N0058 HAUGEN COMPANY, INC.

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State of North Carolina
Department of Environment, Health, and Natural Resources
512 North Salisbury Street • Ralcigh, North Carolina 27604
Division of Solid Wxstc Managcmcnt
James R Hunt, Jr., Governor a Solid Waste Section
/ Jonathan 8 Howes. Secretary
Tamr>n,6 (939) 7334946
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 13B .0563(2)lal, the land owneris) 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, and recorded as
required by 15A NCAC 13B .0563(2)(b).
1.
Facility Name: Haugen LCID Landfill
2.
Facility location (street address):_ N. C. H v Y 53
.
City; Jacksonville, NC County: onslov
Zip: 28540
3.
The land on which this landfill is located is described in the deed recorded in:
deed book: 724
Page:— e h n „county: Q n s i o v
4.
Name of land owner: -Conrad 0. Hau en ( deceased ) Mark Hauyen ( Executor j
5.
Mailing address of land owner: 129 Moosehaven Road
City: Jacksonville State- N ' C ' Zip: 28546
6.
Telephone number of land owner: 9 1 0 1 3 4 6- 9 4 4 1 --
•
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.
7.
Name of operator: Hau e n Company, Inc.
8.
Trade or business name of operator: same
9.
Mailing address of operator: 129 Hoosehaven Rd.
City: Jacksonville State: NC Zip; 28546
10.
Telephone number of operator: -9441
If the landfill is operated by more than one person, attach additional sheets with the name,
address, and phone number of all additional
operators.
11.
Projected use of land after completion of landfill operations:
r r ee s .
�J
PQ Rm, 276fr7, Puleig t Nadi C". 2701.7697 Tc Thll 919•713-4M4 Fax l 9197334M)
A- FAL01 or,r-may Afr,,,,,, dw Anro, rmrjnw_
Book 1164 Page, 1977-Current 107 S

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BOOK 116 4 PA6E 103
The following are the applicability, siting, and operating criteria for Land Clearing and Inert Debris
Landfills operating under notification.
0101 DEFINITIONS
172! 'Land cteanng wash' rtaerss solid wasp which i g@nw&tad as1slf from land clearing sctio@ips such as stumps, trade. limbo, brush,
!rasa, and other nat•arally occurring wgstaliw material.
(72) 'Lard clearing end inert debris landfill" means a facility for the land dlspesel at lard clearing waste. Concrete, brick: concrete,biock.
trrtcontame+ated sell. gravdt and rock, untreated and unpalntod wood, and yard trash.
1741•Yudtrash'meanssolid waste resulting from landpcapingandysedmalnt*nancesuchaobrwh.grew.tmotfmbs,andsknllerwgetatlw
materials.
.0663 APILICAInITY REQUIREMENTS FOR LAND CL[ARINO AND MAT DEBRM ILCtD) LANDFILLS
lisenapane"I of land clearing erd Inert debris shag be In occordprns with the State hhrorchy tat managing solid waste as provided for under
N.C.G.S. t 13OA-30.041a1. Dwposel In a lendfrll Is considered to be the least daskobte method of managing land claaring and Inert debris.11YMra
isidfrtling be nacese". the reguir*mente or this Auto apply.
to) An Indiridusl permit team the Division of Solid Waste Management Is not required lot Lend Clearing and hurt Debts ILCtD) lardlll]a that
meet @4 0l the following condasono:
gal The tacit y Is to be operated for the disposal of land cleeAng wsats, knart dobrls, untreated wood, and yard trash. Operations
must be c 3neictent and in compliance with the local govemmsnt solid weal* mansgement plan as approved by the Division
of Solid Waste, Management,
Ibl The total •lraposal are@ is under two @tree In 6128.
let The lacilrty and practices compty with the altlrq criteria under Rule .OG04, and mperelbnel requkernsnte tandoeRule .0660.
(d) The 144 er liv fy is not esampt Isom, and must comply with all *that Federal, Slate. or Local laws, ordinances. Aules.
reputations, as orders, including but not limited to to" restrictions, flood plain restrictions, watlord restrictions,
sediments tlon and erosion control requirements, srtd mining regulations.
121 Where an Indrvsdual permit Is not required, the following applies:
gal The own* of the land where the tand1W is located must notify the Division on a prescribed form. duly, signed, noteAzed, and
recorded a @ per Rule .O603f2libl. The operator of the landfill, It dillerent prom the land owner, shag also elgri the notification
form.
Ibl The owner must file the prescribed notification form for recordation In the Regleter of Deed@' Office. The Repltleror Deed@
shell indexthe noullcallort In the grantor Irdea under the name of the owner of the lard In the county or counties In which
the land Is located. A copy al the recorded notification. Sihliod with the Reg'@tee* seal send the date. Wok and page suits
of tecordrng shall be sent to the Division of Solid Waste Management,
(c) When the Isrd on which the Lard Clearing and Inert Debris Landldl Is sold, lemood, conveyed, ortron■lored M any menner,
the deed or other imtrumrenl al,lrenater snap contain In the doscrtptlon section In no Smaller type than Thal wed In the body
of the deed or Instrument a statement that the property has been used as a Land Closet" end Inert Debrls Larndlill end a
nerarance by book and pegs to the recordation of Use noulicalbn.
.0664 SITING CRITERIA FOlt LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
The following ailing criteria *hill mppN for Lend Clearing and Inset Debris ILCID) landfills:
Ill Facilities or practices, shall not be located In the 100-year floodplars.
121 Foc4sties or practicer shall not cause at contntwto to the taking of any ondenger*d or threatened species of plants, fish, or wildGls.
133 Facilities atprsctieas-rhallnotwuitwtthade■tructronorWvenrmoddkstionofthecriticalhablutofendangeredorthreatenadspeclos
as id"hl-ed in bO CFA Put 17 which is hereby incorporated by reference Includfng arty subsequent amendments will editions. Thle
Ztenal is evedabl* for inspoctlom at the Deportment of Environment. Health, ud Natural Resources, Division of Solid Wut@
nopemSnt. 401 Oaeriin Road, Raleigh, North Carolina 278M where copies con be Obtained at no cut.
141 leacilame or practices shall not damage or destroy an archaeob4lcal or hlatork&I Ohs.
16) Facilities or proctices shall not cause on odvane impact on a state park. recreation or scenic area, or arty other Inside ifteluded in the
stale nature and hu P,nc preserve.
lop fsc44t as rho" not be located In any welfend an d*Gned In the Clean Water Act, Section 4041b1.
171 It must be shown Ihot adequate suilebla woo are available lot cover, either from on or off site.
lei Land Clearing and Leis A Debris landfills Shell most the following surface and ground water requlrst ants;
Ial Faciidiore or practices @hail not cause a drachargo of poflutonle Into "slots of the store that Is In vtolmilien of the requirements
of the Nat onel Pollutant Discharge Ellminallorn System INPOEB). under @action 402 of the Clean Weter Act, a* smendsd.
Ibl Foc,Gtlu ar practices &hall not cause a discharge of dredged materials or lilt material Into waters of the @tat* that Is In
voolalion of the requirsmento tinder Section 4O4 of the Clean Water Act, as amended,
cc) Fac l-ties cr practices shelf not cause nompoinl source pollution of waist@ of the state that vlolotas asoigrt@d water quality
standards.
Idl Wasto lo I,indfdlo with a disposal area greater then two acres shop be placed a mintmurn of four fast &hove the seasonal high
water table, except where an alternative Separation is approved by the Division.
le) West@ in Iandfdle with a disposal sees lees than two acres shall be placed above the Seasonal high waist table.
191 The Iaclfrty shelf most the following minimum buffer requirements;
gal bO lost from the waste boundary to all surface water@ of the state as defined In O.S. 143-212.
101 100 fast from the disposal m@ to property Imes, residential dwellings, commorctal or public budld6gs. end wage.
Icl suffer regsiroments may be a4lustod an necessary to Insure ad*qual* protection of pubma health end IN onv4oromartl.
1101 The f*cWty Shad most SO taquiremente of any applicable lonling ordinance.
.0660 OPERATIONAL REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS ILCIOI LANDFILLS.
Lard Clearing end wet Debris II.CIDI leerdl,ns sha@ most the lo4*wing operational taquirerrenle:
III Operational piano ahs0 be approved and followed as specified for the facility.
121 The I@citdy shelf only accept thou solid wastes which It IS potersilled to receive,
131 Solid waste *half be restricted to the smallest mesa possible and compacted as densely as practical Into Celle.
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Adequate soil cover shall be sppllod monthly, or when the active arcs roaches one sere In all*, wltichavq oawa fiat.
lbl
120 calendar days after completion of arty phase of disposal operations. or upon revocation of a permit, the disposal area shell be
i
covered With a minimum of ens loot of @tataltle soil cover sloped to allow surface water runoff in a controlled manner. The Division
may resulre "her ectlom in order to comet any condition which Is w may become W*a%ue is the public health, or a nWewwo to the
community.
101
Adequate eroslon control measures, structures, at devices ahab be ut4lred to prevent ettl from leaving the $its and to prevent *=nasal
on ate arotlon.
171
Aovielooe for a ground cover sufficient to restrain erosion mutt be accomonshod wUhln 30 working days or 170 caendar days upon
CCmpWHOM of say ph@so of landfill development.
OR)
Tmo l•clhty shop be edeguataN secured by moons of gets•. chalne` berme. bnees. ate. to prevent unaulhoA=ed metes amrcept whom
an operator is on duty. An attendant shag be an duty at all tines while the landfill le open for public wee to aaWe ComOi4ence v mh
aparel anal requirements and to preV@nl sCraptonce of unsuthorited wastes.
10)
Access road@ shag be of all-weather construction trod propsity malA1&Wad.
1101
Surf sce water @hall be diverted from the working face and than not be impounded over wants.
I I 1 }
Solid waste then not be disposed of In water.
1121
Open burning of solid waste is prohibited.
1131
The eoncdntrallon of eaploeiw gas@@ generated by the facility shen not ■aCead.
le) T"nty-flv$ percent of the lower espl"ve limit for the games in facitity etrwctum,
(b) The lows explosive IWA for the games d lit property boundary.
1141
Leechate short be property msnsgad on ells through the use of current beet management proc0ces.
' 1161
Should the Division deem 4 necessary, ground We1W or swff@C@ W@ter monitoring. or both, may be regWrod am pnuvided for undo Rules
.0do1 MW .0002 of this 0ubcheptw.
4161
A sign shag be posted at the lacdity onlrence showing the contact name and runber M came of an emergency and the psmdt number.
The 6errftt number requiroammt Is not ■pplicable for faCilillas not regwrtnp an Individual ponmiL
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 130.
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. 1 further understand that North Carolina General Statute 130A-22 provides for administrative
penalties of up to five thousand dollars f $5,000.001 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.
Conrad tlaugen, Mark Haugen V �/6 u
Print Name (Owner) executor Signature (Own Date 7
• North Carolina
•
/ct / County
I• r L a Notary Public for said County and State, do hereby certify
the �� L amu y
pefsonall appeared before me this day and acknowledged the
�.•`�,ICK
• 4Cgvtion q the foregoing instrument.
: �Q Witnl 11qndTpnd official seal, this the day of uQ r t/ 19,
;�ffiEialO, z: L)if bua
i N Notary Pubic
•
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Book: 1164 Page, 1977-Current= 107 S

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BOOK 116 4 PAGE
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 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. 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 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-309.27. It is further understood that North
Carolina Genaral Statute 130A-22 provides for administrative penalties of up to five thousand dollars
($5,000.00).per day por 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.
•H'at19•te,n Co -parry, Inc.
Cotpocaziptl Nome (Print)
C.
a�e-Seal)
:%
Presio nuot Vice -President Name (Print).
President or Vice -Pre ident Signature
North Carolina
Feb 15 1994
Date
Attest:
Kim Haugen (Sec/Tree.)
Corporate Secretary Name (Print)
Corporate Secretary S' ature
r!o k / County
1, �-Ax iA , A , a Notary Public for said County and State, do hereby certify
that *44C Cn (name of secretary) personally appeared before me this day and
acknowledged that he or shell is secretary of t _ hm Of
corporation), a corporation and that by authority duly given and as the act of the coorrP4ration, the
forgoing•in�,;;Igfn•ent was signed in its name by its ma'LL kzu_oC/1 ! loresident or
—T.., -' re ide
vice�e�il, /fea40 with its corporate seal, and attested by himself (or herself) as its secrets
�pC my h d'and 4bjicial seal, this the /� Ib day of e hata 19 c�
(bffii- sdez
_ PU r:
• Notary Public
.� '.�• % t;`�` MyCorrtmissiwExpires
•
y •6 March 25. tags . 19
M QSitLS9ief7��t1 , ,
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NORTH CAROUN& 0KRAW t:ourrrt J u 11 a L. M u l n i c k
The fomgainz artiruatob) of
Notary(ie•) Publ'K la an) ttrtirrtd to be CortecL This i„atl�thwas preunted fore�Irl2tai^yd recordtd in this office in
Book 1 1 f7 4 _ pa 10 7 Tbts day of t
i 4 p 12 o'clock P-------
Sy
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Book: 1164 Page, 1977-Current 101 Seq: 4