7304-MSWLF-1997 Upper Piedmont Regional Landfill SW020-0006 PARF & Invoice 1-21-20

PERMIT APPLICATION REVIEW FORM
Review Requested by: Benjamin Jackson
Date Requested: 1/17/2020
Facility Name and Permit ID Upper Piedmont Regional Landfill, 7304-MSWLF-1997
Applicant (Owner) Name Republic Services of NC
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 >100,000 tpy
Permit Fee $875.00
Date Application Received 1/14/2020
Contact Name, Title & Phone # Matthew Einsmann, P.E., Regional Engineer, [phone]
Email Address [e-mail]
Company Upper Piedmont Regional Landfill
911 Address 9650 Oxford Road Rougemount, NC 27572
Mailing Address 5111 Chin Page Road
City/State/Zip Durham, NC 27703
Parent Company Republic Services Inc.
Known Subsidiaries Uwharrie
Other known names business has operated under Upper Piedmont Environmental Inc.
Known Counties of Operation Person
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: INDUS Permit #:
Did the permit applicant submit Financial Assurance cost estimates?
Yes No Not Needed
Other notes FID 1387702, Permit Amendment Increase in Annual Tonnage, New Permit Needed
SW020-0006
P0759
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW020-0006
Date:1/21/2020
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:Matthew Einsmann, P.E., Regional Engineer
Republic Services of North Carolina, LLC
5111 Chin Page Road
Durham, NC 27703
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:
Upper Piedmont Regional Landfill (7304-MSWLF-1997)
9650 Oxford Road
Rougemont, NC 27572
Permit Amendment Application (Substantial Amendment) received on 1/14/2020
$875.00
$875.00Total Amount Due
2/20/2020Date 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