2101T-TRANSFER-2001-FY16-17

TRANSFER STATION
Facility Annual Report
For the period of July 1, 2016-June 30, 2017
According to G.S. 130A-309.09D(b), completed forms must be returned by August 1, 2017 and a copy of this report must be sent to the
County Manager of each county from which waste was received. If you have questions or require assistance in completing this report, contact
your Regional Environmental Senior Specialist.
Permit: 2101T-TRANSFER-2001
Street I: 118 W. Hicks St. Street 1: P.O. Box 300
Street 2: Street 2:
City: Edenton County: Chowan [j City: _E_d_e_nt_o_n ____________________________________ ___
State: North Carolina Zip: 27932 State: North Carolina Zip: 27932
Name: Brad Arnold Name: Kristy Cullipher -----------------------------------------
P!Juue. 2524824111 Fax: PltUI!e: :LYL4H:L4111 2524H206t)0
Email: [e-mail] Email: kristy [e-mail]. gov
1. Tipping Fee: $44.64 -----------------per Ton (Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax? [gJ Yes D No
2. Did your facility stop receiving waste during this past Fiscal Year? DYes (gJ No
If so, please report the date this occurred: ---------------------
3. Are there SWAN A or other certified operator(s) at this facility? (gJ Yes D No
If yes, indicate the following:
.Name: 'Eric 'Fooks Cerbhcabon type and exp1rahon date: TS-2013091 October 9, 2019
Name: David Myers Certification type and expiration date: TS-2013097 October 9, 2019
Name:: Lincoln Adam& Certification type and expiration date: TS-20 16044 Mqy ~5 , 20 l9
4. What other activities occur at this facility? (check all that apply) ·
D Recycling/Reuse Collection D Scrap Tire Collection D White Goods Collection D Household Hazardous Waste Collection
Tf you r.hP.dmd R p,r.ycling/ReuGe Collection, p1ooao indiootc the motcriob occcptcd ond omount collected: (d•~uk allll•al uwly ami !JtUviuu Iuuuugc~)
D Carpet tons D Concrete/rubble/asphalt tons D Gypsum/drywall tons D Other Metal tons
D Cardboard tons D Shingles tons 0 Electronics tons D Other Plastic tons
0Wood tons D Other (specify)
5. If required to file NC E-500K forms with NC Dept. of Revenue, provide the four quarterly tonnages this facility reported for fiscal year
2016-2017.
6. Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED) at this facility during the period of July 1. 2016:
through June 30. 20 I 7. Indicate tonnage received by COUNTY of waste origin. Please indicate COUNTY and STATE, if received from
another state.
Jut Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total
Received from
Town of Edenton 235.76 244.41 301.64 213.31 239.02 249.98 235.90 207.02 237.15 228.33 253.36 177.89 ~ 13J~.7-~
7. Indicate the facility(s) that received your facility's transferred waste material: Grand Total j_J1 ~;}~ , 71
East Carolina Environmental Landfill, Aulander, NC Pcrrnit#08-03 MSW Landfill 11 2823.77
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Please return your completed report to:
Name:
Email: