7003T-TRANSFER-1994 Pasquotank County Transfer Station SW019-0065 PARF & Invoice 6-25-19

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ethan Caldwell
Date Application Received: 05/24/2019
Location ID (if known) P0694
Permit ID 7003T-TRANSFER-1994
Permit Name
(aka Permit Applicant Name) Pasquotank County Transfer Station
Facility Type Transfer
Physical Street Address 983 Simpson Ditch Road
City, State, Zip, County Elizabeth City, NC 27909
Description of Permit Request (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 LOS
(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 Modification
Permit Fee $0.00 Facility Contact Mailing Address Contact Name, Title Brad Gardner, Solid Waste Director
Phone # [phone]
Email Address [e-mail]
Company Pasquotank County
Facility Contact Street 317 Pritchard Street
City, State, Zip Code Elizabeth City, NC, 27909 Billing Contact Mailing Address Contact Name, Title Sheri Small, Finance Officer
Phone # [phone]
Email Address [e-mail]
Company Pasquotank County
Facility Contact Street PO Box 39
City, State, Zip Code Elizabeth City, NC 27909
Other notes
Permit Name – This is the name on the permit
Facility Contact Address – May not be the facility address.
For Facility and Billing Contact check Annual Facility Report and latest inspection on Laserfiche.
SW019-0065
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW019-0065
Date:6/25/2019
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:Sheri Small, Finance Officer
Pasquotank County Transfer Station
PO Box 39
Elizabeth City, NC 27909-0039
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:
Pasquotank County Transfer Station (7003T-TRANSFER-1994)
983 Simpson Ditch Road
Elizabeth City, NC 27909
Permit Renewal Application (Amendment- Five-Year Renewal) received on 5/24/2019
$0.00
$0.00Total Amount Due
7/25/2019Date 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