N1107_CarolinaTreeSupply_19981218

State it North Carolina
Department of Environment,
Health and Natural Resources
Division of Solid Waste Monageme 1 •
Flit D FC2
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary PEC B PH 2: 1DO � u F1
William L. Meyer, Director e
6RUfi5illw`t I;LIUNIY N.C. i
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
v
Pursuant to 15A NCAC 138 .0563(2)(a), the land owner(s) and operator(s) of any Land Clearing and
Inert Debris Landfill under two (2) acres in size shall submit this notification form to the Division prior
Deeds' Office. The Register of Deeds shalt index tfto constructing or operating the landfill. This form must be filed for recordation in the Register of
ie notification under the name of the ownerls) of the
land in the county or counties in which the land IS located. The Register's seal and the date, book, and
page number of recording must be included on this form when submitted to the Division. This
notification is not valid to authorize operation of a landfill unless complete, accurate, recorded, and
submitted to the Division as required by ISA NCAC 13B .056312)(b).
1.
1. Facility Name: ' no T L S
e. �iec �..
2• Facility location (street address):
City:_ .>) p y County:_rtLr t ,. IC
3• Directions to Site: u 1 -r zip :k a L
h- Pl r el 5 4 1z n
mil, h1- if a n le 1 -
Ic•� •, t�l 11,t�2A1.F CI>7
4.
The land on which this landfill is located is described in the deed recorded in:
deed book:-Z2L1I page:
county:OlQ�Sr.,: � v
5• Name of land owner: Do It I
r►,er►� S�
6. Mailing address of land owner: nl
City: Iy State: 0 C '
�— Zip: A 8 2
7. Telephone number of land owner••L91 b t 9 u
49.E 7
If the land is owned by more than one person, attach additional sheets with the name, address,
and phone number of all additional land owners.
B- Name of operator:_ T7j►t f (' r-
1
9. Trade or business name of operator: _CA4ZOL 1 L 4"p5 C_ qr+E
10. Mailing address of operator:—-i
City: ne -•
8t a 4 Aa90 v
State:
> > • Telephone number of operator:( 210 Zip:
98;1r7
If the landfill is operated by more than one person, attach additional sheets with the name,
address, and phone number of all additional operators.
12• Projected use of land after completion of landfill operations: r Q j ,� a �q-►l�1� n
F.G. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] FAX [phone]
An cqucl Oppertcn:ry Aryinnaiwe Aclicn Employer 50%rocyclad/ 10;, pc51-ccnu mer pcpar

3( i 263 NG 1 2?U
The following are the applicability, siting, and operating criteria for Land Clearing and Inert Debris
Landfills operating under notification.
.0101 DEFINITIONS _
172) 'Land clearing -arr.' means solid waste which is generated solely from land clearing activities such as stumps, trees, limbs, hrush,
grass, and other naturally Occurring vegetative en-6.1.
1731 'Land clearing and inert debris landhR' means a facility (Or the land disposal of land clearing waste. conceete, brick, concrete black,
uncontaminated soil, gravel and rock, untreated and unpainted wood, and yard trash. 174) 'Yard trash' means solid waste resulting from landscaping and yard maintenance such as brash, grass, tree limbs, and similar vegetanve
materials.
63 AppIICABIL1Ty REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS (L1101 LANDFILLS
?a runt of land eeanng and inert debris shag be in accordance with the State hierarchy for managing solid vnaste as provided far under N.C.G.S.
0-309.041a)" Disposal in a landt 7 is Considered to be the least desirable method of managing land clearing and inert debris. Where landfilling
a sary, the requirements of this Rule apply.
An Individual Permitfrom the Division of Solid Waste Management is not required for Land Clearng and Inert Debris (LCIDi landfills that
meet all of the following conditions: -
CL (al The facTny is to be operated for the disposal of land clearing wane. inert debris. untreated wood, and
^ must be Consistent[ and in compliance with me local yard trash. Operations
at Solid Waste Management. government solid waste management plan as approved by the Division
C(b1 The total disposal area is under two acres in size. ; (cl The facary and praCt Cas Comply with me siting criteria under Rule .0564, and Opantional requirements under Rule .0566.
(il) The rig activity Is not exempt from, and must comply with all other Federal, State, or Local laws, ordinances, Rules,
regulations, Or orders, including but not limited to zoning restrictions, flood plain restrivaions, Welland restrictions,
sedimentation and erosion Control requirements, and mining regulations.
12C� Where an individual permit is not required, the following applies;
(a) The Owner of the land where the Landfill is located must notify me Division on a prescribed form, duly signed, notarized, and
recorded as per Rude .0563121(b). The Operator Of the landfill, It different from the land owner, shall also sign me notification
form.
lb) Th . - n,
li7T) p q+q; l`91Vaa Ig9 prescriliee•nPtirfaal�Qrt (qrn � recrjdaebr#rI she Fl4stat at oear�SDlfice. The Register of Deeds
shad lnbex the notification in the garyorind¢ under the name of the owner of the land in the county or counties in which
the land is locale. A ogY OF roc rdgQ ribtu(icati$1 i(1 ed...3.e.
of retor�nd dhan be sent To ih8 Div[ rSolid yyl •i a"/�e Register's seal and the date, book and page number
(cl Wtie lard gn which the Land LT arin an tU e'tanag dam.
i .g_ 4 IOeit RIh, s Landfill n sold, leased, conveyed al pa rrred in any manner,
me ed orither irtstrumem of u-ir(stdr ifd6 Eri�jrn ui tine desv;ptipn section in no smaller Y e 1haTn'
of The deed or.in¢Lrudm;nt a st�tegiynt that rye propprtv has been, fP that (ise ! in Iha body
reference by boc4 and 66 •� vn used 's aLurid Ej?! tirg and Inert Debris Landfill and a
pep6�ro the r cordition f the notificatlon. Y
.0564 SITING 4fIEFILA 14JAND ikEAlkINGIAND INERT DEBRIS
Q'� LANDFILLS f - t D ) i L' •
The following siting criteria shag apply for Land Clearin
11) Facilities or Band Inert Debris (LpDI landfills;
practices, shag not he located in me 100-year tiaodplain.
(21 Facilities M practices shall not cause or contribute to the taking of any endangered or Threatened species of plants, fish, or wildlife.
(3) Facilities or practices snap not restdt In the destruction Or adverse modification of the critical habitat of endangered or threatened species
as identified in 50 CFR Part 17 which is hereby incorporated by reference including any subsequent amendments and editions. This
material is available f act�pd: at me Depart ant of Environment. Health, and Natural Resources, Division of Solid Waste
Management, & a Ai Lin Roab, ltale`igh, North Caroline 27605 where Copies can be otltained at no cost.
(4) Facilities or practices shall not dame
45) FanTitres or 9e or daFroy an trc?atolgji7ral Pt histofical site.
pactices slue tsar cause an advere impacT on istate park, recreatirxt or icATuc area, ce any Other lands included in me state
nature and historic preserve._.
161 Zilities shall not be locrlUfd ill an 4 a 1 ,l R •
y and at tfef�ndd ih tine Oean Water Au, S;Atm 404(b).
(71 It must be shawnahat adequate suitable soils are available for cover,e{{jjher from On or our site.
_
IB) Land Clearing and Inlet Dabri; landfills shag meat the following surfate4nd ground water requirements:
W Facilities or 't e • 1
prdChOP's jj++�� artiQQ Of poatnan,3'nto,waters of the state that is in violation bl the requirements
of the National Pollutant DificBerk�e Eeminatidn$ystem INPDEB)i under Section 402 of the Clean Water A[t, as amended.
lb) Falydes or practices shag not cause a discharge 0(dredgIN materials of fill material into waters Of the state that 4 in violation
Of the requirements under Section 404 of me Clean Water Act, as amended.
Id Facilities or practices shall not cause non -point source pollution Of waters of the state that violates Assigned gned water quality
(d) Waste in landfills with a disposal area greater than two acres shall be placed a minirriu of -four feet above the seasonal high
water table, except where an Alt alive spar h L
i.
(e) Waste in landfills with a disposilaarea less than two acres sliaee be Placed above ni N seasonal high water table.
191• The facl�tr¢¢Mall mg4atllM follohyiog mj(hi qq 4uffaEjj otr{rmin[s y `
(al 50 feet turd the waste botinlry`o all suH o waters oTh. -rota as deffned in G.S. 143-212.
lb) 100 feet from the disposal area to Pr%FrknUp4sl rosidenjlal dv�lelb W, cammer[ial ar public buildings, and walls_
IOf Butler regttueriems ecossiry to Insure adequard arofection of public health and Abe environment.
(10) The facility shs!I may be adjusted Its n
meet all requirements of any applicable zoning ordinance.
.0566 OPERATIONAL REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Land Clearing and Inert Debris ILCID) landfills shall meet the following Operational fequi(aments:
(1) Operational plans shall be approved and followed as specified for the facility.
12) The facility shall only accept Nose solid wastes which it is parmittad to receive.
(4) Solid waste shall cover
restricted to the smallest area feasible and compacted as densely as practical into cells.
la) Adequate soil cover shall be applied
451 120 -],Mae days after Co.detion of an monthly, or when me active area reaches one acre in size, whichever occws first. y prase at disposal operanons, or upOeT revocation of a permit, the disposal area shag be covered
a, (I yrld�a (m [ion in a e,1 fait V'141b�t atoll cover sloped to allow sarfaca water runoff In a controlled manner. The Division may require
•turner action in order to =.act any condition which is or may become injurious to the public health, of a nuisance to the commur.ty.

(6) Adequate erosion control measures, structures or devices shall be utilized to prevent silt Imm leaving the site and 10 prevent excessivti
on site eroson.
(7) Provisions for a ground cover sufficient to testrain etovon must be accomplished within 30 working days Or 1 TO calendar days upon
completion Of any phase Of landfill development.
(6) The facility shall be adequately secured by means of gales, chains• berms, fences, etc. to prevent unauthorized access except when an
operator l eq duty. An ndtoattendant shall be on duty at 44 times while the landfill is open for public use t0 assure compliance with
Operational rea requirements and [p prevent acceptance Of unaumorized wastes. (g) Amass roads shall be of aft -weather construction and property maintained.
ll O) surface water shall be divened from the working face and shall not be Impounded over wast,
fill solid waste shall not be disposed of in water-
1121 Open burring or solid waste is prohibited.
(13) The concentration of explosive gases generated by the facility shoo not exceed: fal T'wenry-five percent Of the lower explosive limit for the gases in facility structures.
(b) The lower explosive limit for the gases at the property boundary.
n 4) Leachare shall be properly managed on site through the use of current best management practices.
(161 should [Ire Division deem it necessary, ground water or stuface .0601 and .0602 of this subchapter. water monitoring, Or both, may be required as provided for under Rules
(161 A sign shall be pasted at the facility entrance showing the contact name and number In The permit number requirement Is not applicable for facilities not case Of an emergency and the permit number.regtriring an individual permit.
Certification byll.ano Owner:
J certify that the information provided by me in this notification is true, accurate, and complete to the
_23est of my knowledge. The facility siting and disposal operations of this Land Clearing & Inert Debris
clandfill will comply with the requirements of Sections .0563, .0564 and .0566 Of 15A NCAC 138,
Li
North Carolina Solid Waste Management Rules. The facility and operations of this landfill will also
comply with all applicable Federal, State, and Local laws, rules, regulations, and ordinances. Where the
a 2 operator is different from the land'owner, I, the land owner, have knowledge.of the operator's plans
to dispose of solid waste on the land and I specifically grant permission for the operation of the landfill.
a 1 understand that both the land owner and operator are jointly and severally liable for improper
operations and proper closure of the landfill as provided for by North Carolina General Statute 13CA-
O309.27. 1 further understand that North Carolina General Statute 130A-22 provides for administrative
penalties of up to five thousand dollars 05,000.00) per day per each violation of the Solid Waste
3 e Management Rules. I further understand that the Solid Waste Management Rules may be revised or
amended in the future and that the facility siting and operations of this landfill will be required to
comply with all such revisions or ame nt . /7
P651,me
�,,w.. �on5,
(Owner)
Signature (Owner) Date
North Carolina
County
that a Notary Public for said County and State, do hereby certify
i s r n personally appeared before me this day and acknowledged the
duet,,ax'i"ypg of the foregoing instrument.
ty`_ F- r
11�f'ipEss myieti�d and official seal, s the f ' A
this day of % -t 19
c:
--,`t Notary Public
MY +it�T ss314 expires_ % j I fib % 19 (�

Cgrtification by Landfill Operator (if different from Owner): i�11 I D 19 P
1 certify that the information provided by me in this notification is true, accurate, and complete to the
best of my knowledge. The facility siting and disposal operations of this Land Clearing & Inert Debris
landfill will comply with the requirements of Sections .0563, .0564 and .0566 of 15A NCAC 13B,
North Carolina Solid Waste Management Rules. The facility and operations of this landfill will also
comply with all applicable Federal, State, and Local laws, rules, regulations, and ordinances. I have
informed the land owner of my plans to dispose of solid waste on the land and the land owner has
specifically granted permission for the operation of the landfill. 1 understand that both the operator and
land owner are jointly and severally liable for improper operations and proper closure of the landfill as
provided for by North Carolina General Statute 130A-309.27. I further understand that North Carolina
General Statute 130A-22 provides for administrative penalties of up to five thousand dollars
($5,000.00) per day per each violation of the Solid Waste Management Rules. I further understand that
the Solid Waste Management Rules ma be revised amended in the futon and that the facility siting
and operations of this landfill will be eGu ed to c pl hall such re I ions or amendments.
- E L'[ f�ftlmt)tt, S, S(1.
Print Name (Operator) Signat a (Operator) Date
North Carolina
1
N � Ll l�(J!IL County ,
a Notary Public for said County and State, do hereby certify
that personally appeared before me this day and acknowledged the
o due execution of the foregoing instrument.
j Witness my hand a(tri'dlffigial seal, this the day of L/� 7g 7y
(Official SeeH f1rt r: i, -; y'+f I �i ��1 ! /li'b- c.,
Notary Public
:t JLIL G
My Comm iss4ni,,bxp , �r' ��) ffG! 79C r '
C�
For additional land owher's�nW-landfill operators, attach separate notarized certifications for each
additional land owner and landfill operator.
For Corporate land owners and/or operators, use the Corporate Certifications, pages 5 and 6. Contact
the Division of Solid Waste Management for proper applicable certifications.
INSTRUCTIONS
Purpose: Notification of Land Clearing and Inert Debris tar"Ns fader two 121 acres in size is requited under 15 NCAC 138 .0563(21(al.
Contact the Salid Waste Section at the address below for further information.
Distribution: Mail completed recorded original notification to the following address:
Division of Scud Waste Management
Solid Waste Section
PO Boa 27687
Raleigh, North Carolina 27611-7687
1919) 733-0692
Disposition: This farm will be transferred to the State Records Center when reference value ends. Records will be held for agency in the
State Records Center free 151 adds —al years and then transferred to the custody of the Archives.
SPATE OF NORTH CAROLINA
COUNTY OF 13RUNSIVICK
The Foregoing (or annexed) Ccrtificate(s)of_
rvotarypes) ruouc is (are) Certified to be Correct.
This Instrument was filed for Registration on this �ay of 1998
in the Book and Page shown on the First Page hereof.
ROBERTJ.ROBUISONJRegister ofDeeds t