1007-CDLF-1997 Brunswick County CDLF SW019-0024 PARF & Invoice 3-1-19

Modified on 3.1.2019 
Revision #4 
PERMIT APPLICATION REVIEW FORM
Review Requested by: Ben Jackson Date Requested: 2/28/2019
Facility Name and Permit ID Brunswick County CDLF, 1007-CDLF-1997
Applicant (Owner) Name Brunswick County
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 – Five-year Renewal
☐(2)c. Amendment – Change in Ownership
☐(3)a. Modification – Change to Approved Plans (No CHR)
☐(3)b. Modification – Subsequent Permit to Operate (No CHR)
Permit Fee $0
Date Application Received 10/18/2018
Contact Name, Title & Phone
No. Stephanie Lewis
Contact Email Address [e-mail]
Company Name Brunswick County
911 Address 172 Landfill Road NE, Bolivia NC 28422
Mailing Address 179 March 9, 1764 Drive Northeast
City/State/Zip Bolivia, NC 28422
Parent Company N/A
Known Subsidiaries N/A
Other Known Related or
Associated Business Names N/A
Known Counties of Operation Brunswick
Does the Applicant have a Past
Or Current Solid Waste Permit?
Yes ☐ No ☐ Unknown ☐
Facility Type: Facility Type Permit No.:
Did the Permit Applicant Submit
Financial Assurance Cost
Estimates?
Yes ☐ No ☐ N/A☐ Not Needed ☐
Other Notes C&D Landfill permit renewal and life-of-site request
SW019-0024
P0794
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW019-0024
Date:3/1/2019
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:Stephanie Lewis, Solid Waste Coordinator
Brunswick County CDLF
179 March 9, 1764 Drive Northeast
Bolivia, NC 28422
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:
Brunswick County CDLF (1007-CDLF-1997)
172 Landfill Road NE
Bolivia, NC 28422
Permit Renewal Application (Amendment- Five-Year Renewal) received on 10/18/2018
$0.00
$0.00Total Amount Due
3/31/2019Date 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