4112-MSWLF-1997 Greensboro, City of White Street Landfill SW019-0096 PARF & Invoice 9-16-19

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Requested: 9/13/2019
Facility Name and Permit ID City Greensboro, White Street MSWLF (Phase 3)/ 4112-MSWLF-
1997
Applicant (Owner) Name City Of Greensboro
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 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
Permitted Annual Tonnage Unknown
Permit Fee NA
Date Application Received 9/13/2019
Contact Name, Title & Phone
# Richard P. Lovett, Environmental Compliance Support
Manager, [phone]
Email Address [e-mail]
Company City of Greensboro
911 Address 2503 White Street, Greensboro, NC 27405
Mailing Address 2503 White Street,
City/State/Zip Greensboro, NC 27405
Parent Company City of Greensboro
Known Subsidiaries Unknown
Other known names business
has operated under
None
Known Counties of Operation
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: CDLF & MSWLF Permit #: 41-12 & 41-03
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes LOS permit
SW019-0096
P0823
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW019-0096
Date:9/16/2019
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Richard Lovett, Environmental Compliance Support Mgr.Greensboro, City of White Street Landfill2503 White StreetGreensboro, NC 27405
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: Greensboro, City of White Street Landfill (4112-MSWLF-1997)2503 White StreetGreensboro, NC 27405Permit Renewal Application (Amendment- Five-Year Renewal) received on 9/13/2019
$0.00
$0.00Total Amount Due
10/16/2019Date 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