9703-INDUS-1981 Louisiana-Pacific Corporation SW018-0121 PARF & Invoice 12-19-18

SWO18-0121
P0161
PERMIT APPLICATION REVIEW FORM
Review Requested by:
Allen Gaither
Date Requested:
12/18/2018
Facility Name and Permit ID
Louisiana-Pacific Corporation, 9703-INDUS-1981
Applicant (Owner) Name
Louisiana-Pacific Corporation
Description of Permit Request
❑ (1)a. New — New Facility
[This is the action the applicant
❑ (1)b. New — Expand Facility Boundary
is requesting in accordance with
❑ (1)c. New — Expand Waste Boundary
NCGS 130A-295.8(b)]
❑ (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
Less than 100,000 TPY
Permitted Annual Tonnage
Permit Fee
$0.00
Date Application Received
12/14/2018
Contact Name, Title & Phone #
Mr. Lam Nguyen, Environmental Manager, [phone]
Lam. Nguyen C@ LPCorp.com
Email Address
Company
Louisiana-Pacific Corporation
911 Address
1151 ABTCo Road, North Wilkesboro, NC 28659
Mailing Address
PO Box 98
City/State/Zip
Roaring River, NC 28669
Parent Company
Unknown
Known Subsidiaries
Unknown
Unknown
Other known names business
has operated under
Known Counties of Operation
Wilkes
Does the applicant have a past
Yes ® No ❑ Unknown ❑
or current solid waste permit?
Facility Type: INDUS Permit #: 9703-INDUS-1981
Did the permit applicant submit
Yes ❑ No ® Not Needed ❑
Financial Assurance cost
estimates?
Other notes
Application for expansion of existing landfill
Note: This is a new contact for this facility.

North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
Description
INVOICE
To: Sharon Wetzel
Louisiana-Pacific Corporation
PO Box 98
Roaring River, NC 28669
Date
Invoice #
Facility -Application:
Louisiana-Pacific Corporation (9703-INDUS-1981)
1151 ABTCo Road
N Wilkesboro, NC 28659
Permit Renewal Application (Amendment - Next Phase of the Approved Facility Plan) received
on 12/14/2018
Total Amount Due
Date Due
Payment Options:
12/19/2018
SW018-0121
Amount Due
$0.00
$0.00
1/18/2019
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.]
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
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.
Solid Waste Contacts:
Billing process:
Mary H. Johnson [phone]
Ed Mussler [phone]
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Adam Ulishney [phone] Land Application Sites, Compost Facilities
More information available on the web: Remit paper checks to:
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/ N.C. Division of Waste Management
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw Solid Waste Section
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics 1646 Mail Service Center
Raleigh, NC 27699-1646
NC Solid Waste Invoice Form 1-2014