'area of:tl ¢ outfall? F El Yes [I No If yes, how many gallons of new:motor oil are used each month when ave aged ove'rthe calendaryear? t 3-4 digit identifier: Name. of receiving water:. Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section "Additional Outfalls" found on the last page of this NOL Page 2 of 5 5. Other Facility Conditions (check all that apply and explain accordingly): O This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: NCG-080147 (Will be rescinded per DEMLR) +❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current'Non-Discharge permits: Solis Waste Permit 92-15(Transfer Station) I7 This facility uses best management practices or structural stormwater control measures. . If checked, briefly describe the practices/measuresand show on site diagram: ditches,straw bails, check damns, stormwater basin O This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the,date the SWPPP was implemented: - June 25, 2021 - ❑ This facility stores hazardous waste in the.100-year floodplain. ' If checked, describe how the area is protected from flooding: NA ❑ This facility is a (mark all that apply) ❑ Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility ❑ Hazardous Waste Disposal Facility- -if -checked, indicate:-- � � - _ .. ?y s Kilograms of waste generated each.month: 1 Type(s).of_wa`ste: M1f •i How material is store& ` I t Where material is•stored: �' . Number of waste shipments:p`er year: — ' I Name of transports/disposal vendor:' l % Transport/disoosa(vendor EPA ID i t` Vendor address: ❑ This facility is located on a'Bro'wnfield or Superfuhd site ' ` - : `,,' If checked, briefly describe the site conditions 6. Required Items (Application will be returned unless all of the following items have been included): 17 Check for $100 made payable to NCDEQ El Copy of most recent Annual Report to the NC Secretary of State O This completed application and any supporting documentation O A site diagram showing, at a minimum, existing and proposed: a) outline of drainage areas b) surface waters c) stormwater management structures d) location of stormwater outfalls corresponding to the drainage areas e) runoff conveyance features f) areas where industrial process materials are stored g) impervious areas h) site property lines El Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 3 of 5 7. Applicant Certification: North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: ❑+ I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. l The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. ❑O 1 will abide by all conditions of the NCG130000 permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. 0 I hereby request coverage under the NCG130000 General Permit. Printed Name of Applicant: Kyle Mertens Title: Environmental Protection Mail the entire package to: DEMLR— Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 4 of 5 Additional Outfalls 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No If yes,. how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: - Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: - Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier:. Name of receiving water,. ._ Clas"sification:""`- ❑ This water is impaired. 0 This watershed has.a�TMDL Latitude of outfall: .r^ = r=`' I 'Longitude of outfall:', �VA4 .7a' Brief description_ofthe industrial activities that drain to this o'utfall,. _..d Do Vehicle Maintenance Activities occur in the drainage area of thisoutfall? '--.'.•. ❑ No If how many gallons ofnew,motor oil are used_each-month�when averaged over the pEYe"s` calend'aryear? yes ,gin i LFr+fi t ii I'.'.I, 4'41171 r,: 1- i",! d- 3-4 digit identifier: Name of receiving water: Classification:' �� .r --- ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No If yes, how many gallons of new motor oil are used each month when averaged overthe calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 'Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? [--]Yes ❑ No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? Page 5 of 5 Location 436 AtR WWI •.r N� fir, ... � ,"- \ f `�! 4�F l /�/ �`` `•� \)C ._. ('i•3��,1D�Z�t •Afo "'' L ALEIGH•DURHAM \`„-•,tiCr �' \ � �/c- ' �' �j� � -/� �� ( �-s'�r�,-'y j.� '�' Raleigh Hauling 7t �. Stormwater Flow Direction Data Source: Adapted from Terrain Navigator Pro (Catherine Lake, 1980) 2,000 1,000 0 2,000 Storm Water discharges into Brier Creek, which Is a 303d impaired water. No TMDL are established In the watershed of Upper Crabtree Creek. Feet ��� anaEcr SWPPP RALEIGH HAULING nine GENERAL LOCATION FIGURE xiS:iw 10411 GLOBE ROAD MAP xx001e e.iy w.a MORRISVILLE, N.C. VNMn°I°n, NC 36t°6 Cvpnh Uceevm Xe.IcrFnrl,xeM°Yrvkb CdYi "0'213036.07 e�TE MAY 2013 ��AS SHOWN aa`�°Y THW wa:Xm°r MEM Wake Crass roatts'Lake ` ` • _ o s \ Sti'a Le -Lake /V m� 'ti . -• y. 3g COLLINGOgCfa<� (}Lawe'Sp'rrnydu(erT�F�T _ ' - tPet Rest o c f r Memorial Park - - RAfTGEIG Gh� /iW2A�P -�. 0 PP\OPCCG� � pPe°PPS � v 4 i- _ P _ _ •.1. - 1 .. - !li � 4S /l ���TTT r C7'• c GLOBE CENTE� ' � �"-+ , '� , t1 - h 1 DSO SITE LOCATION "Raleigh Durham . , at Intern �a[ionaL Airport _ i z w �• j F J. t�; 0 �. • Outfall Latitude I Longitude SOO1 35- 53' 32.91" 78. 48' 18.16' Receiving Water On 2028303d list? TMDL developed for Parameters of Raleigh -Durham these waters? Concern International Brier Creek I Yes No PCBs Airport NORTH CAROLINA Scale 1:24000 0 1/2 1 MILE 1000 0 1000 2000 3000 FEET SITE SOURCE OF MAP IS US TOPO 7.5 MINUTE QUADRANGLE MAP, LOCATION/BOUNDARIES QUADRANGLE LOCATION SOUTHEAST DURHAM (2019), NORTH CAROLINA: U.S. GEOLOGICAL SURVEY APPROXIMATED CHECK BY CG - - FIGURE DRAWN BY JL GENERAL LOCATION MAP DATE 6/22/2021 A SCALE AS SHOWN WASTE MANAGEMENT APEX 1 CAD NO. WM2021-01A 10411 GLOBE ROAD / PEX PRJ NO. WM2021-01 MORRISVILLE, NORTH CAROLINA FLEGEND PERTY LINE CELINEFOOT CONTOUR LINENCRETE AREA VEL AREAILDINGRAP .RMWATER CATCH BASIN ILL KITRFICIAL .FLOW DIRECTION RMWATER PIPING FLOW DIRECTIOI CENT IMPERVIOUS AREA: 26.2m e f� A IA IE_RENCES 1. FACILITY CIA DESIGNED mmv REFFAENCE ill£5 yn wv psspevrov . w. SITE MAP 'STORMWATER �mrs SUBMITTED KMC ,.': POLLUTION PREVENTION PLAN 6/22/2D21 CHECKAPEX CHECKED: 0 700 WASTE MANAGEMENT OF CAROLINAS, INC. DATE- MpRDffO 10611 GLOBE -ROAD 2 MORRISVILLE, NORTH CAROLINA 4127/22, 2:00 PM North Carolina Secretary of State Search Results • File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online Add Entity to My Email Notification List •View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Business Corporation Legal Name Waste Management of Carolinas, Inc. Prev Legal Name Bill Schwartz, Inc. Information 9 Sosld: 0158441 Status: Current -Active O Date Formed: 4/6/1961 Citizenship: Domestic Fiscal Month: December AnnuaL Report Due Date: April 15th CurrentAnnuaL Report Status: Registered Agent: CT Corporation System Addresses Reg Office Reg Mailing Mailing 160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 800 CAPITOL STREET, SUITE 3000 Raleigh, NC 27615-6417 Raleigh, NC 27615-6417 HOUSTON, TX 77002 Principal Office 800 CAPITOL STREET, SUITE 3000 HOUSTON, TX 77002 Officers Vice President Assistant Treasurer RANDALL J. BECK JEFF R. BENNETT 800 CAPITOL STREET, SUITE 3000 800 CAPITOL STREET, SUITE 3000 https:/Amw.sosnc.gov/online_services/search/Business_Registration_Results 113 4/27/22, 2:00 PM North Carolina Secretary of State Search Results HOUSTON TX 77002 Vice President THOMAS G. CARROLL 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Assistant Secretary APRIL FULLER A" - Y 800 CAPITOL STREET SUITE 3000 HOUSTON TX 77002 Vice President MARK A. LOCKETT 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002. Assistant Secretary ROBERT E. LONGO 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Chief Financial Officer LESLIE K. NAGY 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Treasurer DAVID L. REED 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Chairman of the Board TRACEY A. SHRADER 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 HOUSTON TX 77002 Assistant Secretary JANNE C. FOSTER 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Vice President APRIL FULLER L 800 CAPITOL STREET SUITE 3000 HOUSTON TX 77002 Assistant Treasurer - MARK A. LOCKETT 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Vice President LESLIE K. NAGY 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Vice President DAVID L. REED 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 , President TRACEY A. SHRADER 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Vice President BRYAN L. TINDELL 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 I https:/A~.sosnc.gov/online_services/search/Business_Registration_Results 2/3 4/27/22, 2:00 PM North Carolina Secretary of State Search Results Secretary COURTNEY A. TIPPY 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Chairperson of the Board COURTNEY A. TIPPY 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Stock Class: COMMON Shares: 30000 Par Value 10 Vice President COURTNEY A. TIPPY 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 Vice President JAMES A. WILSON 800 CAPITOL STREET, SUITE 3000 HOUSTON TX 77002 htipsJlvivnv.sosnc.govlonline_senriceslsearch/Business_Registration_Results 3/3 Submission Completed Page I of 10 STATE OF NORTH CAROLINA SOLID WASTE MANAGEMENT Facility Annual Report for the period of NORTH CAROLINA July 1, 2020 - June 30, 2021. EArU�talQuarlty Use this reporting form for Waste Transfer Facilities. Facility Information Waste Transfer Facility Information Transfer Facility Identification" 9215T- TRANSFER- 1994 : Waste Management Of Raleigh/Durha m Transfer Station : EADSldmconn ers Permit Number 9215T-TRANSFER-1994 Permit Name Waste Management Of Raleigh/Durham Transfer Station Contacts Is the Facility Contact and the Yes Billing Contact the same person? Facility Contact Data SalutationMrst Last TitleTelephone* Email* Name* Name* no Jsers/ddevlin/AnnDnts/t nraUTrmn/?N9f4FRF htm 4/1 n /Mni l Submission Completed Mr. TRVIS MCCLIN DISTRI (919) 389-3362 tmcclung@wm.com Alffik G CT 1 MANAG ER Billing Contact Data SalutatiorArsi Last TitleTelephone* Emaii* - Name* Name* r i Mrs. DEBOR DEVLIN OPS (919) 405-1482 ddevlin@wm.com .- A SPECIA l LIST i - Is the Physical and Melling o Yes (� Q No i Address the same!* { I Physical Address .: Street/RoadCityrrown Zip Code County 10411 GLOBE RD MORRISVILLE - 27560 Wake { Facility Operations* Did your facility accept and manage waste during the reporting period? I Q. Yes Q No Operations What is the Tipping Feerron?* $. 48.00 Does the. Tip Fee include the (g. Yes Q No $2/ton Solid Waste Tax?* O Not Applicable i Attach Fee Schedule if Needed Any document type may be uploaded here. 1 Leachate Management* How is leachate transported to the waste water treatment facility? ❑ .® .Q ❑ Sewer Pump Truck Not Other Connection Applicable [Describe] i file,;/(/(7.;/fdserWdeviin/Annnata/t.nra Wemn/)N9C;4F.RP.htm Page 2 of 10 € 1. Submission Completed Page 3 of 10 Waste Material Type t "Waste Material Types - - Please1ndicate the types of.wase material managed by this facility... - Municipal Solid Waste Q Yes . Q No .. i Construction and Demolition *,Yes Q No Waste Industrial Waste O Yes O No ,Land Clearing and Inert' Q Yes - - Q No Debris'{LCID] , Medical Waste Q Yes Q No _.:. ,. Yard Waste ,, - O Yes Q No,. - Household Hazardous Waste Q Yes p No Waste or Scrap Tires, Q Yes { Q No Other Waste Type Q i { 1 1 I 1 t IgFk hirvlin/AnnllataR.nrnUTrmnnmor1APRP him stn iir>m t k Submission Completed Page 4 of 10 t Types of Processing Indicate the Types of Processing that occur at this Facility 'Grinding, Composting or Mulching . Medical Waste Treatment I❑ Incineration El Recycling/Reuse Collection (quantify below) ❑ Other .i Recycling/Reuse'Collection Data i' Material Tons 0.00 .. 7 Other Material Tons ' 0.00 I i . I 1 I file-Y/r.- T%Prc/dde.vlin/AnnTJata/Tnral/TemnnvQr;dF.RF,htm R%lfl(�Q91 • Submission Completed Page-5 of 10 Waste Data L .. 1 _Waste Data Entry * �. ,. Wouldyouprefer toManually:Enter_ Data or Upload. a. Spreadsheet? Q. Manually Enter Waste Disposal'Data Q Upload Spreadsheet Waste -Sources from North Carolina +. Please enter the Waste Material Received at this facility during the period of July 1, 2020, through. June 30, 2021. i Indicate tonnage received by COUNTY of waste origin. If waste was received from a transfer station, please indicate a theCOUNTYLOCATION OFTHE.TRANSFERSTATION, . E 'StalDeunty*( Jul . Aug Sep Oct :Nov . Dec Jan Feb : Mar Apr May Jun Totals N. Alamance ` 0.00 1.50 0.00 0.00 84.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 85.50 1., C'. 0. N Chatham 1 A4 7.43 0.00 157 8.19 0.00 0.00 0.00 17.1 34.0 13.8 29.0 114.7 C .. 9 7 1 8 8 N 'Durham 1 26 - 1,35 1,51 _1,64 -1;53 1,.31 1,21' 1,03' 1,60 1.55 1,49 1,66 17,19 C ' - .:. _,9.67 8.90 3.67, 0.70 5.41 7.74 _937 3.94 2.14 0.94 2.84 3.46 ..8.78 . , ;N Johnston 125. 57,3 93.0 90A 531. ,87.7 142. -93.3 -136. 118. M. 288. 1,409 C 27 8 6 6. 8 6 11 7 43.. 83 01 48 .04 N Franklin 0.00 0.00 0.00 1.83, 0.00 1.18 2.79 -5.77 11.4 1.39 0.00 0.00 24.37 ' C .. 1 l N Harriett: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.05 0.00 0.00 1.05 . C N Orange 1,85 2,36 2.09 1,96 2,00 1,92 1,69 1,58 2,05 1,73 1,72 2,07 23,07 C 2.58 2.19 2.65 "8.47 0.99 9.63 4.06 ,7.14 2.68 4.45 5.48 5.19 5.51 6 N Wake 2,18 2,63.2,14 1,68 1,96 2,48 2,05 1,98 4,17 3,77 3,78 4,30 33,17 t C 4.32 2.29 2.53 - ' 8.04 6.59 2.81- 9.97 4.79 9.05 3.33 1.02 0.34 5.08 Total NC Sources Out -of -State Waste i Total Waste Received 75,084.11 Did your facility receive waste from Out -of -State sources? Q Yes' 75,084.11 " -•filP•lU('•/r1,Pemftlrievlin/Anni)ata/i'n0aUTrmn/9NQAdARPhtm Riihnn91 Submission Completed Receiving Facility Page 6 of 10 i Receiving Facilitylnformatlori Indicate the Faality[s] that received your facility's waste material;'' Name . Permit No. City State Facility Type Tons GREAT OAK 7607- RANDLEMA NC, MSW Landfill 69,804187 LANDFILL MSWLF ,N Submission Completed . Page 7 of 10 E Recovered Material Data i l �. Please indicate what other activities occur at this faciGtybelow- I ❑ Recycling/Reuse Collection ❑ Scrap Tire Collection l ❑ White Goods Collection . . ❑'Household Hazardous Waste Collection ❑ Enter Other Activity 1 Recovered Materials Table i Please list below the quantities of materials recovered at this facility during FY2020-21. 1 Material Tons I Aluminum Cans t 0.00 'Cardboard 0.00 Carpet 0;00 Commingled Recyclables 0.00 j Computer Equipment U0 Concrete / Rubble /Asphalt 0.00 j Fluorescent Light Bulbs 0.00 Glass 0.00 Gypsum / Drywall Board 0.00 Metal: Steel Cans 0.00 Metal: Other 0.00 Pallets - 0.00 f Paper 0.00 Plastic 0.00 j Televisions 0.00 filr.•///f:•R icrrclrlAevlin/Annllata/T.nnal/f'rmn/�NQ(;dFRF htm ,Submission Completed Page S of 10 i I Used Oil / Oil Filters I 0.00 i I Waste or Scrap Tires'.: i 0.00'-- I White Goods 0,00 wood 0.00 Specify Other Recovered Tons (2) Total Recovered Material, Tons I 0.00 ' ' F i _ . . _ I Ii I i I i {jf filo•///(1•/T Tcore/AAavlin/AnnTlafa/T nral/Tomn/')NQ/7GPRF htm Ri1T/�1191 Submission Completed Page 9 of 10 NC E-50OK Filing Information i Exempt Waste DIspdsa1* If your facility is required to. file NC E•500K forms with NC Department of Revenue, please provide the four quarterly tonnages .. - this facility reported during the reporting period. O-Yes O No t i I t j i i file•///('.•Rlcrrc/dr♦rvlin/Annflata/�,nral/Temn/�Nq(:dFRFhtm uirnrmt Submission Completed Page 10 of 10 Operators / Certification / Submittal I I. `Certified Operators* Are SWANA or other certified fop irator[s) employed at your facility? *Yes Q No I - SWANA or Other Certified Operators . Please enter the following information for all Certified Operators working at your facility:- -- Name Certification Type (7) Expiration Data DAVIDLAWSON Transfer Station 7/14/2023 Operations Specialist Certification* 2 CERTIFICATION: I. certify that the information 'provided`is an accurate representation of the activity at this facility. REMINDER: According to G.S. 130A-309.09D(b), this report must be • sent to the County Manager of each county from which waste was receive9. A copy of this report will be automatically forwarded to the Regional Enviionmental'Senior Specialist for your county. I Name* DEBORA DEVLIN Title* OPERATIONS SPECIALIST Email * ddevlin@wm.com Date * 8110/2021 4 f Comments file/1/� ATcPrcldrlrvlin/AnnT)atal6,nrallTemnl0N9C 4F.RF, him - Rlinnil ' ]rrinMnoM. 9.fkUMCwn. - � 41oMFWN24]Wl �r'�T.�!�L1)!�r!!��l9I�� vC'�Al�� � _•.. , . _ ,�.�:.rT!!�Il ��,: rrr�.r. ® u S�llRai►�!�l�t���7!►INt�LTA'1.1A�1i��11�'� ua.ly Scanned with CamSce