N0761 LCIDN12HickoryGroveStumpSite

North Carolina
Department of and Natural Resources
FOR REGISTRATION REGISTER OF DEEDS
Division ofWaste Management """^=� COUNTY, NC
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Michael F.Easley, Governor A=°2X PG'8=28 827 FEF120'0=N
William G.Ross Jr,,Secretary
William L. Meyer, Director YNC7OUNE8? 0 K80QN073
(-e ��
LAND CLEARING AND INERT DEBRIS L/\NDP|LLNOTIFICATION ��—�v�6ft
Pursuant to 15A NCAC 13B .0563(2)(a), the land owner(s) and operator(s) of any Land C|a
Debris Landfill under two (2) acres in size shall Submit this notification form to the Division
constructing or operating the landfill. This form must be filed for recordation in the Register of Deeds'
Office. The Register of Deeds ahoU index the notification under the name of the owner(s) of the land in
the county orcounties in which the land iolocated. The Register's sea] and the date, book, and page
number of naouniing must be included unthis form when submitted tothe Division. This notification is not
valid to authorize operation of a landfill unless complete, accurate, recorded, and submitted to the Division
as required by 15A NC/\C 138 .0563(2)(b).
1. Facility
2. Facility location (street adVnsoo)
City: County: Zip:
4. ��n'"h�6h th��|and�8[����edis~descdbadinthe deed recorded in:
deed book: Puga' county:
5. Name of land owner: 1/11
S. Mailing addressor land owner: �L
City:- State: Zip:
7. Telephone number of land owner:(
If the land is owned bymore than one person, attach additional sheets with the name, address,
and phone number of all additional land owners.
8. Name of operator:
Q. Trade orbusiness name ofoperator:
10. Mailing addressof to
City: State: ^' zip:
11. Telephone number of operator:(
If the landfill is operated by more than one person, attach additional sheets with the name,
eddnanu' and phone number ufall additional operators.
12. Projected use of land after completion of landfill operations:
1646 Mail Service Center, Ra\eioh, North Carolina 27699-1646
Phone: O}9-733-06g2 \ FAX: gl9'733-48l{\ {ottcnet:vvv^v.euz.statn.oC.oS/
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER — 50% RECYCLED/ 10% POST CONS UMER PAPER
/��7VJL '/

The following are the applicability, siting, and operating criteria for Land Clearing and Inert Debris Landfills operating
under notification.
From: North Carolina Solid Waste Management Rules 15A NCAC 136:
.0101 DEFINITIONS
153) "Land clearing waste" means solid waste which is generated solely from land clearing activities such as stumps, trees, limbs, brush, grass,
and other naturally occurring vegetative material.
(54) "Land clearing and inert debris landfill" means a facility for the land disposal of land clearing waste, concrete, brick, concrete block,
uncontaminated soil, gravel and rock, untreated and unpainted wood, and yard trash.
(55) "Yard trash" means solid waste resulting from landscaping and yard maintenance such as brush, grass, tree limbs, and similar vegetative
materials.
.0563 APPLICABILITY REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS (LCID) LANDFILLS
Management of land clearing and inert debris shall be in accordance with the State hierarchy for managing solid waste as provided for under N.C.G.S.
§ 130A-309.04(a). Disposal in a landfill is considered to be the least desirable method of managing land clearing and inert debris. Where landfilling is
necessary, the requirements of this Rule apply.
(1) An individual permit from the Division of Solid Waste Management is not required for Land Clearing and Inert Debris (LCID) landfills that meet
all of the following conditions:
(a) The facility is to be operated for the disposal of land clearing waste, inert debris, untreated wood, and yard trash. Operations must
be consistent and in compliance with the local government solid waste management plan as approved by the Division of Solid
Waste Management.
(b) The total disposal area is under two acres in size.
Ic) The facility and practices comply with the siting criteria under Rule .0564, and operational requirements under Rule .0566.
Id) The fill activity is not exempt from, and must comply with all other Federal, State, or Local laws, ordinances, Rules, regulations,
or orders, including but not limited to zoning restrictions, flood plain restrictions, wetland restrictions, sedimentation and erosion
control requirements, and mining regulations.
(2) Where an individual permit is not required, the following applies:
(a) The owner of the land where the landfill is located must notify the Division on a prescribed form, duly signed, notarized, and
recorded as per Rule .0563(2)(b). The operator of the landfill, if different from the land owner, shall also sign the notification form.
(b) The owner must file the prescribed notification form for recordation in the Register of Deeds' Office. The Register of Deeds shall
index the `notification in the grantor index under the name of the owner of the land in the county or counties in which the land is
located. A copy of the recorded notification, affixed with the Register's seal and the date, book and page number of recording shall
be sent to the Division of Solid Waste Management.
(c) When the land on which the Land Clearing and Inert Debris Landfill is sold, leased, conveyed, or transferred in any manner, the
deed or other instrument of transfer shall contain in the description section in no smaller type than that used in the body of tite
deed or instrument a statement that the property has been used as a Land Clearing and Inert Debris Landfill and a reference by
book and page to the recordation of the notification.
.0564 SITING CRITERIA FOR LAND CLEARING AND INERT DEBRIS (LCID) LANDFILLS
The following siting criteria shall apply for Land Clearing and Inert Debris (LCID) landfills:
(1) Facilities or practices, shall not be located in the 100-year floodplain.
(2) Facilities or practices shall not cause or contribute to the taking of any endangered or threatened species of plants, fish, or wildlife.
(3) Facilities or practices shall not result in the destruction or adverse modification of the critical habitat of endangered or threatened species as
identified in 50 CFR Part 17 which is hereby incorporated by reference including any subsequent amendments and editions. This material is
available for inspection at the Department of Environment, Health, and Natural Resources, Division of Solid Waste Management, 401 Oberlin
Road, Raleigh, North Carolina 27605 where copies can be obtained at no cost.
(4) Facilities or practices shall not damage or destroy an archaeological or historical site.
(5) Facilities or practices shall not cause an adverse impact on a state park, recreation or scenic area, or any other lands included in the state
nature and historic preserve.
(6) Facilities shall not be located in any wetland as defined in the Clean Water Act, Section 404(b).
(7) It must be shown that adequate suitable soils are available for cover, either from on or off site.
(8) Land Clearing and Inert Debris landfills shall meet the following surface and ground water requirements:
(a) Facilities or practices shall not cause a discharge of pollutants into waters of the state that is in violation of the requirements of
the National Pollutant Discharge Elimination System (NPDES), under Section 402 of the Clean Water Act, as amended.
(b) Facilities or practices shall not cause a discharge of dredged materials or fill material into waters of the state that is in violation
of the requirements under Section 404 of the Clean Water Act, as amended.
(c) Facilities or practices shall not cause non -point source pollution of waters of the state that violates assigned water quality
standards.
(d) Waste in landfills with a disposal area greater than two acres shall be placed a minimum of four feet above the seasonal high water
table, except where an alternative separation is approved by the Division.
(e) Waste in landfills with a disposal area less than two acres shall be placed above the seasonal high water table.
(9) The facility shall meet the following minimum buffer requirements:
(a) 50 feet from the waste boundary to all surface waters of the state as defined in G.S. 143-212.
(b) 100 feet from the disposal area to property lines, residential dwellings, commercial or public buildings, and wells.
(c) Buffer requirements may be adjusted as necessary to insure adequate protection of public health and the environment.
(10) The facility shall meet all requirements of any applicable zoning ordinance.
.0666 OPERATIONAL. REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS (LCID) LANDFILLS
Land Clearing and Inert Debris (LCID) landfills shall meet the following operational requirements:
(1) Operational plans shall be approved and followed as specified for the facility.
(2) The facility shall only accept those solid wastes which it is permitted to receive.
(3) Solid waste shall be restricted to the smallest area feasible and compacted as densely as practical into cells.
(4) Adequate soil cover shall be applied monthly, or when the active area reaches one acre in size, whichever occurs first.

(5) 120 calendar days after completion of any phase of disposal operations, or upon revocation of a permit, the disposal area shall be covered
with a minimum of one foot of suitable soil cover sloped to allow surface water runoff in a controlled manner. The Division may require further
action in order to correct any condition which is or may become injurious to the public health, or a nuisance to the community.
(6) Adequate erosion control measures, structures, or devices shall be utilized to prevent silt from leaving the site and to prevent excessive on
site erosion.
(7) Provisions for a ground cover sufficient to restrain erosion must be accomplished within 30 working days or 120 calendar days upon
completion of any phase of landfill development.
(8) The facility shall be adequately secured by means of gates, chains, berms, fences, etc. to prevent unauthorized access except when an
operator is on duty. An attendant shall be on duty at all times while the landfill is open for public use to assure compliance with operational
requirements and to prevent acceptance of unauthorized wastes.
(9) Access roads shall be of all-weather construction and properly maintained.
(10) Surface water shall be diverted from the working face and shall not be impounded over waste.
0 1) Solid waste shall not be disposed of in water.
(12) Open burning of solid waste is prohibited.
(13) The concentration of explosive gases generated by the facility shall not exceed:
(a) Twenty-five percent of the lower explosive limit for the gases in facility structures.
lb) The lower explosive limit for the gases at the property boundary.
(14) Leachate shall be properly managed on site through the use of current best management practices.
(1 5) Should the Division deem it necessary, ground water or surface water monitoring, or both, may be required as provided for under Rules .0601
and .0602 of this Subchapter.
(16) A sign shall be posted at the facility entrance showing the contact name and number in case of an emergency and the permit number. The
permit number requirement is not applicable for facilities not requiring an individual permit.
Certification by Land Owner:
I certify that the information provided by me in this notification is true, accurate, and complete to the best
of my knowledge. The facility siting and disposal operations of this Land Clearing & Inert Debris landfill
will comply with the requirements of Sections .0563, .0564 and .0566 of 15A NCAC 1313, North Carolina
Solid Waste Management Rules. The facility and operations of this landfill will also comply with all
applicable Federal, State, and Local laws, rules, regulations, and ordinances. Where the operator is
different from the land owner, I, the land owner, have knowledge of the operator's plans to dispose of
solid waste on the land and I specifically grant permission for the operation of the landfill. I understand
that both the land owner and operator are jointly and severally liable for improper operations and proper
closure of the landfill as provided for by North Carolina General Statute 130A-309.27. I further understand
that North Carolina General Statute 130A-22 provides for administrative penalties of up to five thousand
dollars ($5,000.00) per day per each violation of the Solid Waste Management Rules. I further understand
that the Solid Waste Management Rules may be revised or amended in the future and that the facility
siting and operations of this landfill will b required to comply i.Fh all uch revisions or amendments.
Print Name (Owner) Signatur, ( Date
North Carolina
County
ic s a Notary Public for said County and State, do hereby certify
that ' iza &i A,Q NuK)o h personally appeared before me this day and acknowledged the due
execution of t' e foregoing instrument.
Witness my hand and official seal, this the day of Al a 20�_�
(Official Sea[)
—
Notary Public
My commission expires ✓D/ [/j 20-47 V `kk ?;'
•�

P1117 11 111 MIMI!
It is part of recorded document, and must be submitted with original for re-recording
and/or cancellation.
Zook: RE 1823 Page: 424-427
LNDFIL 4PGS $20.00

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Approximate Location of
"Hickory Grove Stump Dump"
ti (� N 35.65067° W 81.64417°)
The Hickory Grove Stump Dump originally
straddled the property line between two
Parcels, this property line was move so that
now the Recorded site falls totally within;*
Parcel PIN 2710 42 3135� `� '•ALI
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