N0618 VIEWMONT SANDROCK & LANDFILL

Dec 04 03 06: 15P David Garrett BK 5995 P9q927§§ tale P.2
North Carolina
Department of Environment and Natural Resources
RECORDED - 797308 Q •
LID Division of Waste Management KATHERINE LEE PAYNE
M REGISTER OF DEEDS r ��
GUILFORD COUNTY, NC NCDENR
tBOOK: Michael F. Easley, Governor BOOK: 5995
f'V Gilliam G. Ross Jr., Secretary PAGE (S) :2736 TO 2738
CD Dexter R. Matthews, Director 12/05/2003 10: 34: 18
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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 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).
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Facility Name: VifWMI01/'' c.,i LANp><-/LLTA(NLJe7H FAUL/T� 00
Facility location (street address): IfoSZ ✓11C �'MoN'T PE'AID
City: i7KEJcaSSoRG�Pe, County: G VIL-gre4m Zip: Z74f0(p
Directions to Site: S gs souTH -?� f ,0k-bEfJ GOAD E)e1T , SoV� 12
14VL>EP) - 1.57 rAll_ES To S/SfFaP VoAA, &JEST oN S151400P - / MIL-C
'To VIEwfAvN1' jtot► fJ/ NoRTfi cN VfENMDNT, ENfrANGE oN a.EcT
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The land on which this landfill is located is described in the deed recorde irt:
deed book: S 4 q (v page: d 61 / / county:
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Name of land owner: V%EW/64DNT LL.L
6.
Mailing address of land owner: $or( 7714P
City: />12EEa58D920 State: NL Zip: 274f7
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Telephone number of land owner:( 334ro 1 5,80—~0
If the land is owned by more than one person, attach additiotldJOS/f1tA�is wi�Ih the a e,HCddress,
and phone number of all additional land owners. 11MIISCJDOCUMENTS 797308 $12.00
V PO
1 MISG DOC S $3.00
e.
Name otoperator: IJIEWMiI7rJ'f �oA-D ?�oP t S� Gf-L
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Trade or business name of operator: U/ENM pW T SkNDROt �f� LAf�DGILL
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Mailing address of operator: r BOX '7 7 7 4P
City:6*feeS1;PRt? State: ^IL Zip: 27�f
11.
Telephone number of operator:) i340 1 SSo 06-60
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 operation s:PRf DE.S/b�1AieD=S•�
(4t'OPES a►r t S6 GolIE1tEP " so/t_ AN D VEtrEtATE D
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY \ APPIRMATIVE AC'CION EMPLOYER- SO%RECYCLED/ 10%POST CONSUMER PAPER

Dec 04 03 06: 15p David Garrett BK 5995 Pg792T§7 late
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Certification by Corporate 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 138, 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 corporate land owner, the corporate land owner, has knowledge of the operator's plans
to dispose of solid waste on the land and is 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 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. 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.
v t 1--w f u r Ccl P U t e6, u-L� )a - 5 -U 8
Corporation Name (Print) t I b G t eUJ rn 0 kf SiC n v-DC�- Date
(Corporate Seal) Attest:
�Ar J -�� u l7l '6-
� r PQ n ait�,
North Carolina
n County
I, .LUr DnOt to I A a Notary
that Sip rru (rl It1 P
Public for said County and State, do hereby certify
appeared before me this day and
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acknowledged that 40-{ot she) is aerttary q{ 2�,�Ull'p
K� (Zc�0.Cl YYpQX"e� name of
), a Q and that by authonty duly given and as the act of the , the forgoing
instrument was signed in its name by its rev ca r ��� ((�Q_x�A� (pr��Q_"
sealed Wth hb�rporare seal, and attested by himself (or herself) as its �D -Doty-k(
Witness my hand and official seal, this the 54 day of 'ZP I/>t.q� , 20 �3
(Official Seal) ILA
Notary Public
My commission expires Al , 20C>&
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BK 5995 PG 2738
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KATHERINE LEE PAYNE, REGISTER OF DEEDS
GUILFORD COUNTY
201 SOUTH EUGENE STREET
GREENSBORO, NC 27402
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State of North Carolina, County of Guilford
The foregoing certificate of
A Notary (Notaries) Public is/are certified to be correct. This instrument and this certificate are duly
registered at the date and time shown herein.
KATHERINE LEE PAYNE, REGISTER OF DEEDS
Deputy - Ass tant Register
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This certification sheet is a vital part of your recorded document.
Please retain with original document and submit when re-recording.
W. IN6(Rev. 3N3)