3416T_RepublicOverdale_Trans_AFR14-15

TRANS
State of North Carolina
' . . . TRANSFER STATION
Facility Annual Report
I .Departillent of E.nvironment and N aturalResotirces
"DiVision ofWaste Management For the period of July 1, 2014-June 30, 2015
According to (G.S. 130A-309.09D(b)) completed forms must be returned by August 1, 2015 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: Overdale Transfer Station Permit: 3416t-Transfer
PhysicafAddress ... , .. Mailing Address
····· Street 1: 5000 overdale rd Street 1: 2875 Lowery st.
Street 2: Street 2:
City: winston-Salem County: Forsyth City: winston-Salem
State: North Carolina Zip: 27101 State: North Carolina Zip: 27101
ff@aryFadlity Contact Person Billing Contact Person
Name: Mark Tabaczynski Name: Tom Mckenzie
Phone: [phone] Fax: [phone] Phone: [phone] Fax: [phone]
Email: tabacynskim@repsrv .com Email: [e-mail]
1. Tipping Fee: $43.00 per Ton (Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax? [g] Yes 0 No
2. Did your facility stop receiving waste during this past Fiscal Year? 0 Yes [g] No
If so, please report the date this occurred: ----------------------
3. Are there SWANA or other certified operator(s) at this facility? [g] Yes D No
If yes, indicate the following:
Name: Sandra Lucas Certification type and expiration date: july 2017, transfer station ----------------------------------------
Name: Lamard crawford Certification type and expiration date: june 2017, transfer station
Name: Joseph Prestandrea Certification type and expiration date: April 2017, transfer station -------------------------------------
4. What other activities occur at this facility? (check all that apply)
D Recycling/Reuse Collection D Scrap Tire Collection D White Goods Collection 0 Household Hazardous Waste Collection
If you checked Recycling/Reuse Collection, please indicate the materials accepted and amount collected: (check all that apply and provide tonnages)
0 Carpet tons 0 Concrete/rubble/asphalt tons D Gypsum/drywall tons D Other Metal tons
D Cardboard tons D Shingles tons D Electronics tons D Other Plastic tons
0Wood tons 0 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
2014-2015. · QuaTter Tons Reported .···
July 1 -September 30 23,965
October 1 -December 31 23,596
January 1 -March 31 22,603
April 1 -June 30 24,016
Total 94,180
tr.msfer2015 3416t-Transfer Page I
6. Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED) at this facility during the period of July I. 2014.
through June 30.2015. Indicate tonnage received by COUNTY ofwaste origin. Please indicate COUNTY and STATE, if received from
another state.
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total Received from
Forsyth 5,121 5,125 5,120 5,123 5,121 5,137 5,139 5,109 5,111 5,110 5,120 5,118 61,454
Davie 690 681 692 685 677 699 656 667 673 685 689 691 8,185
Davidson 325 341 333 340 341 353 350 346 342 339 337 330 4,077
Surry 145 151 149 147 146 153 151 150 148 145 147 144 1,776
Yadkin 98 97 96 95 100 105 103 97 89 87 91 93 1,151
Rowan 51 49 53 55 57 52 59 56 49 55 54 57 647
Stokes 30 29 25 27 28 33 32 28 27 29 27 26 341
Guilford 1,377 1,372 1,374 1,371 1,385 1,371 1,391 1,392 1,385 1,381 1,376 1,374 16,549
7. Indicate the facility(s) that received your facility's transferred waste material: Grand Total I 94,180
uwharrie environmental, Mt. Gilead n.c. 27306
Phone Number: [phone]
T!'lllisfer20.I5
Facility Type
MSW Landfill
TOTAL
Please return your completed report to:
C.T. Gersten
61 0 East Center A venue
Mooresville, NC 28115
To'ns
94,180
94,180.00
~------------------~
phone: [phone] email: [e-mail]
Title: Division Manager
Email: [e-mail]
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