6805-HHW-2013 Orange County Walnut Grove HHW SW020-0028 PARF & Invoice 3-2-20

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Application Received: 02/27/202020
Location ID (if known)
Permit ID 6805-HHW-2013
Permit Name
(aka Permit Applicant Name)
Orange County Walnut Grove HHW
Facility Type HHW
Physical Street Address 3611 Walnut Grove Church Road;
City, State, Zip, County Cedar Grove, NC 27541, Orange County
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
Permit Fee $0.00 Facility Contact Mailing Address Contact Name, Title Kristina Witosky, Operator
Phone # [phone],
Email Address [e-mail]
Company Orange County Solid Waste Management
Facility Contact Street 1514 Eubanks Road
City, State, Zip Code Chapel Hill, NC 27516 Billing Contact Mailing Address Contact Name, Title Wanda McCain
Phone # [phone]
Email Address [e-mail]
Company Orange County
Facility Contact Street P.O.BOX 17177
City, State, Zip Code Chapel Hill, NC 27516
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.
P1255
SW020-0028
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW020-0028
Date:3/2/2020
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:Wanda McCain, Recycling Programs Supervisor
Orange County SWM
PO BOX 17177
Chapel Hill, NC 27516
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:
Orange County Walnut Grove HHW (6805-HHW-2013)
3611 Walnut Grove Church Road
Cedar Grove, NC 27278
Permit Modification Application (Modification- Change to Approved Plans (NO CHR)) received
on 2/27/2020
$0.00
$0.00Total Amount Due
4/1/2020Date 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