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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 l f ����) 9 1 1)� Permit * '� LJ 1 County /''� 1 ��}���� J
Name of Facility ( f�/ ' _ll-'��l Location
Date of Last Evaluation
1. Permit Conditions Followed % Yes No N/A
r
A_ Specific Conditions) Vio
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 138 Section `J J
A_ Specific Violation(s) by nLmber and letter.
---
III_ other Violations of Rule or Law
IV. Evaluator's
V. Continuation Page Required? Yes No Receiving Signature CA C
Evaluation Date Solid Waste Section T;.,.r _. ' \
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)
Y"r p-JI-res, thak- tin, evaluation prcq S CS. 130AR-294 I-CIq ram be establi&hed for the.
Of I-Aragsts:� w1ro-grow-M., facilitip-s on � statewide. basis, The
scfl Lid waste -marecleront X.-t and solid waste mmqcmmt Rules coditied at
its whi ch. w-ust, be follcmf,�xd by, solid wa-ste
fxairsorp.x sA 1 c leti-, the evaluaLion fbim each
official' ewatbua
ion Ilif xm sloll tv- signed by
rc—m-inrim, tbe. n-4--rirt.
V UPU ty cr, -1 " - -I- , cx� AI?UL'L1AjLqiI officX., fi
k I A-Twx, filc% C%�!
retaiy in - -x-od Rbntion wid -)�A- a(=rdartcm wit-h th( R L ret
tion, So-lixI Waste MN-iagenerit.
c)j' he Solid Wastzt Seo
LOA A Qd- of aw wt m it, Health and Natural Resources.
v
i,
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE MANAGE ENT FACILITY EVALUATION REPORT -
Type of Foci l i ty a 1,4 �� 1 ' Permi t # t " lr county � I � l/ l,'
Name of Facility 4w?Lre_1 it/% Location
Date of Last Evaluation
I. Permit Conditions Followed rYes No N/A
A. Specific condition(s) Vi
i
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 138 Section ra `'' v�
A_ Specific Violation(s) by cumber and letter.
III. Other Violations of Rule or Law
IV. Evaluator's
V. Continuation Page Required? Yes No Receiving Signature
Evaluation Date t"? C.i Solid Waste Section
DEHNR 3793 (Part I Fite: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/%)
-294 MquKe -am be established for the
G"Iso 130A i-mq that an ewaluation pxx)gr
rTmovirn Of s: rttPti t <t Yit, facilities on a statmide basis. The
Solid Waste My-ammme-1sx-mt, Awt and Solid Waste Manspeamt Rules cadif0d at
VIA lisr, solid waste-
o-KxvAlzm: rnel S1011 oxlkpbelir'_i� the� armhuxtim fom eZKII
offlu-'Jo.1, evalxiat__iormi , `hie. formt dball I - xi signed Ily
VVYISAXII Ova mpart.
Hart -n "_"�Yx�ility ('X]%W
amVIL-C of Am file Cep
CkTq
toot 111 100; f'4'r�lc 1, Office file, avy
;nvqf,:m :xrth the _Recrrd Retention andd, my ke xOnArmul & amamdomwitt - e O
-die Salid Waste Section, Solid Wmtte Manaqewmt
Uva UpArkmaiwit of niviramtimt,. Eleal-th and Natural Re-sainves.
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid haste Management
Solid {taste Section
SOLID (WASTE MANAGE ENT FACILITY EVALUATION REPORT
Type of Faci L i ty�Ytau - iik 1'J Y ? V `" Permit - Canty.
Name of Facility. i %'4^ •Y71in� -' ��=ti Location
Date of Last Evaluation
I. Permit Conditions FollowedYes No N/A
A. Specific Condition(s) Viol
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section V D 0 5
A. Specific Violation(s) by number and letter.
/
III. Other Violations of Rule or Law
IV. Evaluator's Comments
V. Continuation Page Recpired7 Yes No Receiving Signaturgi' ✓". flr J� ,�,
Evaluation Date r r �T ! Solid Waste Section:°-�
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/%)
G,S. 130A-294 requires that an evaluation pm be establisbed for the
t7x�pen�Hm-, of, sx- Id vaste mvviw - mt ANTities on a statewide basis. Th TPw he
SKY Was.tk-- Managevent Act ml RAW khasrSe mirogemnt fules codified - at
11 13B list Wicki mat lot followed by sAR! vWxassitne
MOVIAWL Am; 16101 Waste SeC.-"Lion , pkwsmymil. &hall ccxplete tive cNaltration form each
t,iw tlmy official evaluatimints, 111m fom shall be signcA by
pe e,, receiving the report.
'Y kl,:�rt I Ajdtiab'. 'facAlit CUM
1*1!inamy® Raleigh centra-I office file cmicyy
XjPY
Riwnk: 11,10ml Wfim AM mj;
.ehis 1*C_mt-nf ITWr be. xto in ac%mrdamv, with -the Record Ret-ention and
TWA 0-, .=-,,,��,��;Idol-j Sch(xi'We of tl)'-'- e S�eoton, Solid Was Mvvagenent
vision of tin Alk,tunct (of Eirvilmmmemrdt, HealUi and NaUmal
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE RMAGENENT FACILITY EVALUATION REPORT
'21
Type of Fac i L i ty. Canty Permit # Coun r
"N
ty <1,
Name of Facility i., Location I �y
Date of Last Evaluation
I. Permit Conditions Followed %1y Yes No N/A
A. Specific Condition(s) Violated
11. operational Requirements Followedi'
Yes No
15A N.C. Admin. Code 13B Section
A. Specific Viotation(s) by number and letter.
III. Other Violations of Rule or Law
IV. Evaluator's
V. Continuation Page Required? —Yes Aly No Receiving Signat
Evaluation Date Al —Solid Waste Sect
DEHUR 3793 (Part I White: Facility Part II Canary:
Solid Waste Section (Review 7/94)
iis1t!,6ffice Part '111" Pink: Regional Office)