New Submission

Pursuant to 15A NCAC 13B .1402(g)(1)(A) and .1402(e)(6)(A), the owner or operator of any Small Type 1 Facility (yard waste) which has an operation area of less than two acres of land and be limited to no more than 6,000 cubic yards material onsite at any one time, including finished product, shall submit this form to the Department prior to June 1st of each year.
1. Facility Name:*field type single line
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2. Yard Waste Notification ID Number:*(?)field type single line
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3. Physical Address of Facility

Street 1:*field type single line
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Street 2:field type single line
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City:*field type single line
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County:*field type drop-down
State:field type single line
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Zip code:field type single line
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Inspector Email:field type single line
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The Primary Facility Contact is the person who will meet an inspector at the site.

Name:*field type single line
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Contact's Title:*field type single line
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Phone:*(?)field type single line
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Email:*field type email

Name:*field type single line
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Phone:*(?)field type single line
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Email:field type email
Street 1:field type single line
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Street 2:field type single line
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City:field type single line
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State:field type single line
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Zip code:field type single line
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Name:*field type single line
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Phone:*(?)field type single line
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Email:field type email
Street 1:field type single line
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Street 2:field type single line
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City:field type single line
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State:field type single line
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Zip code:field type single line
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Deed Book:*field type single line
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Page:*field type single line
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County:*field type drop-down

Check all that apply*field type checkbox
Check all that applyA) Land Clearing DebrisB) Yard TrashC) Other (specify)
A) Items defined as land clearing debris:*field type checkbox
A) Items defined as land clearing debris:StumpsWhole TreesUntreated WoodTree LimbsBranches
B) Items defined as yard trash:*field type checkbox
B) Items defined as yard trash:GrassBrush/ShrubsLeavesVegitative Yard Trimmings

	Material Recieved (Cubic Yards)*field type single line	Material Removed (Cubic Yards)*field type single line
	Material Recieved (Cubic Yards)*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Material Removed (Cubic Yards)*field type single line Input blocked. Maximum character limit of 4000 characters reached.

10. Will this facility be a temporary holding site or is material processed on-site?*field type radio button
10. Will this facility be a temporary holding site or is material processed on-site?Temporary Holding SiteProcessed on-site
11. This only applies to a Temporary Holding Site. List the names of all facilities that the temporarily stored yard waste is taken to:field type multi line
12. Describe the composting process to be used and the end use of the finished compost product:*field type multi line
The description of the compost process must minimally include formation of windrows and annual turning of compost (i.e. passive composting). Temperatures of each new pile must be monitored to maintain a temperature of at least 131°F for three consecutive days per week. If additional processing is done, explain briefly (e.g. usage of tub grinder, monthly aeration, etc.).
13. Describe the mulching process to be used and the end use of the finished mulch product:*field type multi line
Describe the mulching process. Only woody yard trash (tree limbs, untreated wood, and non-engineered wood/wood products) can be mulched at a facility that has a yard waste notification. Also, explain if the mulching process will include “yard trash” other than “high carbon nitrogen” material as described in NC G.S. 130A-290(45). Any yard trash that is mulched must be used for boiler fuel ONLY.

To the best of my knowledge and belief, I certify the information provided in this notification is true, accurate, and complete. Furthermore, the facility will comply with the operational and setback requirements of Small Type 1 Facilities (yard waste) as outlined in Rule .1406(1 -11,16) and .1404(a)(1)-(a)(10) of the Solid Waste Compost Rules.
Signature:*field type signature
Date:field type date
Date will be captured on form submission
Name:*field type single line
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Phone:*(?)field type single line
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Email:*field type email
Submit the completed form by clicking the Submit button. You will receive a response from the Section within 10 business days.