1403-MSWLF-1998 Foothills Environmental Landfill SW018-0048 PARF & Invoice 6-25-018

PERMIT APPLICATION REVIEW FORM
Review Requested by: Allen Gaither
Date Requested: 6/22/2018
Facility Name and Permit ID Foothills Environmental Landfill, 1403-MSWLF-1998
Applicant (Owner) Name Caldwell County
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 >250,000 TPY
Permit Fee $0.00
Date Application Received 6/22/2018
Contact Name, Title & Phone # Mr. Derek Bouchard, Environmental Manager, [phone]
Email Address [e-mail]
Company Republic Services of North Carolina, LLC
911 Address 2800 Cheraw Road Lenoir, NC 28645
Mailing Address 1070 Riverside Drive
City/State/Zip Asheville, North Carolina 28804
Parent Company Republic Services, Inc.
Known Subsidiaries Unk
Other known names business
has operated under
Unk
Known Counties of Operation Alexander, Allegheny, Ashe, Avery, Buncombe, Burke, Caldwell,
Catawba, Cleveland, Davie, Forsyth, Gaston, Guilford, Iredell,
Lincoln, Madison, McDowell, Mitchell, Rutherford, Stokes, Surry,
Watauga, Wilkes, Yadkin and Yancey counties
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF Permit #: 14-03
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes Phase 5 PTC and LoS PTO application
SW018-0048
P0869
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW018-0048
Date:6/25/2018
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:Derek Bouchard, Environmental Manager
Republic Services of North Carolina, LLC
1070 Riverside Drive
Asheville, NC 28804
More information available on the web:
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card -Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.]
Paper check -Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy
of this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Remit paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
Foothills Enviornmental Landfill (1403-MSWLF-1998)
2800 Cheraw Road
Lenoir, NC 28645
Permit Amendment Application (Amendment - Next Phase of the Approved Facility Plan)
received on 6/22/2018
$0.00
$0.00Total Amount Due
7/25/2018Date Due
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shall be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Billing process:
Mary H. Johnson [phone]
Ed Mussler [phone]
Solid Waste Contacts:
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Adam Ulishney [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014