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HomeMy WebLinkAbout87A_ROSCANS_1997WMI -7-'-- 5110- NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES Division of Solid Waste Management Solid Waste Section SOLID WASTE KAJIAGENENT FACILITY EVALUATION REPORT Type of Fac i I i ty_ Permit # County Location 2� Name of Facility k ?"Y'y Date of Last Evaluation I- Permit Conditions Followed k Yes No N/A A- Specific Condition(s) Violated II. Operational Requirements Followed Yes No 15A N-C. Admin. Code 138 Section , 0 �15 II E A- Specific Violation(s) by nuoiber and Letter. 1� L 111. Other Violations of Rule or Law IV. Evaluator's C., h, 0 Tc, C' i r� I V. Continuation Page Required? Yes No Receiving Signature fly Evaluation Date I Solid Waste Section DEHUR 3793 (Part I White: Facility Part 11 Canary: Central Office Part III Pink: Regional Office) solid Waste Section (Review 7/94) Maywynn: G,S,, 3,30A-294 rvKpAtNas thwaxt an evaluation prqxam be established for thhe m-e-a-Ation of so -Lid waste mamgemrit fAcilities an a KAMM basis. The WW�te, lk!-Teurvlc id Act Vlaste. blanagawnt Rules codified at mail WIR M NUN! 1AB list rc-.fitix-cmm.nts- Alivii swu3t W follave-nd by solid waste TOOIIMVY Solid wastj-> S-ection pex-sairv-0. saaall cxuldets the evaluation farm eadi thoy official avaluaticwis. Tha form shall be signed by Ne ykonan(s) reoxvivArl t1y; rvpart. Nit I Ahdta: Avility Cqp CXW AN .y; Po1ei(fii cevtral office file opp logdvimil. Wfixx; Me ccIp vA"ri-trom Bpds Own gay he retained in ancordance with the RanxW fabskia-i and UppvAtich Sch;alt,.Le of. the Solid Waite &-x--tion, Solid Wacwste Mmyeamm amgark-Mt OvIsion of the LopoxtHent of Ebviy�x=-�nt, ficaith wid Natural &--sotrtr-es. NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES Division of Solid Haste Kanagement Solid Haste Section SOLID WASTE KAMAGE ENT FACILITY EVALUATION REPORT A Type of Facility !- j (,;:T L 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 Requirements Followed Yes No 15A N.C. Actin. Code 138 Section A. Specific Violations) by number and letter. III. other Violations of Rule or Law IV. Evaluator's V. Continuation Page Required? Yes No Receiving Sigreture4� f � - . U Evaluation Date In .1 0 Solid Haste Section DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office) Solid Haste Section (Review 7/94) G.S. 130A 294 requires that an evaluation program be established for the operation of solid waste management facilities on a statewide basis. The Solid Waste Management Act and Solid Waste Management Rnles codified at 15A NCAC 13B list requirements which must be follcm€ed by solid waste facilities. _ Instructions: Solid Waste Section personnel shall complete the evaluation form each time they conduct official evaluations. The form shall be signed by the person(s) receiving the report. - t... Part III Canary: Raleigh central office file ccpy Part ■■ Regional office file ter• Disposition: This form may be retained in accordance with the Record Retention and Disposition Schedule of the Solid Waste Section, Solid Waste Management Division of the Department of Environment, Health and Natural Resources. +,�,a,�rr«.-,. ten,.-- ,�ff�,:...sM-:.....r i..,.. �,. f•��.3�1'�F:;�r. fi�: _ _. , ..... �. �.. .r ro-a .�...-...- _ _ ., { �r"..y'vFr" PN,v .. �E'n.•fr.'xin,r,�tP'nzv,. �,. .. u.,...., NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES Division of Solid Haste Management Solid Haste Section SOLID HASTE 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 Requirements Followed Yes No 15A M.C. Admin. Code 13B Section A. Specific Violation(s) by number and letter. III. Other Violations of Rule or IV_ Evaluator's Comments V_ Continuation Page Required? Yes No Receiving Signature Evaluation Date Solid Haste Section DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional office) Solid Haste Section (Review 7/94) Purpose: G.S. 130A-294 requirestbat an evaluation program be established for the operation of solid waste management facilities on a statewide basis. The Solid Waste Management Act and Solid Waste Management Rules codified at 15A NCAC 13B list requirements which must be follawoed by solid waste facilities. Instn=t:ians: Solid Waste Sect;on personnel shall ccuplete the evaluation form each time they conduct official evaluations. The form shall be signed by the person(s) receiving the report. Di ., ... Part II Canary: Raleigh central office file copy Part IEEIPink: P42gicnal office file copy Di-sp:)sitian: This form may be retained in accordance with the Record. Retention and Disposition Schedule of the Solid Waste Section, Solid Waste Management Division of the Department of Lnvironment, Health and Natural Resources. NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES Division of Solid waste Management Solid waste Section SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT i Type of Facilityi Permit County r ri� i ��p�+ Name of FacilityA•%�yr�iP. �-. �.: s l,, ! s�,^�,--iXl.l �? Locati, Date of Last Evaluation I. Permit Conditions Followed � Yes No N/A A. Specific Condition(s) Violated II. Operational Requirements Followed _Yes No r 15A N.C. Admin. Code 13B Section ••, J A. Specific Violation(s) by number and Letter. III. Other Violations of Rule or Law IV. Evaluator's Comments V. Continuation Page Required? 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) Purpose: G.S. 130A-294 requires that an evaluation pin be established for the operation of solid waste management facilities on a statewide basis. The Solid Waste Management Act and Solid Waste Management Rules codified at 15A NCAC 13B list requirements which must be followed by solid waste facilities. Instructions: Solid Waste Section personnel shall cmplete the evaluation form each time they conduct official evaluations. The form shall be signed by the person(s) receiving the report. Distribution: Part I White: facility copy Part I is Raleigh e w office file co'.. Part III Pink: Regional office file -it —Ur Disposition: This form may be retained in accordance with the Record Retention and Disposition Schedule of the Solid Waste Section, Solid Waste Management Division of the Department of Environment, Health and Natural Resources.