N1115_JacksMountainWoodWaste_20200519

ROY COOPER
commm-
MICHAEL S. REGAN
Secretary
MICHAEL SCOTT
D&ftlor
RECEWD
MAY 2 7 2020
SOLID WASTE SECTION
"WIT
NORTH CAROLINA
Env&w menAd Quaffty
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sosaoozuo
MCDOWELL CO, NC FEE $26.00
PRESENTED& RECORDED:
05-19-2020 02:10:37 PM
TONIA R HAMPTON
REGISTER OF DEEDS
BY: ERIN LOVELACE
DEPUTY REGISTER OF DEEDS
BK: CRP 1309
PG: 466-474
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
A Land Clearing and Inert Debris landfill as defined in 15A NCAC 13B .0101(22) 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.
In addition to the above waste materials, used asphalt as provided for under North Carolina General Statute 130A-
309.0913(a)(1): used asphalt or used asphalt mixed with dirt, sand, gravel, rock, concrete, or similar nonhazardous
material is also allowed for disposal.
Pursuant to 15A NCAC 13B .0563(2), the land owner(s) and operator(s) of any Land Clearing and Inert Debris Landfill
under two (2) acres in size shall submit this notification form to the Division prior to constructing or operating the landfill.
This form and required attachments listed in the instructions at the end of the form must be filed for recordation in the
Register of Deeds' Office. The Register of Deeds shall index the notification and attachments under the name of the
owner(s) of the land in the county or counties in which the land is located. The Register's seal and the date, book, and
page number of recording must be included on this form when submitted to the Division. + nos ��crus�ca[avrr is ++cri vuu dv
authorize operation of a landfill unless complete with requii i attachments, accurate, recorded, and submitted to
the Division as required by 15A NCAC 13B .0563(2)(b).
1. Facility Name: Q � � 5 M 0 L)1- - &, r� \i�,)(�
2. Facility location (street address): d TJ
City: F County: IA C bibLU 6 Zip: a i (0
3. Directions to Site:"'�� �= �U t� �a�� �d i
rn I 14 i L o n 01C1 PT5y- '- 5 u a a r 1-4 t
I n t 4G r el
1

4. The land on which this landfill is located is described in the deed recorded in:
Deed Book:1L6,q Page: '36C> County: jibCD6f0e,J I PIN: 7b - /Jb$
5. GPS Coordinates Lat: l
(decimal): 35 ' '� & . ) ) ' ` Long:
A / (yT,
6. Name of landowner: A I h e r4- M. M e l ,'o n
7. Mailing address of land owner: (D (% �y - �— a+t c) . , , 4. ) ► I
City: State: ! v °
Zip: � � d
8. Phone # and e-mail of land owner:
If the land is owned by more than one person, attach additional sheets with the name, address, and phone number of all
additional land owners.
9. Name of operator: -Sc.J 4 14-p in
10. Business name of operator:
i eJ
11. Mailing address of operator: 'JrJ "-Ii rn " kci
City: d State: + Zip: d
12. Phone # and e-mail of operator: Q 'tip) 44J - (1 3--2
If the landfill is operated by more than one person, attach additional sheets with the name, address, and phone number of
all additional operators.
13. Projected use of land after completion of landfill operations: AAS+� re,
14. Date of local government zoning approval: hl A (,5 e g e n a osdr
A copy of the local government approval shag be attached.
15. Date of response from the State Historic Preservation Office: u LTA J
A copy of the response from SHPO shag be attached. Solid Waste Section staff can assist with this approval if needed.
16. Date of response from the NC Natural Heritage Program: ,) U f1 .1
A copy of the response from NC NHP shall be attached Solid Waste Section staff can assist with this approval if needed.
17. Date of approval from the NC Division of Energy, Mineral, 5 ,I..e, u+f 't l I Ce nn ccc , to I e S5,4 61 " � n 2
and Land Resources, Erosion and Sediment Control, or acre- coo c, pe(V W 1►1 "ct �''v�`"f e_ff"` 1
delegated local government program: 4o o; ,v I e r c, S,'o ,ti ei 4 +k t 5 -P we
-
t ).GrC t� S Gu r re'rrj'i,1 rt SS jS'K�•'l ncf— I n CD504
A copy of the DEMLR or local government approval letter or certificate shall e attached. f
18. Attach a site map showing the disposal area and all applicable buffers and other siting criteria, or provide the
map book and page number of the landfill plat recorded with the register of deeds:
Map Book: Map Page #:
North Carolina Department of Environmental Quality I Division of Waste Management
217 West Jones Street 11646 Mail Service Center i Raleigh, North Carolina 27699-1646
919.707.8200

Certification by Land Owner(s):
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 136, 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(s) 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 fifteen thousand dollars ($15,000.00) 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 be required to
comply with all such revisions or amendments.
L $I!�� l 15 �/_ —3a)"I'll (-D
vner Name (Print) Owner Signature Date
Owner Name (Print) Owner -Signature Date'
North Carolina
tJ w41k, Ln7%6 t' County
1, �� t Y� t't ' 'I[ , a Notary Public for said County and State, do hereby certify that
6-r fr• N14cnj kme b hi Mpersonally appeared before me this day and acknowledged the due execution of
the foregoing instrument. / �
Witness my hand and official seal, this the `# `�� day of , 20�_.
CHRISTINE Hlt�.
i NOTARY PUBLIC
9uncambe C("OY
i Cram,EXP'M!'�.
My
a�a'4 (�e
Notary Public
My commission expires 't -('>'. , 20 ;Q

Certification by Landfill Operator (if different from 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. I have informed the land owner of my plans to dispose of solid waste on the land and the
land owner has specifically granted permission for the operation of the landfill. I understand that both the operator and
land owner are jointly and severally liable for improper operations and proper closure of the landfill as provided for by
North Carolina General Statute 130A-308.27. I further understand that North Carolina General Statute 13OA-22 provides
for administrative penalties of up to fifteen thousand dollars ($15,000.00) 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 be required to comply with all such revisions or
amendments.
Operator Name (Print) Operator Signature
North Carolina
l >t,(�V1 LLi ri County
Date
1, a f14i Ak n f I I , a Notary Public for said County and State, do hereby certify that
SLr�Tr . P, t'e`rm 1 personally appeared before me this day and acknowledged the due execution of
the foregoing instrument. t ,
Witness my hand and official seal, this the r-t`I `-' day of 4, 20 .2-0
CHRISTINE HILL
NOTARY PUBLIC
Buncombe County
North Carolina
My Commission Expires
Notary Public
My commission expires - ; A , 20 At .

■ ■ Roy Cooper, Governor
�, ff, NC DEPARTMENT OF Seas: Hamilton, Secretary
■n.-n NATURAL AND CULTURAL RESOURCES
MIZE 4.1/<altor CLirk. Director Land and water Stewardship
NCNHDE-9658
July 18, 2019
Scott Melton
Melton Grading
207 Vineyard Road
Old Fort, NC 28762
RE: 207 Vineyard Ave, Old Fort, NC
Dear Scott Melton:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates
that there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary, or within a one -mile radius of
the project boundary.
Please note that although there may be no documentation of natural heritage elements within or
near the project boundary, it does not imply or confirm their absence; the area may not have been
surveyed. The results of this query should not be substituted for field surveys where suitable habitat
exists. In the event that rare species are found within the project area, please contact the NCNHP so
that we may update our records.
Please also note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may also not be redistributed without
permission.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod nev. butlerna ncdcr,aoy or 919.707.8603.
Sincerely,
NC Natural Heritage Program

ily 18, 2019
Project Boundary
u Buffered Project Boundary
NCNHDE-9658: 207 Vineyard Ave, Old Fort, NC
Page 2 of 2
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FAO, NPS, NRCAN, GWS.., IGN, Kadaeler NL, Ordnance Survey. Esn Japan,
METI, Eeri China (Hong Kong), (c) OpenStreelMap Contributors, and the GIS
User Community

North Carolina Department of Natural and Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Administrator
Governor Roy Cooper
Secretary Susi H. Hamilton
June 21, 2019
Scott Melton
Re Develop Landfill, 207 Vineyard Road, Old Fort, McDowell County, ER 19-1765
Dear Mr. Melton:
Thank you for email of May 21, 2019, concerning the above project.
Office of Archives and I-Iistory
Deputy Secretary Kevin Cherry
We have conducted a review of the project and are aware of no historic resources which would be affected by
the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill -Earley, environmental review coordinator, at 919-807-6579 or
environmental.review y_;,ncdcr.�gov. In all future communication concerning this project, please cite the above
referenced tracking number.
Sincerely,
Ramona Bartos, Deputy
State Historic Preservation Officer
T .......:..... i no p.�<t i-- Swett Raleigh NC 27601 Mailing Address- 4617 Mail service Center, Raleigh NC 27699-4617 Telephone/Fax: [phone]-6599

I. Dollar G. Miler do hereby certify that this plot was drown
from an actual field land surveyconducted under my direct
supervision, and represents the property as described in
DB. Aan ; PG. 850 : That the error of closure an the control
survey does oat exceed 1/ 7.500+ ' and that this plot was
prepored in accordance with G.S. 47-JO as amended.
WITNESS NY OFFICIAL HAND AND SEAL THIS THE 22_ d OAY OF
NOvEMBER , 201E_ AO.
Dallas Mller.AL.S.
N.C. L-1445
1, further certify by placing an X in the squares below to one
or more of the Nff..ing be true.
EI This survey creates a subdlvWon of fond within the area of
a county or municipality that has on ordinance that regulates
parcels of lands.
❑ Thia surveyy is located In such on area of a county or
ro-kipallty that is unregulated as to ao ordinance that
regulates parcels of land.
® This survey is of on existing parcel of land.
® this survey is of another category, such as the recombining
of existing parcels. a court urda= survey, or other
excea6on to the definition of subdivislan of ?and.
�en x�aY: rlur�orAa usm ra((u(. al Loswr.s+a(R. NAUK4l, x.c. xs»7
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OLD FORT MILL AD.
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STATE OF NORTH CAROUNA, COUNTY OF McDOWELL I __ ,review officer of McDowell County, certify that
Filed Ipr regiatrotion ot_-...--lock—M this th—dpy the mop or plot to which this certification Is affixed meets oil
of--, 20— and rocordod in Plot Book_.- , statutory requirement for «carding.
page _.
Ateistoot or Register of Deeds RENEW OFFICER GATE
S/
SEAL y I
N.C.
L-1445
UMSNCE W, fax IAAYi fi{IR
p& e.M; Va NJ
14x un m. No.
ae49-Oh4004
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0460-6B-I�J7.i
REVISION Dll
DALLAS G. MILLER, P.L.S. L-1445
12 TOSYN SQUARE, P.O, BOX 51$
HUANSVILLE, NORTH CAROLINA 28714
Ph. 1-828-682-3916 Fax [phone]
DRAWING NO. 1865-010 DATE NOVEMBER 22, 2019
ALBERT M. MELTON ET UX
D81152; PG. 710
TAX MAP ID. NO.
1669-70-1208
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NUMBER DIRECTION
DISTANCE
LIS 89'281,11 E
L2 N BI'09'24'` E
24. 93'
63,47'
LJ S 60'4J'11" E
13.62
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McDOWELL COUNTY, NORTH CAROLINA
4 AS SET R4
ONCRETE
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