HomeMy WebLinkAboutN0671 STEPP LANDFILL31240
1--and C IeariIII 10r4 Inert bebHs LandmPl it
Salk ;tmw:k�i on
+��rih Crsa��r�a,
.�� foregoing certi`icate(s) of
Notary �'ur�iie: ; ref acrtitiad to correct, 4his
instnamorlt presented to registrabon and recorded in t is office
this _,y ut
at 20
e�ister at Deeds (' istant
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Interim Director
ern
CDENR
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 13B 0563{2){a), the land owners) and aperator(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).
2 Facility location (street address): *2-0 D TNT E� KLH A Af it E PP%�
City: fFL4T fS00 County: _MENa9fSVP Zip:%R7 3
3. Directions to Site: ZS COIWECTOI� Fiz0144� X-Zto
oh I A 1309 RP , 1 E r Tl+gN t o f2+ o N
4. The land on which this landfill is located is described in the deed recorded in:
Deed book: L >, page: w*'L Q f county:.
5. Name of landowner s E 5 F 45 T9L PP S 1Z
6. Mailing address of land owner:_j0 ( :FNt! A CCIA AN G L 04.
City: EL,+r Pc�(C State: /l% G Zip: 201�3 j
i. Telephone number of land owner:( $ Z 8 ) 14 a 3 1 5 0 S'
If the land is owned by more than one person, attach additional sheets with the name, address, and
phone number of all additional landowners.
8. an of operator: Vx 5 r 5 fic P T
8. Trade or business name of operator:
10 Mailing address of operator: :54 vvk t� 5 vi 13 0 V �►4m 5 F
City �- %Z b C (C State' C Zip: L g� 3
11. Telephone number of operator'( SZ 8 ) 1'O q S^ f Sd S
If the landfill is operated by more than one person, attach additional sheets with the name, address,
and phone number of al! additional operators.
12. Projected use of land after completion of landfill operations: n/D �1
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone. 919-733-0692 \FAX• 919-733-4810 1 lntemet www.enr.state.nc.us/
AN EQUAL OPPORTUNITY 1 AFFIRMATIVE ACTION EMPLOYER — 50%RECYCLED / 10%POST CONSUMER PAPER
The following are the applicability, siting, and operating criteria for Land Clearing and Inert Debris Landfills operating under
notification.
E
r
12yQ P682
(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 strictures
(b) 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.
(15) 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:
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 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
landowner, I, the landowner, 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 landowner 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-3O9.27. 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 be
required to comply with all such revisions or amendments.
a N m r S r&n)V =L?AJl`' STE fr'j Jrs� [/&"t � s/
3Name (Owner) Signature (Owner) Date g �-05
r. I I GL 6 - St e.? �5 a, 4 . 1? 45
North Carolina
-Fr'S11L County
I 5A :7t, )QYw C% a Notary Public for said County and State, do hereby certify
F.- r , � p �Tr•
that ".0 1 d S Lw personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
Witness m� hand and official seal, this the
lrrs}ra J'41errrirr
• it /e
TA a
mission )lee.
2001.
Operator (if different from Owner):
I� jhat th�.rti�fi�4ation provided by me in this notification is true, accurate, and complete to the best of
mj/��,�I6 g q ,0l`iacility siting and disposal operations of this Land Clearing & Inert Debris landfill will
comp!'yI-withlltk�e11`�qulrements of Sections .0563, .0564 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. I have informed the landowner of my
plans to dispose of solid waste on the land and the landowner has specifically granted permission for the
operation of the landfill. I understand that both the operator and landowner 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
ft i
1240 P683
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.
Print Name (Operator) Signature (Operator) t Date $_g_�jc�—
� 19rI1e 5 FRANXUfl sr� PP TR *�` - `
North Carolina
County
1, J �e a Notary Public for said County and State, do hereby certify
that personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
Witness my hand and official seal, this the
,'y��4fu4euln�r+`1I,
L1 ,
fly Q0mmex %.k z , 20VI
A �`•'
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For afS�4tj`1 Or,t1l handdwners and landfill operators, attach separate notarized certifications for each
land owner and landfill operator.
additional
For Corporate landowners and/or operators, use the Corporate Certifications, pages 5 and 6. Contact the
Division of Solid Waste Management for proper applicable certifications.
INSTRUCTIONS
Purpose Notification of Land Clearing and Inert Debris Landfills under two (2) acres in size 4s required under 15 NCAC 138
0563(2)(a) Contact the Solid Waste Section at the address below for further information
Distribution Mail completed recorded original notification to the following address
Division of Solid Waste Management
Solid Waste Section
1646 Mad Service Center
Raleigh, North Carolina 27699-1640
(919) 733-0692
Disposition This form will be transferred to the State Records Center when reference value ends Records will be held for agency in the State
Records Center five (5) additional years and then transferred to the custody of the Archives