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Home My WebLink About7606_GoldHillRdCDLF_Rev_CompostingOPplan_FID1256889_20181017 Type 1 Large Compost Facility Plan Gold Hill Road C&D Landfill Solid Waste Permit 7606-CDLF-2001 Submitted to: NCDEQ Division of Waste Management Solid Waste Section 217 W Jones Street Raleigh, NC 27603 Presented To: Morton and Sewell Land Company, LLC 385 Gold Hill Road Asheboro, North Carolina 27203 Presented By: Wood Environment & Infrastructure Solutions, Inc. 4021 Stirrup Creek Drive, Suite 100 Durham, NC 27703 (919) 381-9900 Revision October 17, 2018 File No. 6468177115 Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Table of Contents Table of Contents Page 1.0 FACILITY DESCRIPTION ................................................................................................1 2.0 ACCEPTABLE WASTES ..................................................................................................1 3.0 PROHIBITED WASTES ...................................................................................................2 4.0 SITING/DESIGN REQUIREMENTS .................................................................................2 5.0 FACILITY PLAN ...............................................................................................................2 6.0 ADHERENCE TO LOCAL ZONING ..................................................................................2 7.0 COMPLIANCE WITH SOLID WASTE RULES ..................................................................3 8.0 FACILITY DESCRIPTION ................................................................................................3 8.1 Responsible Party ...........................................................................................................3 8.2 Personnel List ..................................................................................................................3 8.4 Design Capacity ..............................................................................................................3 8.5 Process Diagram .............................................................................................................4 8.6 Material Shredding and Initial Placement .........................................................................4 8.7 Temperature Monitoring ..................................................................................................4 8.8 Aeration ...........................................................................................................................5 8.9 Water Management .........................................................................................................6 8.10 Equipment .......................................................................................................................7 9.0 OPERATIONS PLAN ........................................................................................................7 9.1 General Requirements ....................................................................................................7 9.2 Safety and Environmental ................................................................................................8 9.3 Compost Processing .......................................................................................................8 9.4 Inclement Weather Contingency ......................................................................................9 9.5 Nuisance Abatement .......................................................................................................9 9.6 Fire Contingency ........................................................................................................... 10 9.7 Disposition of Unsold Materials ..................................................................................... 10 9.8 Record Keeping and Annual Reporting ............................................................................ 11 Figure 1 Site Plan showing tentative layout Attachments A Zoning Consistency Letter (City of Asheboro) B NCDEQ Fire Notification Form Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 1 1.0 FACILITY DESCRIPTION 15A NCAC 13B .1402 The subject construction is a planned Type 1 composting facility as described in Rule .1402. The Owner/Operator anticipates an annual intake of approximately 100 loads of leaves, collected by the City of Asheboro, and miscellaneous small loads brought to the facility by landfill customers, which will be managed atop the former LCID facility, now known as Phase 1B of the CDLF. The inactive LCID facility is not closed and the waste is currently being excavated to prepare the site for future C&D disposal. This request is for a Type 1 Large, rather than a Type 1 Small, to allow for growth, although the initial operations are expected to entail less than 6000 c.y. per quarter. All required buffers and runoff management in accordance with practices for CDLF or LCID operations are in place, which meets or exceeds the requirements for a Type 1 composting facility. The Operator desires the latitude to relocate the composting operation on the inactive LCID, from time to time, as required to maintain room for the excavation activities. The initial operation will store an estimated 4,000 cubic yards of material per year and requires approximately 1.5 acres, including runoff controls and sufficient room for firefighting access. The following provides guidance for determining the maximum allowable stockpile dimensions at various heights with a 2H:1V maximum side slope ratio. The stockpile size needs to incorporate the consideration of safe operations, effective runoff management, and fire prevention. Windrow heights and widths should be kept to manageable dimensions for the available equipment. Side slope ratios of 2H:1V and maximum heights of 15 feet are recommended for windrows. A horizontal separation of at least 25 feet is required between each stock pile or windrow. Height of Pile, ft Top of Pile Diameter, ft Bottom of Pile Diameter, ft Average Cross Section Area, sf Volume, cy 20 20 100 60 2,093 20 40 80 80 3,721 25 20 120 70 3,562 25 40 140 90 5,887 30 20 140 80 5,582 2.0 ACCEPTABLE WASTES 15A NCAC 13B .1402 The composting facility shall be permitted to accept yard and garden wastes, silvicultural wastes, untreated and unpainted wood. Dry and green leaves, tree trimmings and brush will be accepted. Excavated LCID materials (e.g., partly decomposed wood) may be incorporated into the compost. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 2 3.0 PROHIBITED WASTES 15A NCAC 13B .1403 In accordance with Rule .1403 the facility shall not accept (for composting) hazardous wastes, including hazardous household wastes, nor Asbestos Containing Wastes (ACMs). Other wastes that shall not be accepted for composting, without further permitting, include manures and agricultural wastes, meat and food wastes, industrial wastes, sludges, or municipal solid wastes. 4.0 SITING/DESIGN REQUIREMENTS 15A NCAC 13B .1404 The composting facility meets the requirements of Rule .1404 (a) – (c) with respect to setbacks and buffers for property lines, residences, wells, wetlands and streams. The Type 1 composting facility is not expected to contravene either surface water or groundwater quality standards due to the nature of the wastes. Composting activities will be conducted above an inactive LCID landfill (not a closed unit), whereas an interim cover consisting of at least 12 inches of fine-grained soil is in place. A low permeability pad is not required. Stormwater control measures are in place. The composting facility will be maintained to provide access for fire control. Surface runoff will be managed responsibly utilizing the existing erosion and sedimentation control measures, augmented as needed with vegetated soil berms or shallow ditches to direct the water to existing swales and basins, thus avoiding erosion of the LCID interim cover. Access to the composting facility will be restricted to the operating hours of the Facility, secured by fences, gates, and natural topography. The composting facility is not expected to produce fugitive emissions or odors beyond the facility boundary. Dust control is already part of the landfill operations. 5.0 FACILITY PLAN 15A NCAC 13B .1404 and 15A NCAC 13B .1405 Figure 1 depicts the overall facility layout, with anticipated locations for the composting facility within Phase 1B of the future CDLF. The information required by Rules .1404 (a) (1) – (9), and .1405 (a) (1) – (5), pertaining to the subject property and environs, topography and drainage patterns, and a tentative operational layout within the subject facility is provided in the figure. The site plan shows the runoff control measures, setbacks, existing and proposed utilities, and areas for unloading, processing, composting, curing, and storing the materials. 6.0 ADHERENCE TO LOCAL ZONING 15A NCAC 13B .1405 A letter from the local government stating that the planned composting facility is consistent with the allowed uses of the subject property, is found in Attachment A. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 3 7.0 COMPLIANCE WITH SOLID WASTE RULES 15A NCAC 13B .1404 The planned composting facility meets the requirements of Rule .1404 (a) (10) by limiting the waste intake to the allowable material types and quantities and by maintaining the required minimum vertical separation to groundwater (see Section 2.0). No uses of bulking agents or amendments (other than ground wood wastes) are anticipated. 8.0 FACILITY DESCRIPTION 15A NCAC 13B .1405 and .1406 The following summary meets the requirements of Rule .1405 (6). 8.1 Responsible Party Mr. Al Morton – Managing Member Morton and Sewell Land Company, LLC 385 Gold Hill Road Asheboro, NC 27203 Tel. 336-629-7175 8.2 Personnel List • Site Manager (Operator) – Oversees all aspects of facility operation and maintenance; responsible for all safety and regulatory compliance issues • Scale House Operator – Receives, screens (by questioning driver) and weighs incoming loads, directs traffic to appropriate unloading area; responsible for on-site communications and records of incoming/outgoing materials • Equipment Operator(s) – Oversees waste unloading; performs visual inspection to detect possible unauthorized materials; responsible for correct placement of material, grinding/turning, storage; alerting Manager of real or potential problems. 8.4 Design Capacity Figure 1 shows a tentative layout with the excavation of LCID occurring in the eastern side of the Phase 1B area, leaving the western side for making stockpiles or windrows of composting. This layout provides the necessary separation of stockpiles from each other and other impediments, including the rim of the planned excavation, for emergency access. This configuration gives the Operator some leeway toward arranging the piles, but as shown, approximately 27,000 to 30,000 cubic yards is potentially available for composting. Early on, approximately half of the available area will be needed. Finished product will be stored elsewhere on the premises, e.g., bins situated closer to the scale house, which facilitates loading trucks with outgoing product. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 4 8.5 Process Diagram INTAKE/SCALES 4000 c.y.1 Late Autumn (Dec-Jan) COMPOSTING AREA 1.4 acres 2 ACTIVE COMPOSTING 6-8 Weeks (Feb-Mar) Temp. monitoring/turning CURING/BLENDING 6-8 Weeks (Apr-May) Mix w/ humus or soil 3 HOLDING BINS 6-8 Weeks (Jun-Jul) Distribution 1 100 loads * 20 c.y./load * 100% “fluff factor” = 4000 c.y. 2 Assume 10 windrows 8’ H * 32’ W * 100’ L = 474 c.y./row, w/ 25’ separation (eleven rows) requires 59,500 s.f. 3 Decomposed wood wastes, processed onsite 8.6 Material Shredding and Initial Placement Incoming leaves are expected to have undergone some shredding during collection by City forces. Typical municipal leave collection methods include a vacuum truck, which employs an engine- driven impeller to lift the leaves from the roadside and blow them into an attached vessel that holds approximately 20-30 cubic yards. The leaves are pulverized during this process. Upon arrival at the site the incoming loads are weighed in and unloaded near the composting area on the old LCID area (Phase 1B) under the supervision of Facility staff. The loads are then arranged in windrows by pushing the materials with dozers or loaders. Trash observed at any of these stages is culled out and disposed properly. Once in windrows, the leaves compost for a period of several weeks. 8.7 Temperature Monitoring A compost thermometer with a dial indicator and a minimum 60-inch long probe will be used to measure the temperatures within the composting piles. The thermometer will have a range of 80°F to 160°F. Temperatures of windrows will be measured and recorded at 25-foot centers, with entry points approximately mid-way up the height of the piles, on both sides and at the ends. For stockpiles, the temperature will be measured and recorded at approximately 25-foot centers Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 5 around the perimeter at an entry-point height of 4 to 6 feet. The probes will be pushed full depth unless obstructions are encountered, in which case the probe will be extracted and offset within 2 feet of the initial trial, repeated as necessary until a full-depth push is achieved. The Operator will develop his own numbering system for the piles and locations of the measurements. As a suggestion, each pile can be designated by a number or letter, then starting at the same place every time, the measurements can be enumerated in sequence. A sketch showing the approximate pile dimensions and measurement locations will facilitate repeatability. A log book or some type of spreadsheet should be maintained for the entire operation. Temperature monitoring is to be conducted bi-weekly until temperatures reach 131°F, then daily for at least three consecutive days (turning as needed to maintain this temperature), followed by weekly measurements until temperatures decrease below 100°F. Monitoring of temperatures in this manner will meet Rule .1406 (10) for Type 1 compost. Equipment and Calibration – Temperatures of the stockpiles will be acquired with a commercially available compost thermometer. The length of the temperature probe will be a minimum of 36 inches. The equipment will have an identification number and will be calibrated according to the manufacturers recommendations and documented. Calibration of the thermometer will be checked using a water bath of a known temperature. This may be performed using an ice bath which is typically at 32 degrees F and left in for several minutes and recorded. If the thermometer needs adjustment, complete the adjustment and re-check the calibration of the adjustment. Each time the thermometer is calibrated it will be documented that calibration was complete on a calibration form. The form will include the identification number, date, calibration temperature, and person performing the calibration. Records of calibration will be kept on site. 8.8 Aeration The stockpiles or windrows should be turned at least once during the active composting stage. This is necessary to ensure uniform exposure to heat and moisture, and for keeping the aerobic bacterial activity robust during the initial breakdown of cellulose. Turning the piles periodically will reduce the likelihood of maleficent odors, which typically occur when the compost enters an anaerobic state. The piles may be turned with conventional equipment such as a front-end loader or an excavator. Turning the piles involves pushing the bucket of the equipment into the pile at the base, lifting the bucket and end dumping the material with a “stirring” action. This process should be repeated several times at one location, digging deeper into the pile each time, then moving one bucket- width laterally and repeating the process. A “windrow machine” may be utilized but is not necessary. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 6 8.9 Water Management Prior to placing compostable materials into the composting area, the surface should be prepared by grading to drain with an approximate 1 – 2 percent slope toward a swale, shown in Figure 1 along the outside (west) perimeter. This swale should be graded to a basin on the north end of Phase 1B. The swale and basin for the compost area should be separate from that conveying stormwater. Current NCDEQ Water Quality rules require no discharges of compost leachate without treatment or testing to ensure the discharge meets current water quality standards. The water contained in the basin for the compost area may be allowed to evaporate or percolate into the subsoil. The Water Quality rules require the basin be sized to capture and hold the first inch of runoff without overtopping. A basin so designed for a 1.4-acre composting area would be required to store 36,500 gallons (approximately 4,900 cubic feet). As shown on Figure 1, the basin for the composting area measures approximately 50 feet wide at the top, 25 feet wide at the bottom, 10 feet deep (with 2 feet of freeboard) and 160 feet long, resulting in a capacity of 60,000 cubic feet (448,000 gallons). As shown, the basin will hold approximately 11.5 inches of rainfall over the 1.4-acre area, or approximately 4.5 inches of rainfall over a 3.5-acre area. Should it become necessary to empty the compost area basin, e.g., in preparation for rainfall, several options are available: 1) Testing key parameters to demonstrate that the collected water meets the State’s Water Quality discharge limits (to be determined later); 2) Pumping the water out of the basin back onto the compost piles; 3) Disposal via the POTW serving the nearby MSW transfer station (requires prior arrangement and further permitting). The CDLF is not required to have a Non-Point Source Discharge Elimination System (NPDES) permit, which governs discharges into waters of the State. An application for coverage under NPDES General Permit NCG240000 is in preparation. The Certificate of Coverage, once issued, is required by North Carolina General Statute 143- 215.1 and conveys certain requirements in the form of a written spill prevention and response plan and “best management practices” to protect water quality. The application is being made to the NC Department of Energy, Minerals and Natural Resources (NCDEMLR), Water Resources Section. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 7 8.10 Equipment The Operator has ample equipment and experience needed to run the composting facility. The anticipated types of equipment and minimum recommended power ratings required for the composting operation include one each (or equivalents) of the following: Essential Dozer (80 horsepower) Loader (42-horsepower) Excavator (50-horsepower) Optional Tub Grinder (200-horsepower) * Tractor (50-horsepower) Water Tank/trailer (500 gallon) 3-inch Water pump (10-horsepower) Power Screen Most of the necessary equipment is already onsite in support of the CDLF operation. *700-1000 horsepower is likely needed if stumps are to be ground 9.0 OPERATIONS PLAN 15A NCAC 13B .1406 (1) – (6) Rule .1406 specifies operational requirements for the composting facility, some of which will overlap the requirements for the CDLF. The following briefly addresses the rule requirements. 9.1 General Requirements The Facility shall be operated in a manner consistent with the rules, plans, and specified conditions (if any) within the permit. A copy of the permit and plans shall be kept on site. The composting facility shall be managed to prevent erosion and sediment transport. No standing water shall be allowed in the Facility. Water that has contacted the wastes (leachate) shall be directed to holding ponds that are separate from the main stormwater basin(s). The site will be secured via fences, gates and natural topographic barriers. All incoming waste must pass over the scales and be subject to inspection by the scale house operator. The Operator shall be present when the facility is open for business. The facility shall be securely locked when not open to prevent unauthorized disposal. All weather access shall be maintained to facilitate emergency response. Waste storage piles and/or windrows shall be separated from each other and any access obstructions, e.g., berms, ditches, steep slopes, by a minimum of 25 feet to allow firefighting equipment access. The Facility shall only accept permitted materials from within the approved service area. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 8 9.2 Safety and Environmental No open burning of the waste is allowed. Care shall be taken with the disposal of smoking materials; no smoking should be allowed within 50 feet of combustible materials on the site. The Operator shall keep portable firefighting equipment available to extinguish small fires, if safe to do so, before they become uncontrolled. All site personnel shall be familiar with the equipment and trained to respond in the event of an emergency or environmental incident. Signs shall be posted clearly stating the hours of operation, acceptable and prohibited wastes, the permit number and emergency contact information. The signage shall state specifically that no hazardous waste or medical wastes may be accepted, and no asbestos containing materials may be accepted for composting. Traffic signs and barricades shall be used to direct access to the unloading areas; substantial barriers shall be used to prevent inadvertent access to unauthorized areas. Public access areas, e.g., waste unloading areas and driveways, shall be separated from the CDLF working face and the composting area and LCID excavation by a minimum of 50 feet. Public access shall be restricted during grinding operations due to the potential for flying debris. Windrows or stockpiles must be monitored to ensure that appropriate temperatures for the destruction of pathogens is achieved, and that temperatures do not exceed thresholds for fire prevention (see Section 9.3). Temperature monitoring records must be kept onsite. 9.3 Compost Processing Materials accepted for composting will be ground (as needed) and mixed in stockpiles or windrows to allow heating and curing to occur. Two types of materials are anticipated: Green materials consisting of fresh leaves, brush, evergreen tree parts; and brown materials consisting of fallen leaves, sticks/stems/limbs, wood products meeting the acceptance criteria. These materials are typically recommended for blending at a ratio of 1 part “green” to 40 parts “brown” to promote effective heating. Loads containing mostly dry leaves (no “greens”) need not be ground or mixed. After the materials are stockpiled or windrowed, temperatures must be monitored. Type 1 compost shall be maintained at a minimum temperature of 55°C (131°F) for a minimum of three consecutive days under aerobic conditions. Specialty probe thermometers are available for monitoring the interior temperature of the pile. Temperature measurements should be taken no shallower than 3 feet beneath the surface of the pile. The temperature readings should be taken (and recorded) twice daily during the active composting period. The Operator should develop his own identification system for keeping up with the inventory and the temperatures achieved. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 9 If the temperatures do not remain steadily at 55°C (131°F) or above, this might be an indication that the aerobic microbes are oxygen deprived and, thus, the activity of the microbes decreases. One method of maintaining the activity of the microbes, hence the temperature, is aerating the pile or windrow by turning. Typically, this is accomplished with a loader, but depending on the size of the operation, a specialized windrow machine may be more efficient. If temperatures are too cool, additional nitrogen bearing materials may be added. Published sources recommend a maximum temperature of 60 to 65°C (140 to 149°F) to avoid killing off beneficial microbes.1 The Solid Waste rules specify turning the piles at least five times during the high temperature period for Types 2, 3 and 4 composts. This amount of turning is not likely necessary for Type 1 compost, but the Operator should turn the piles or windrows at least once and monitor the temperatures to verify the minimum requirements are met. After the minimum high temperature requirements are met, the composted materials should be monitored during the curing stage to keep the temperatures below 80°C (176°F), whereas in certain conditions, some organic compounds can auto-ignite.2 9.4 Inclement Weather Contingency The rules specify no grinding of material during rainy weather. Incoming loads are expected to be processed within a short time duration. Generally, there is no public access to the Facility. Thus, the Operator shall exercise judgement in working the site during rain, snow, ice or winds. 9.5 Nuisance Abatement The composting facility is relatively isolated from the public, and the operation is not expected to generate any more noise, dust, or odors than the surrounding facilities, i.e., the onsite CDLF and the nearby MSW Transfer Station. The compost is not expected to attract rodents, birds, or other scavengers. Runoff will be controlled to avoid impacts to the adjacent stream or downstream areas. To avoid becoming a nuisance to the surrounding areas, the following steps shall be taken: • The facility shall only accept authorized wastes • No loud operations shall occur after dark or in normally quiet times • No grinding or turning shall occur during periods of high winds • Runoff shall be controlled per applicable regulations and permits • Water shall be sprinkled on roads and the compost during dusty conditions • The piles will be turned to aerate them if maleficent odors migrate offsite. 1 Composting Physics, Cornell University Waste Management Institute, http://compost.css.cornell.edu/physics.html 2 Buggeln, R., and Rynk, R., Self-Heating in Yard Trimmings: Conditions Leading to Spontaneous Combustion, Compost Science and Utilization, (2002), Vol. 10, No. 2, 162-182. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 10 9.6 Fire Contingency The CDLF Operations Plan contains a thorough fire prevention and control plan, which should be consulted by the Operator. Compost fires typically smolder deep within the pile, often resulting from over-elevated temperatures, which can ignite the organic debris. It is entirely normal for steam to rise off the piles, especially on cool mornings, but fire can be detected if excess heat, acrid odor and/or smoke is observed emanating from surface cracks (i.e., “vents”). If a fire should break out in the compost, the Operator will initially attempt to smother the fire with soil. It may be necessary to excavate into the pile beneath a smoking vent to gain access to the fire. However, this exposes the hot materials to air which can cause a flare-up – the Operator shall exercise due caution. If the fire cannot be smothered, the best course of action is to suspend operations in the facility and call the fire department. Water may be used to fight the fire, but the Operator should make sure the runoff controls are functioning. A SWS Fire Notification form (Attachment B) shall be completed within 24 hours and the regional Solid Waste specialist notified immediately. 9.7 Disposition of Unsold Materials The Operator intends to sell or otherwise distribute the finished compost offsite. Typically, the material should not spend more than a year on the site. If that is not feasible, whether due to the quality of the product or market conditions, the Operator may elect to: 1) Use the compost onsite for soil amendment at agricultural application rates – typically no more than 3 to 4 inches applied to the surface, deeper is allowable if the compost is incorporated into the soil by tilling; 2) Stockpile the unused compost onsite with appropriate runoff control, preferably under tarps or other cover, to be used as feedstock into a future batch – no uncovered compost stockpiles shall remain on premises more than one year; 3) Arrange with a farm, agribusiness or another composter to take the material as an admixture or feedstock into another composted product (subject to meeting that facility’s permit requirements); 4) Remove the compost from the site for disposal in a duly permitted facility, e.g., a Subtitle-D MSW landfill. Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application Page 11 9.8 Record Keeping and Annual Reporting Type 1 compost facilities are not subject to analytical testing requirements per Rules 15A NACA 13B .1407 and .1408 unless the facility is proposing to sell/market the product packaged in an individual container (such as a bag) for distribution. All facility owners or operators shall record and maintain records for minimum of five years, records shall be available for inspection by division personnel during normal business hours and shall be sent to the division upon request. An annual report for the period July 1 to June 30 shall be submitted by all facility owners or operators to the division by August 1 of the current year, inclusive of the requirements set forth in Rules 15A NCAC 13B .1408(b), (c), & (d). Yearly totals of solid waste received and composted shall be reported back to the local government of origin for annual recycling reporting. Details of information to be reported can be found at the NCDEQ Link (15A NCAC 13B.1408). Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application FACILITY MAP Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application ATTACHMENT A Zoning Confirmation Gold Hill Road Landscape Supply, Inc. Wood Project No.6468-17-7115 October 17, 2018 Composting Facility Permit Application ATTACHMENT B Fire Notification Form FIRE OCCURRENCE NOTIFICATION NC DENR Division of Waste Management Solid Waste Section The Solid Waste Rules [15A NCAC 13B, Section 1626(5)(d) and Section .0505(10)(c)] require verbal notification within 24 hours and submission of a written notification within 15 days of the occurrence. The completion of this form shall satisfy that requirement. (If additional space is needed, use back of this form) NAME OF FACILITY: ______________________ PERMIT #_______________ DATE AND TIME OF FIRE ________/_____/_____ @ _____: ____ AM / PM (circle one) HOW WAS THE FIRE REPORTED AND BY WHOM ______________________________________ ___________________________________________________________________________________ LIST ACTIONS TAKEN_______________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ WHAT WAS THE CAUSE OF THE FIRE_________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ DESCRIBE AREA, TYPE, AND AMOUNT OF WASTE INVOLVED__________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ WHAT COULD HAVE BEEN DONE TO PREVENT THIS FIRE______________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ CURRENT STATUS OF FIRE __________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ DESCRIBE PLAN OF ACTIONS TO PREVENT FUTURE INCIDENTS: _______________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ NAME_______________________TITLE__________________________DATE_______________ THIS SECTION TO BE COMPLETED BY SOLID WASTE SECTION REGIONAL STAFF DATE RECEIVED____________________________ List any factors not listed that might have contributed to the fire or that might prevent occurrence of future fires: ___________________________________________________________________________________ ___________________________________________________________________________________ FOLLOW-UP REQUIRED: NO PHONE CALL SUBMITTAL MEETING RETURN VISIT BY:____________________ (DATE) ACTIONS TAKEN OR REQUIRED: Revised 6/29/01