3615-TP-2018 Assured Waste Solutions, LLC SW018-0027 PARF & Invoice 3-23-18

PERMIT APPLICATION REVIEW FORM
Review Requested by: Larry Frost
Date Requested: 3/22/2018
Facility Name and Permit ID 3615-TP-201, Assured Waste Solutions LLC
Applicant (Owner) Name Trilogy Medwaste
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-295.8(b)]
(1)a. New – New Facility
(1)b. New – Expand Facility Boundary
(1)c. New – Expand Waste Boundary
(1)d. New – Substantial Amendment
(2)a. Amendment – Next Phase of the Approved Facility Plan
(2)b. Amendment – Renewal/Review 5YR 10YR
(2)c. Amendment – Change in Ownership
(3)a. Modification – Change to Approved Plans (No CHR)
(3)b. Modification – Subsequent Permit to Operate (No CHR)
(3)c. Modification – Five-year Limited Review
(4)Major Permit Modification
Permitted Annual Tonnage
Permit Fee $50.00
Date Application Received 3/13/2018
Contact Name, Title & Phone # John Earnhardt, Regional Operations Manager, 210.218.7668
Email Address [e-mail]
Company Trilogy Medwaste
911 Address 148 Boxwood Lane; Gastonia
Mailing Address 8582 Katy Freeway, Suite 250
City/State/Zip Houston, TX 77024
Parent Company
Known Subsidiaries
Other known names business
has operated under
Known Counties of Operation
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: INDUS Permit #:
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes See FID 1087261, Org Chart, FA and CHR contacts and FA
estimate requested.
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NC Solid Waste Invoice Form I-2014
PAID 5-7-18
e-Card