2906-MSWLF-2008 Davidson County MSW Lined Landfill SW018-0087 PARF & Invoice 10-12-18

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Requested: 10/12/2018
Facility Name and Permit ID 2906-MSWLF-2008
Applicant (Owner) Name Davidson County MSW Lined Landfill
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 NA
Permit Fee NA
Date Application Received 10/11/2018
Contact Name, Title & Phone # Charlie Brushwood, 336 240 0303
Email Address [e-mail]
Company Davidson County
911 Address 220 Davidson County Landfill Road, Lexington, NC 27292
Mailing Address Post Office Box 1067
City/State/Zip Lexington, North Carolina 27293-1067
Parent Company Davidson County
Known Subsidiaries NA
Other known names business
has operated under
NA
Known Counties of Operation
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF-subtitle D Permit #: 29-06
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes Lateral Expansion
SW018-0087
P1203
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW018-0087
Date:10/12/2018
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:Charles Brushwood, Director
Davidson County Solid Waste Management Program
PO Box 1067
Lexington, NC 27293-1067
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:
Davidson County MSW Lined Landfill (2906-MSWLF-2008)
1160 Old US Hwy 29
Thomasville, NC 27360
Permit Modification Application (Modification-Subsequent Permit to Operate (NO CHR))
received on 10/11/2012
$0.00
$0.00Total Amount Due
11/11/2018Date 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