The URL can be used to link to this page

Home My WebLink AboutN0689 THOMAS SELLS LANDFILLr Book 2638 Page 1950 2006008751 00212 FORSYTH CO, NC FEE $17.00 PEESERTED f RECORDED: 02-13-2006 01:39 PM DICKIE C WOOD REGISTER Or DEEDS By:PATSY RUTH DAVIS DPTY BK:RE 2638 PG:1950-1951 C, 411c r WDENR North Carolina Department of Environment and Natural Resources Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor William G. Ross Jr., Secretary LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION Pursuant to 15A NCAC 13B .0563(2)(a), 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 tie 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. Facility Name: 77h6Yn 19 5 // S hol '/ -7177 2. c2� [ Facili location (street address): S b d S &e K City:1L R Yt r&; 11 i � � C- County: F0k5 Zip: F 3. Directions to Site: -31C(th if 1 61 3 / h Rf t dN a NioR-ecp J l A e CYP L t is Of AM,' s 4. The land on which this landfill is located is described in the deed recorded in: deed book: 2-5lf3 page: K*d -5 1 county:fORT 5. Name of land owner: C //S 6. Mailigl; address of land owner: q/ t1h S City: Kegmc t5 Ur'le State: IV, C = Zip: 7. Telephone number of land owner:( 33 6 ) --�'6 9- ;L.2- 63 If the land is owned by more than one person, attach additional sheets with the name, address, and phone number of all additional tland owners. 8. Name of operator: /n6M)45 9. Trade or business name of operator: 10. Mailin address of operator. *i 6 it 5 I r not 5 A). City:x&e AtKS✓11l a State: AJ,C Zip: N 11. Telephone number of operator:(33 6 ) �G 9 - AX 0 3 C�12 33 3 9 9— 46 Scp If the landfill is operated by more than one 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: So u/ A:A M^ 6K /¢ SS dnJ -MAv6, At (!aWz 0-1- &644h, dN i 1646 Mail Service Center. Raleigh, North Carolina 27699.1646 Phone: 919-508-84001 FAX: 919-733-48101 Internet http://wastenotnc.org An Equal Opportunity; Affirmative Action Employer -Printed on Dual Purpose Recyded Paper 1 Book 2638 Page 1951 (a) The facility shall be adequately assured by means of gates, chase. berms, fences, etc. to prevent unauthorized access except when an operator ie on duty. An aeendoa shiss be on duty at all tines while the IeMfll Is open for public use to assume compliance with operational requirements and to prevent accepts" of unauthorized wastes. (9) Access roads ahW be of alkvvedw construction and properly maintained. (10) Surface water shall be diverted from the wonMg fete and shall not be Impounded over waste. 01) Soild waste shetl not be disposed of In water. (12) Open burning of wild waste is prohibited. (13) The concentration of seplostve peep generated by the facility shall not saceed: (a) Twenytive percent of the lower explosive lima for the gases in facility st ucturo (b) The lower esplosive lima for the gases at the property boundary. (14) Lmohale shall be properly managed on she through the use of current beer menagemem practices. (15) Should the Division deem ti necessary, ground water or surface water monitoring, or both, may be required as provided for under Rules .0801 and .0802 of this Subchapter. (16) A sign shall be posted at the facility entrance showing the contact name and number in ass of an emergency and the permit number. The permit number requirement is not applicable for facilities not requiting an individual permits. 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, .OW and .0566 of 15A NCAC 13B, 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 ($6,000.00) 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 _%sions or amendrt�eri � /... A Je/�t . U 006 Print Name (Owner) Signature (Owner) Date North Carolina V( �50County I, a Notary Public for said County and State, do hereby certify that personally appeared before me this day and acknowledged the due execution of y1*jQWWing instrument. � � Witness'my1_%,ftd and official seal, this the 1 v 1 vl day of t 206('1. (Official seal) ' Notary Public �< Mycommis eiaftl5xpires 200.