4116-CDLF-2012 High Point C&D Debris Landfill SW019-0084 PARF & Invoice 8-21-19

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Requested: 8/20/2019
Facility Name and Permit ID 4116-CDLF-2012
Applicant (Owner) Name WI High Point Landfill, 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 Modification
Permitted Annual Tonnage NA
Permit Fee NA
Date Application Received 8/19/2019
Contact Name, Title & Phone # Seth Heath, General Manager, 336-668-3712
Email Address [e-mail]
Company WI High Point Landfill, LLC
911 Address 5830 Riverdale Drive, Jamestown, NC 27282
Mailing Address 5830 Riverdale Drive
City/State/Zip Jamestown, NC 27282
Parent Company GFL Environmental, Inc.
Known Subsidiaries GFL Environmental, Inc. & Waste Industries USA, Inc.
Other known names business has operated under NA
Known Counties of Operation State of North Carolina
Does the applicant have a past or current solid waste permit? Yes No Unknown
Facility Type: CDLF Permit #: 4116-CDLF-2012
Did the permit applicant submit Financial Assurance cost estimates?
Yes No Not Needed
Other notes CHR may be required due to parent company changed in 2018
High Point C&D Debris Landfill
SW019-0084
P1067
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW019-0084
Date:8/21/2019
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Seth Heath, General ManagerHigh Point C&D Debris Landfill5830 Riverdale DriveJamestown, NC 27282
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: High Point C&D Debris Landfill (4116-CDLF-2012)5830 Riverdale DriveJamestown, NC 27282Permit Modification Application (Modification-Subsequent Permit to Operate (NO CHR)) received on 8/19/2019
$0.00
$0.00Total Amount Due
9/20/2019Date 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