4120T_GreensboroCity_Trans_AFR14-15

TRANS
State.•ofNorth•Carolina TRANSFER STATION
Facility Annual Report Department of Environment and Natural Resources
Division of Waste 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 I, 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: City of Greensboro Transfer Station Permit: 4120-T Transfer
Physical Address Mailing Address
Street I: 6310 Burnt Poplar Rd Street I:
Street 2: Street 2:
City: Greensboro County: Guilford City:
State: North Carolina Zip: 27409 State: North Carolina Zip:
Primary Facility Contact Person .. Biiling Contact Person
Name: Jason Jernigan Name: Jason Jernigan
Phone: [phone] Fax: [phone] Phone: [phone] Fax: [phone]
Email: [e-mail] Email: [e-mail]
I. Tipping Fee: $44.00 per Ton (Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax? DYes [g) 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 0 No
If yes, indicate the following:
Name: Clyde Harding Certification type and expiration date: Transfer Station Operations Specialist 11/17/15
Name: Richard Johnson Certification type and expiration date: Transfer Station Operations Specialist 12/15/15
Name: Mark Hennis Certification type and expiration date: Transfer Station Operations Specialist 03-27/17
4. What other activities occur at this facility? (check all that apply)
0 Recycling/Reuse Collection 0 Scrap Tire Collection 0 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
0 Cardboard
0 Wood
tons 0 Concrete/rubble/asphalt
tons 0 Shingles
tons 0 Other (specifY)
tons 0 Gypsum/drywall tons 0 Other Metal tons
tons 0 Electronics tons 0 Other Plastic tons
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. .·· Quarter · Tons Reported
July I -September 30
October I -December 31
January I -March 31
April I -June 30
Total
Transfer2015 4120-T Transfer Page 1
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
Guilford 16,503 22 16,463.87 16,598.12 17,040.39 13,911.41 16,289.43 15,047.52 13,717.5 17,017.86 16,850.87
Alamance 0.25 5.77 0 0 0.86 0 0.93 5.64 0.79 2.34
Chatham 0 0 0.46 0 0 0 0 0 0 0
Davidson 0.23 0 0 0 0 0 1.94 6.35 0 0.44
Davie 2.12 0 0 0 0 0 0 2.14 0 0
Forsyth 609.66 599.68 651.92 580.36 601.28 516.83 609.2 498.68 597.52 745.49
Randolph 0.16 0.59 0.11 5.57 5.55 0.16 0 0 0 0.16
Rockingham 12.17 52.12 85.67 7308 49.37 66.58 68.14 21.99 47.02 43.43
Stokes 0 0 0 0 0 1.12 0.82 0 0 0
7. Indicate the facility(s) that received your facility's transferred waste material:
NAME; PERMIT#, and LOCATION (city, state) of FACILITY Facility Type
Uhwarrie Environmental Landfill #6204 MSWLF 1995, Montgomery County, Troy, NC MSW Landfill
TOTAL
Please return your completed report to:
Deb Aja
REMINDER: According to (G.S. 130A~309.09D(b)), this
report must be sent to the Regional Environmental Senior
Specialist for your area and a copy of this report must be
. ·. sent to the CoYnty Manager of each county from which 2090 US Highway 70
Swannanoa, NC 28778
17,190.79 17,941.24
0 2.05
0 0
0 0
3.25 0
610.64 642.81
0.16 1.03
54.5 74.65
0 0
Grand Total I
Tons
201,867
201,867.00
waste W!J.S received. phone: [phone] email: [e-mail]
CERTIFJCA TION: I certifY that the information provided is an accurate representation of the activity at this facility.
s;gnotme ~~ D•te "7/z4t5
Name: Jason Jernigan Title: Waste Disposal Manager
Phone Number: [phone] Email: [e-mail]
Transfer20 15 4120-TTransfer
194.57222
18.63
0.46
8.96
7.51
7.264 07
13.49
648.72
1.94
202,536 1
Page2