2513-LCID-2013_FAR-FY17-18

LAND CLEARING & INERT DEBRIS
LANDFILL
Facility Annual Report
For the period of July 1, 2017-June 30, 2018
According to G.S. B0A-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: l,~a,,len J... C / [} J... b C
1
Ph~ical Ad~ss · ·
Street 2:
City: 1,/e,w J8ef'n
State: North Carolina
County: C-ra 1/e n
Zip: 2 $5'°62
Name: Jerri.I MPfl/\1:s
/ "/ Phone: M) . b 7 tJ _ 6 7 If-&/ Fax: /u 0
Email: .a .bM,r L Ar '/ ,::.,r;;;,,~,Q~ a, . com
1. Tipping Fee:$ StJ. CJ I)
Tipping Fee: $
Tipping Fee: $
per J..t?aj)
per
per
Permit: ;l!FI 3 --~CI{) ~ ;l. GJ / 3
Street 1: 'f /., 5 f ree--b-re11,-.y A/2.
I
Street 2:
G City: //4 fl c. e,/1 "M>
State: North Carolina
Name: ftMV IV/of'rt'5
/ ~1
Phone:~-J~ ~t7'f-9 Fax: __ /l_V_,O ____ _
Email: I) f'I '., 3 t! e», b a~ a, 'I~ ~ "ll't
I '15-Otons 2. Estimate the amount of waste taken in an average week at this facility? O'--IS.cubic yards -----------
3. How many weeks did you operate this year? /~weeks .
4. What are the hours/days of operation for this facility?
5. What is the acreage of the footprint of the waste on site as of June 30? Acre(s)
6. Did your facility stop receiving waste during this past Fiscal Year? 0 Yes L8J.No
If so, please report the date this occurred:
~~~i,)\.~~>t~~l~G-~f.13~A72A~.~?J?~).·thi~./. , .. ,.'
. ··}re,tiqft~ll~~ .$ent·fR~e'Re~pJ;\aJ. ~llvn:oni;rt~pta~S~nj9i ·. ·
·•· Speoµli~t fqr ~<int a.tea awl 1:1.¢opr9f tliis r¢po~ niµst be
~enttc> the Couritt:Manager 0feactrooW11Xfroinwhicli•.··· wastewasreceiye~, .· . . . . . . .. . .. . . . ..
Please return your completed report to:
CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility.
Title:
tdri201.g
Date: ?-~3-) fl
Manajer
Facility Name: Cea lien J... CI[), l l L-
I
Permit:;5/3--AC/tJ-).OJ3
Address: 3. '2 6 5 a nJ-etl'-5 /a kt -e
City: AJerw jJ :e-c n State: _No_rt_h_C_a_ro_lin_a ______ Zip: ~ &5 6 2.
Person completing Assessment: k/l (' V /'1t)f' f\ / _5' Date: J -~ 3-} '8
I
Phone Number:JS;i-671? -67'/-'1 Fax: /1/ p Email: {YJ()r,,/:, 3€,,e,Mb~"i.ff ,t,4 ,'/.c,o/llC
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? ~es •No
If Yes, how many? / 'f ---~-----What are the three closest distances from the Edge of Waste? ,rs-Feet Feet / g.5 Feet
2. Are there Water Supply Wells Within 1,500 feet of the Edge of Waste? •Yes i;gj. No
If Yes, how many? ---------What are the three closest distances from the Edge of Waste? Feet Feet Feet
3. Are there Community/Municipal Wells Within 1,500 feet of the Edge of Waste? •Yes ~No
If Yes, how many? ---------What are the three closest distances from the Edge of Waste? Feet Feet Feet -----
4. Are there Surface Water Features Within 1,500 feet of the Edge of Waste? •Yes ~No
If Yes, how many? ________ _
What are the three closest distances from the Edge of Waste? Feet Feet Feet
-----
Please list the names of the water bodies:
5. Is Public Water Available Within 1,500 feet of the Edge of Waste? ~ Yes •No
If Yes, how many of the Residential Structures noted above are connected? _~ft~/_/ _______ _
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
•Yes
•Yes
~No
~No
l°KI No
If Yes, what is the specific remedial technology used? ------------------------
Comments