3301-CDLF-1997 Edgecombe County CDLF SW019-0099 PARF & Invoice 10-11-19

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ethan Caldwell
Date Application Received: 10/03/2019
Location ID (if known) P0798
Permit ID 3301-CDLF-1997
Permit Name
(aka Permit Applicant Name) Edgecombe County CDLF
Facility Type CDLF
Physical Street Address 1601 Colonial Road
City, State, Zip, County Tarboro, NC 27866 Edgecombe County
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 ModificationPermit Fee $0.00 Facility Contact Mailing Address Contact Name, Title Gloria Moseley
Phone # [phone]
Email Address [e-mail]
Company Edgecombe County
Facility Contact Street 2872 Colonial Road
City, State, Zip Code Tarboro, NC 27866 Billing Contact Mailing Address Contact Name, Title Gloria Moseley
Phone # [phone]
Email Address [e-mail]
Company Edgecombe County
Facility Contact Street 2872 Colonial Road
City, State, Zip Code Tarboro, NC 27866
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.
SW019-0099
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW019-0099
Date:10/11/2019
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Gloria Moseley, Administrative AssistantEdgecombe County CDLF2872 Colonial RoadTarboro, NC 27886
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: Edgecombe County CDLF (3301-CDLF-1997)1601 Colonial RoadTarboro, NC 27886Permit Renewal Application (Amendment- Five-Year Renewal) received on 10/3/2019
$0.00
$0.00Total Amount Due
11/10/2019Date 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