2201_ROSCANS_2000

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility. ! Permit # County
s
t
Name of Facility k-A'A C?. w '" Location )
Date of Last Evaluation
I_ Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated
II. Operational Requirements Followed Yes No
15A N.C_ Admin. Code 13B Section
A_ Specific Violation(s) by number and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Comments f l
V. Continuation Page Required? ',�YYe``s No Receiving Signature
Evaluation Date 4l-op Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)

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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility. Permit # County.
Name of Facility. Location
Date of Last Evaluation
I_ Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated
II. Operational Reopirements Followed Yes No
15A N.C_ Admin. Code 138 Section
A. Specific Violations) by number and letter.
III_ Other Violations of Rule or Law
IV. Evaluator's Conmmts
V. Continuation Page Reoluired7 Yes No Receiving Signature
Evaluation Date Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)

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INFORMATION COPIES
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