9808T_WIWilsonCountyBlackCreek_Trans_AFR14-15

TRANSFER STATION
Facility Annual Report
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.
Permit: 98-08T-Transfer-2000
Street 1: 3031 Black Creek Rd Street 1: PO Box 1831
Street 2: Street 2:
City: Wilson County: Wilson City: Wilson
State: North Carolina Zip: 27893 State: North Carolina Zip: 27894
Name: Michael Lee Name: Bobbie Wise
Phone: [phone] Fax: [phone] Phone: [phone] Fax: [phone]
Email: [e-mail] Email: [e-mail]
1. Tipping Fee: $56.99 per Ton (Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax? [8) Yes 0 No
2. Did your facility stop receiving waste during this past Fiscal Year? 0 Yes [8] No
If so, please report the date this occurred: ----------------------
3. Are there SWANA or other certified operator(s) at this facility? [8] Yes 0 No
If yes, indicate the following:
Name: Ricky Knight Certification type and expiration date: Transfer Station Operator 06/2018
Name: Tony Cofield Certification type and expiration date: Transfer Station Operator 06/13/2017
Name: Pam Price Certification type and expiration date: Transfer Station Operator 11/13/2018
4. What other activities occur at this facility? (check all that apply)
[8] 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 Gypsum/drywall
tons 0 Shingles tons 0 Electronics
tons ~ Other (specify) Commingle (3244.63 tons)
tons 0 Other Metal tons
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.
October 1 -December 31
April 1 -June 30
Total
------------------------------------------------------------------------------------------------
6. Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED) at this facility during the period of July 1. 2014.
through June 30.2015. Indicate tonnage received by COUNTY of waste 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
Carteret 29.21
Duplin 13.16 2.3 1.63 2.84 7 01 11.8 22.22
Edgecombe 342.3 284.44 330.19 323.74 261.13 322.9 323.9 203.52 320.42 279.67 263 .72 386.27
Franklin 8.39
Greene 198.73 122.96 165.13 112.46 160.24 91.02 212.56 235.08 299.39 299.32 267.77 308.51
Johnston 564.63 554.7 532.17 527.49 474.13 630 01 538.41 485.33 706.8 648.31 66103 934.27
Lenoir 2.15 3.5 10.89 5.85 7.24 8.3 16.55 4.34
Martin 13.54 1.53 9.55 9 06 8.07 5.96
Nash 1,745.09 1,814.06 1,926.47 I ,800.46 1,432.5 1,855 2 2,092.37 I ,137.53 1,962.09 I ,972.44 I ,835.4 I ,733.42
Pitt 33.61 20.66 12.39 24.69 38.26 14.91
Wake 9.28 15.19
Wayne 1,441.11 1,233.94 I ,265.07 1,352.61 985.23 I ,277.36 I, 198.52 966.75 1,286.6 I ,484.84 1,376.94 I, 104.18
Wilson 5,837.54 5,882.01 5,664.5 5,949.7 5,241 .68 6,009.09 5,450.89 4,388.16 6,073.81 6,042 5,581 .56 5,928.7
7. Indicate the facility(s) that received your facility's transferred waste material: Grand Total
Sampson County Landfill, Permit# 8202, Roseboro NC
Sonoco Recycling, Permit #WCH68, Raleigh NC
MSW Landfill
Recycling Facility
TOTA
Please return your completed report to:
Ben Barnes
PO Box 23
Elm City, NC 27822
phone: [phone] email: [e-mail]
112,451 17
2,941
115,392.17
CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility.
Signature: '-77/7 / A of /'!~ ,.t-
Name: /V1 / / / /'r,L/tA~ L.~ Title:
Date: 7/2 t..jlr
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Phone Number: Email:
29.21
60.96
3,642.2
8.39
2,473.17
7,257.28
58.82
47.71
21 ,307.03
144.52
24.47
14,973 15
68,049.64