HomeMy WebLinkAboutN1063_InglesideFarmRdPerkinsLCID_201101240007001zi
BOOK 2 2 31 PAGE 2 0 r
Filed
Date: _January_24,_2011_____
Time: 9_34_AM_ Recording Fees
Book: _2231$23.00
Page: __207__
Danny R. Hester
Register of Deeds
Lincoln County, NC
2231 0207 201100715 NOTCE
Il l l ll ll lllll llllll l ll I I IN III 1111111111 I'l IN I III 111111111111
.�, Robinson, Bradshaw &Hinson,
PA
�00Ajk b�s 101 N. Tryon St, Ste 1900
RMENR Charlotte, NC 28246
North Carolina Department of Environment and Natural Resources
Division of Waste Management
Beverly Eaves Perdue Dexter R. Matthews Dee Freeman
Governor Director Secretary
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 13B .0563(2)(a), the land owners) and operators) 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 must be filed for recordation in the Register of Deeds' Office. The Register of Deeds shall index the notification
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. This
notification is not valid to authorize operation of a landfill unless complete, accurate, recorded, and submitted to
the Division as required by 15A NCAC 13B .0563(2)(b).
1
2
3.
Facility Name: Ingleside Farm Road LCID Landfill
Facility location (street address): 1390 N. TngP1 s; de Farm Road
City: Iron Station
County: Lincoln
Zip:
Directions to Site: The property is located on N Ingelside Farm Road between
Jerry Ross Lane and Grand Oak Lane.
4. The land on which this landfill is located is described in the deed recorded in:
Deed Book: 1201 Page: 414 ' County:Lincoln PIN
5. Name of land owner: Richard Perkins
6. Mailing address of landowner: 1475 N. Tnce1 G; de Farm Road
City: Iron Station
State:NC
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: 919-508-84001 FAX: 919-733-481011nternet: www.wastenotnc.orglswhome
An Equal Opportunity 1 Alfirmalive Aeon Employer
32157
NoiehCarolina
�i�tlll'li!!l,/
300K 2231PAGE 208
7. Telephone number of land owner: ( 704 ) 483-2435
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.
8. Name of operator: TWD Enterprises
9. Trade of business name of operator: Trucking -Hauling -Disposal
10. Mailing address of operator: 7482 Highway 73
City: Denver State; NC Zip: 28037
11. Telephone number of operator: (. 704 ) 822-6166
If landfill is operated by more than on person, attach additional sheets with the name, address, and phone
number of all additional operators:
12. Projected use of land after completion of landfill operations:
Drawn By: NCDENR
(Dta�-�-ftr�c mail to)
�tr Robinson, BradshLaw & Hinson, P.A.
101 N. Tryon Straat, Suite 1900
Charlotte, NC 28246
seed and grow grass/hay
H;\Permitting\LCID1Notification_Template\LCID_Notiflcation_200904.doc Page 2 of 9
209
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 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.
�c,lna�-d I �rk.�.� � Mc�►zi�, �f �-c� � o
Owner Name (Print) Owner Signature Date
North Carolina
a Notary Public for said County and State, do hereby certify that
T�i Chao d 'Pe,rIc yiS personally appeared before me this day and acknowledged the due execution
of the foregoing instrument.
Witness my hand and official seal, this the day of L�AU V CC JL14 , 20 1 U 4
�p-rraeKp
Comm. Ex�
fission astoo
Notary ublic
20
H:\Permitting\LCID\Notification_Template\LCID_Notiflcation_200904.doc Page 3 of 9
BOOK 2 2 31 PAGE 210
Certification by Corporate 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. The land owner has been informed of plans to dispose of solid waste on the land and the
land owner has specifically granted permission for the operation of the landfill. It is understood that both the corporate
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. It is further understood 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. It is further understood 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.
President or Vice- President Signature
North Carolina
e 1
Attest:
Corporate Secretary Name (Print)
Corporate Secretary Signature
%L.i� County
I, V O�t dtt C , a Notary Public for said County and State, do hereby certify that
lie go
(name of secretary) personally appeared before me hi§ day and acknowledged
that he (or she) is se tary o (name of corporation), a c ation'� ae-bq�
aa440ti4p-rtnly gf the act of the n, s-Rama �y t�
• - • c,•M,ula•p1EY=1:.u_,:. .a.'ioi:11C-1./•C.. ' •, •
Witness my hand and official seal, this
Cj � � Nota Public
H:\PermlttinglLCID\Notification_TemplatelLCID_Notiflcation 200904.doc Page 6 of 9