2906-TRANSFER-2013-FY16-17

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y '" Facility Annual ReportIl tl . ''.; .,; ; ;
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VISiO:f1 w"1 l.ti ,For the period of July 1 2016 June 30 2017y`_ y; ,:.,.,n
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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.
Facility Name:Davidson County Transfer Facility Permit: 2906-Transfer-2013
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Street 1: 220 Davidson County Landfill Rd Street 1: P O Box 1067
Street 2: Street 2:
City: Lexington County:Davidson City: Lexington
State: North Carolina Zip: 27292 State: North Carolina Zip: 27293-1067
inaryFaci ity`Gantact,Persan ::" :. ilIingContactPerson = K
Name: Steven Sink Name: Stacy Craven
Phone: [phone] FaY: Phone: [phone] Fax:[phone]
Email: [e-mail] Email: [e-mail]
1.Tipping Fee:$28.00 per Ton (Attach a schedule oftipping fees if appropriate.)
Does the tip fee above include the$2.00 Solid Waste Tax? Yes No
2.Did your facility stop receiving waste during this past Fiscal Year? yes No
Ifso,please report the date this occurred:
3.Are there SWANA or other certified operator(s)at this facility? X Yes No
If yes,indicate the following:
Name: Steven Sink Certification type and expiration date: MOLO expires 4/30/2020;Transfer station exp 3/23/19
Name: William Noonan Certification type and expiration date: Transfer Station expires 3/23/2019
Name: Allen Bowman Certification type and expiration date: Transfer Station expires 3/23/2019
4.What other activities occur at this facility?(check all that apply)
X Recycling/Reuse Collection Q Scrap Tire Collection Q White Goods Collection 0 Household Hazardous Waste Collection
If you checked Recycling/Reuse Collection,please indicate the materials accepted and amount collected:(check al thac apply and pro ide tonnages)
Carpet cons Concrete/rubble/asphalt tons Gypsum/drywall cons Other Metal tons
Cardboard tons Shingles tons Electronics tons Other Plastic tons
Wood tons Other(specify) I
5. If required to file NC E-SOOK forms with NC Dept. of Revenue, provide the four quarterly tonnages this facility reported for fiscal year
2016-2017. .
U N;
July 1 -September 30
October 1 -December 31
January 1 -March 31
April 1 -June 30
Total
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6.Total waste received(INCLUDING WASTE TRANSFERRED AND RECYCLED)at this facility during the period ofJu1X 1 2016,
through June 30,2017. Indicate tonnage received by COIJNTY of waste origin.Please indicate COLJNTY and STATE,if received from
another state.
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Juoe Total
Received from
Davidson County 0 0 29.66 40.05 41.43 40.13 79.42 69.12 81 83 73.59 77.97 191.7 724.9
7.Indicate the facility(s)that received your facility's transfened waste material: Grand Total 724.9
1iA ME;PERMTI'#;and LUCATIQII. cii,tate}afFACILIT. ::.. ; aci ity.Type ;.Zous°
Davidson County MSW Landfill,2906,Thomasville,North Cazolina MSW Landfill 724 9
TOTAL 724.90
p "' e`. 3p,A;.pg pg Please return our com leted re ort to:
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ei ii[t aivimiimerital Se triir Susan Heima ,$'
PY''$ 450 W Hanes Mill Road Suite 300
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Winston-Salem,NC 27105z. F;a,;.
Tele:336.776.9672 Email: [e-mail]
CERTIFICATION: I cerf that n ation p vided is an accurate representation of the activity at this facility. I
Signature: Date: /25/2017
Name: Rex Buck Title: Public Services Director I
Phone Number: [phone] Email: [e-mail]
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