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COMPOST
Facility Annual Report
State of North Carolina·
Departn}<3~tof E~f roll11lenta1Q~ality Di'Vfsion pf Waste Mat1age1nent . For the period of July 1, 2017-June 30, 2018
According to G.S. 130A-309.09D(b), completed forms must be returned by August 1, 2018, 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.
FacilityName: ~ 4~ ~ Permit: J_-,1,--: ~,-7= JcJlf'
Physical Address .· Mailing Addrt,ss ..
Street 1: ~39/ ~ Roi Street 1: {/.,/! -/./,We/ ,,-;-l_,t/ ,,
l Street 2: Street 2:
City: ~~ A/. e. County: {!_;-at,vt /.,-I City: ?}m)J~
State: North Carolina Zip: .1. &"'IC 1--State: North Carolina Zip:Jf'JC 1-
Primary Facility Contact Person .
Nam<f--41ftl.~~
Phone:J,J-C1tJ-3,-3t:J Fax: :J-t:J.t.n·-~d<l't Phone: Fax:
Email: Email:
1. Tipping Fee: $ fl.{ fl _________ per Ton (Attach a schedule of tipping fees if appropriate.)
2. Did your facility stop receiving waste during this past Fiscal Year? OYes @No
If so, please report the date this occurred:
3. Please attach results of monthly temperature monitoring for the period of July 1, 2017, through June 30, 2018.
4. For Type II, III, and IV facilities, attach results of tests (Waste Analysis with metals, foreign matter and pathogens) as required in Table 3 of
Rule ISA NCAC 13B .1408 for the period of July 1, 2017, through June 30, 2018. Current Rules state that "Compost shall be analyzed at
intervals of every 20,000 tons of compost produced or every six months, whichever comes fir_st."
5. What type and quantity of waste in TONS was composted by your facility?
. · ·· . .
. ·
Cneck X if Ret~lved RECEIVED .·· .. COM£0S'.):'ED UNUSABLE J DISPOSED Mate.riats·coMPOSTED ' .. •
Yard Waste 0' I d,() I c),,-0 0
Clean Wood • ,
Sawdust ra--i/. /1:J... v. I .,-;J... C.J
Wooden Pallets • , . ,
Food Waste • Animal Waste • Sludge and Biosolids • Grease Trap Waste 0' I 7'80 I ,rgJCJ C)
Animal Mortalities 0' .J.. j ~ J....
Sheetrock • Commingled • (Describe)
Other ~ fl.x *. (Describe) 7"lJ fl ~ ~ 7 J./.0 0 J./ t:J d
Other , • (Describe)
Other • (Describe)
TOTAL //' .-,Lf'I 1, ?Efr 0 .
Compost2018 Page I
-----------------------------
6. What type and quantity in TONS of compost was produced and removed from your facility?
Grade A Compost
Grade B Compost
Other
Other
TOTAL
7. Indicate waste received at this compost facility during the period of July I, 2017, through June 30, 2018. Indicate tonnage received by
COUNTY of waste origin. Please indicate COUNTY and STATE ifreceived from another state.
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Total
Received from
()_,Z,11 .3,s-0 ~,tJ ~ I, t),rt)
\.)C)l,./J.5 ~.t..
A..IZM()I' 3qt, =flit, 3l/, it, 3lr~ .!trC 3/rt{ l3e,rt:: ~£/L ~¥t :!~b 131/~ 4', I o/J.._
_/(,,.,A I :Ld I J//J µt:'I .LPa ,;o 11.f~
C-ralt-4 f/ /IV I ;J-<; 13 :J. 1.:L~ /J_..6 51/ /"7~ /:Z.o 13<? IYI/' /~~ l3S" I ~~c:, ,
Grand Total I 'I I i,~lf tf j
'
Please send your completed report to:
CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility.
Date: 1-/ ci--/i?"
Nmne: Title: Yr---"S, ~d,.-t;(t' I
Phone Nurnber=.,;1';---t 1tJ-'5'?-Jt::>