67D-LCID-_FAR-FY17-18

LCID Facility Annual Report
State ofNorth Carolina
Department of Environmental Quality
Division of Waste Management 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.
Facility Name: Haugen Landfill
Physical Address
Street 1: 3062 Burgaw Hwy.
Street 2:
City: Jacksonville
State: N01th Carolina
Primary Facility Contact Person
Name: Mark Haugen
Phone: [phone]
Email: [e-mail]
1. Tipping Fee: $50.00
Tipping Fee: $ 75.00
Tipping Fee: $
County: Onslow El
Fax:
Zip: 28540
9103248027
per tandem dumptruck
per tractor-trailer
per
Permit: 67D-LCID
Mailing Address
Street 1: 287 Wagon Wheel Lane
Street 2:
City: Richlands
State: North Carolina Zip: 28574
Billing Contact Person
Name: Same
Phone: Fax:
Email:
D tons 2. Estimate the amount of waste taken in an average week at this facility? -0-0 cubic yards ------------
3. How many weeks did you operate this year? -0-
4. What are the hours/days of operation for this facility? As needed ------------------------
5. What is the acreage of the footprint of the waste on site as of June 30? 3.5 Acre(s)
6. Did your facility stop receiving waste during this past Fiscal Year? lg] Yes 0No
If so, please report the date this occurred: June 2017
REMINDER: According to G.S. 130A-309.09D(b), this
report must be sent to the Regional Environmental Senior
Specialist for your area and a copy of this report must be
sent to the County Manager of each county from which
waste was received.
Please return your completed report to:
CERTIFICATIO~: I certify tha~ __ t?e o/formation provided is an accurate representation of the activity at this facility.
'J//11 f! 7-,l C}l,lui..l ~--
Signature: /·/ /('µJi-,,, • r-Date: _J_u_ly_2_5_,_2_0_1_8 ______ _
Name: Mark Haugen Title: Pres.
Phone Number: 9103248025 Emai\: [e-mail]
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LCID 2018
NCDEQ
Division of Waste Management -Solid Waste Section
Facility Name: Haugen Landfill
Address: 3062 Burgaw Hwy.
City: Jacksonville
Person completing Assessment: Mark Haugen
State: North Carolina
Risk Assessment Form
Permit: 67D-LCID
Zip: 28540
Date: July 25, 2018 -----------------------
Phone Number: 9103248025 Fax: [phone] Email: [e-mail] ---------
Instructions:
Please indicate either Yes or No for each Receptor and Post Closure Maintenance question. Then please
determine the distance or distances for each Receptor from the Edge of Waste (using range finders and/or GIS
maps) and type that information into the form. Please attach additional information including GIS maps, lists of
potable well locations, etc.
Receptors
1. Are there Residential Structures Within 1,500 feet of the Edge of Waste?
If Yes, how many? ----------What are the three closest distances from the Edge of Waste?
2. Are there Water Supply Wells Within 1,500 feet of the Edge of Waste?
If Yes, how many? _________ _
What are the three closest distances from the Edge of Waste? ----
3. Are there Community/Municipal Wells Within 1,500 feet of the Edge of Waste?
If Yes, how many? ----------What are the three closest distances from the Edge of Waste?
4. Are there Surface Water Features Within 1,500 feet of the Edge of Waste?
If Yes, how many? ----------What are the three closest distances from the Edge of Waste?
Please list the names of the water bodies:
5. Is Public Water Available Within 1,500 feet of the Edge of Waste?
If Yes, how many of the Residential Structures noted above are connected?
Corrective Measures
6. Is there an active methane extraction system (blower, flare, etc.)?
7. Is there a passive methane extraction system (trench, vents in cap, flare, etc.)?
8. Is there groundwater remediation taking place on site?
•Yes IE] No
Feet Feet
•Yes IE] No
Feet Feet
•Yes l:8]No
Feet Feet
•Yes 0 No
Feet Feet
•Yes IE] No
-----------
•Yes
0Yes
•Yes
1:8] No
12] No
1:8] No
Feet
Feet
Feet
Feet
If Yes, what is the specific remedial technology used? ------------------------
Comments
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LCID 2018