87A_ROSCANS_1998

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE KAXAGENENT FACILITY EVALUATION REPORT
Type of Facility. Permit # County.
Name of Fac i I i tyLocation_
Date of Last Evaluation
I. Permit Conditions Followed Yes No ly NIA
A. Specific Condition(s) Violated.
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section
A. Specific Violation(s) by rKAber and letter.
III. Other Violations of Rule or
IV. Evaluator's Comments 1AN1 A
bl�
V. Continuation Page Required? -Yes __,L?__No Receiving Signature
Evaluation Date Solid Waste Section r
DEHNR 3793 (Part I White: Facility Part II Canary: Central office Part III Pink: Regional office)
Solid Waste Section (Review 7/94)

19
b]
G-S. T30,A-294 rQkpjj.j-tat wi eval-viation procp-am be establis'ned for the
c,-T ewide Isis. - e
pe.rat-io-i-I of splid waste managemnt facilities on a stat hisis. M
mt) . niAciememt Act and Solid Waste Matiageanent Itiles codifi(xi at
,�57 NC,&C 1-3D )Ist xmt us
pin-�Mnts �dijrb m t be follow wedby soli,,A waste
-t -ie evaluation for Ch — - �4 'in ea
A kLl,l amjaete T
se- on Ixn.sunnel
c-'and1j, .,i be s gmA
Ct. of - f-_cia.j. Tho form shall by
:r xdvim. the; report.
Piirt 1. wdk:oet facility Cw.y
car �xry: Wile:t(Oi oumtrul office file (xM
ice file CX)PY
IT-1, Pil*.. off
Ibis forri lylabe rPX�.ained in amx)rdanoe with the Record I -tention and
�
_Iule of tile solij- Waste, section, Sol-W W&Stp- Mc�tk 10-MeDt
t)er sources.
A:L,Ux�jy�, of Dwiramnent, Health and Natural 1��

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID HASTE MANAGE ENT FACILITY EVALUATION REPORT
,
Type of Facility PermCounty IV
it #
L( I,- (,A jet C'?
Name of Facility_) �,r, y Location
Date of Last Evaluation
I. Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated.
11. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section
A. Specific Violation(s) by number and letter.
A 11p, 14 1z
Vlot pror " �, vvo'
III. other Violations of Rule or Law
IV. Evaluator's
V. Continuation Page Required? -Yes No Receiving Signature.
Evaluation Date Solid Waste Section
DEHNR 3793 (Part*( White: Facility Part 11 Canary- Central Office Part III Pink: Regional office)
Solid Waste Section (Review 7/94)

11n,ce: Q& 13ON-294 YnxTiAn>3 that an evaluatian pTrqasm he established for the
cy2tration of smlid as Roxagenent facilities on a statewide basis. The
Solid Myte MnxpaNyt AN Oull MUld Waste Yknequnent Rules codified at
NIf-A AB As' Y-��Ailtrements 1AACTI V&DA; he falla"MwO by solid waste
Solid Waste Section peinonnel shall tympleyte the synaltuxticKfey in ear
times t1iqey con-Jurt. official evaluations. The form shall be signed by
the person(s) receiving the rryuTO
histribution: Part I White: fAVIA
ty CCpY
pext 11 Canaxyz palelgqh central- office, Mc (-
Fart III Pink: Rogicxad office Ale, acm
P/,-itx-v ticii: Ibis form nay tainal in acx-Yj_�Km witi-i the Record Retention and
DisE-xxsition S&xxWe of the Solid AWAN Secuic, Solid Waste Mamqeement
Division of tio Eepuxtment of Divirorrftimt, Bwalth and NAtural Asnurces.