4304-TIRELF-1992 Central Carolina Tire Monofill SW019-0041 PARF & Invoice 4-11-19

PERMIT APPLICATION REVIEW FORM
Review Requested by: Benjamin Jackson
Date Requested: 4/10/2019
Facility Name and Permit ID Central Carolina Tire Monofill 4304-TIRELF-1992
Applicant (Owner) Name Central Carolina Holding, LLC
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 – 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 ModificationPermitted Annual Tonnage
Permit Fee $0
Date Application Received 3/4/2019
Contact Name, Title & Phone # Tom Frye, General Manager, [phone]
Email Address [e-mail]
Company Central Carolina Holding, LLCy
911 Address 1086 Poplar Drive, Spring Lake, NC 28390
Mailing Address 1616 McKoy Town Road
City/State/Zip Cameron, NC, 28326
Parent Company Liberty Tire
Known Subsidiaries NA
Other known names business has operated under NA
Known Counties of Operation Harnett, Cabarrus
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: Transfer Station Permit #: 4302,4303,4305,4307,4309
Did the permit applicant submit Financial Assurance cost estimates?
Yes No Not Needed
Other notes Permit to Construct Phases III, Life of Site
SW019-0041
P0429
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW019-0041
Date:4/11/2019
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Tom Frye, General ManagerCentral Carolina Tire Holdings, LLC1086 Poplar DriveSpring Lake, NC 28390
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/swNorth Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpayRequires 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/swpayAccepts 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 ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646
Description Amount Due
Facility-Application: Central Carolina Tire Monofill (4304-TIRELF-1992)1616 McKoy Town RoadCameron, NC 28326Permit Amendment Application (Modification- Change to Approved Plans (NO CHR)) received on 3/4/2019
$0.00
$0.00Total Amount Due
5/11/2019Date 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