4104-MSWLF-1991 High Point, City of MSW Landfill SW018-0119 PARF & Invoice 12-17-2018

PERMIT APPLICATION REVIEW FORM
Review Requested by:Ming Chao
Date Requested:12/14/2018
Facility Name and Permit ID High Point, City of MSW
Landfill 4104-MSWLF-
1991
Applicant (Owner) Name City of High Point
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 12/14/2018
Contact Name, Title & Phone #Mike Spencer, Solid Waste Disposal Superintendent –City of High Point w. 336-
883-3433
Email Address [e-mail]
Company City of High Point
911 Address 3940 E. Kivett Drive, High Point NC 27265
Mailing Address PO Box 230
City/State/Zip High Point, NC 27261
Parent Company City of High Point
Known Subsidiaries NA
Other known names business
has operated under
NA
Known Counties of Operation Guilford
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF Permit #: 41-04
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes
SW018-0119
P0067
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW018-0119
Date:12/17/2018
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:Mike Spencer, Solid Waste Superintendent
High Point, City of MSW Landfill
PO Box 230
High Point, NC 27261
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:
High Point, City of MSW Landfill (4104-MSWLF-1991)
3748 East Kivett Drive
High Point, NC 27260
Permit Modification Application (Modification- Change to Approved Plans (NO CHR)) received
on 12/14/2018
$0.00
$0.00Total Amount Due
1/16/2019Date 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