N0474 GROVER WILSON SOESBEE, III

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IJ13Ir 15 t,H '59
GROVER WILSON SOESBEE III
RET: 1343 NORMENT RD
LUMBERTON NC 28358
NORTH CAROLINA DEPARTMENT OF
,,"YIRONMENT PMLNATURAL RESOURCES
DIVISION OF WASTE MANAGEMENT
1085 329
LA14D CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
((OBLSO.i ( OW111 Y
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).
Facility Name: N
Facility location (street address): `
City: P,--ION County: /Qo rcAl Zip:1aL
3.
4. The land on which this landfill is located is desccrib d in the deed recorded in:
Deed Book: ES_5 Page: County:. A 1CS/W1l
5. Name of land owner: (_7 -roVet' Wt'(S3a/ Jes
6. Mailing addree/ss of and owner: �.�Y�
City: 4A,FJ�N State: Zip:���y
7. Telephone number of land owner:( C//-- ) IN 1,7117/7Z
If the land is owned by more than one person, attach additional sheets with the
name, address, and phone numbe�r%f alll additional land owners.
8. Name of operator:-S-Yell Wa,el,&,
9. Trade or business name of operator:
10. Mailing address of o%erator:
City: A A_4- d Z—/ State: IV L Zip:
11. Telephone number of operator:( 2/2 1 717
If the landfill is operated by more than one person, attach additional sheets with
the name, address, and phone number of all additional operatorss..
12. Projected use of land after completion of landfill operations: 14 f1irL yr
401 OBERLIN ROAD, SUITE 150, RALEIGH, NC 27605
PHONE [phone] FAXBID-715-3605
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

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The following are the applicability, siting, and operating criteria for Land Clearing and Inert Debris Landfills
operating under notification.
.0101 DEFINITIONS
(72) 'Land clearing waste' means solid waste which is generated solely from land clearing activities such as stumps, trees, limbs, brush, grass, and
other naturally occurring vegetative material.
(73) 'Land clearing and inert debris landfill' means a facility for the land disposal of land clearing waste, concrete, brick, concrete block,
uncontaminated soil, gravel and rock, untreated and unpainted wood, and yard trash.
174) 'Yard trash' means solid waste resulting from landscaping and yard maintenance such as brush, grace, tree limbo, and similar vegetative
materials.
.0683 APPLICABILITY REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Management of land clearing and inert debris shall be in accordance with the State hierarchy for managing solid waste as provided for under N.C.G.S. S
130A-309.04(a). Disposal In a landfill is considered to be the least desirable method of managing land clearing and inert debris. Where landfilling is
necessary, the requirements of this Rule apply,
(1) An individual permit from the Division of Solid Waste Management is not required for Land Clearing and Inert Debris (LCID) landfills that meet
all of the following conditions:
(a) The facility Is to be operated for the disposal of land clearing waste, inert debris, untreated wood, and yard trash. Operations must
be consistent and In compliance with the local government solid waste management plan as approved by the Division of Solid Waste
Management.
(b) The total disposal area Is under two acres in size.
(c) The facility and practices comply with the eking criteria under Rule .0664, and operational requirements under Rule .0568.
(d) The fill activity Is not exempt from, and must comply with all other Federal. State, or Local laws, ordinances, Rules, regulations, or
orders, including but not limited to zoning restrictions, flood plain restrictions, wetland restrictions, sedimentation and erosion control
requirements, and mining regulations.
42) Where an individual permit is not required, the following applies:
(a) The owner of the land where the landfill is located must notify the Division on a prescribed farm, duly signed, notarized, and recorded
as per Rule .0563(2)(b). The operator of the landfill, if different from the land owner, shall also sign the notification form.
Ib) The owner must file the prescribed notification form for recordation in the Register of Deeds' Office. The Register of Deeds shall Index
the notification in the grantor index under the name of the owner of the land in the county or counties in which the lend is located.
A copy of the recorded notification, affixed with the Register's seal and the date, book and page number of recording shall be sent
to the Division of Solid Waste Management.
(c) When the land on which the Land Clearing and Inert Debris Landfill is sold, leased, conveyed, or transferred in any manner, the deed
or other instrument of transfer shall contain In the description section in no smaller type than that used in the body of the deed or
Instrument a statement that the property has been used as a Land Clearing and Inert Debris Landfill and a reference by book and page
to the recordation of the notification.
.0664 SITING CRITERIA FOR LAND CLEARING AND INERT DEBRIS (LCID) LANDFILLS
The following siting criteria shall apply for Land Clearing and Inert Debris (LCID) landfills:
(1) Facilities or practices, shall not be located in the 100-year floodplain.
(2) Facilities or practices shall not cause or contribute to the taking of any endangered or threatened species of plants, fish, or wildlife.
(3) Facilities or practices shall not result in the destruction or adverse modification of the critical habitat of endangered or threatened species as
identified in 50 CFR Part 17 which is hereby incorporated by reference including any subsequent amendments and editions. This material is
available for inspection at the Department of Environment, Health, and Natural Resources, Division of Solid Waste Management, 401 Oberlin
Road, Raleigh, North Carolina 27605 where copies can be obtained at no cost.
14) Facilities or practices shall not damage or destroy an archaeological or historical site.
(5) Facilities or practices shall not cause an adverse impact an a state park, recreation or scenic area, or any other lands included in the state nature
and historic preserve.
(6) Facilities shall not be located In any wetland as defined in the Clean Water Act, Section 404(b).
(7) It must be shown that adequate suitable soils are available for cover, either from on or off site.
(8) Lend Clearing and Inert Debris landfills shall meet the following surface and ground water requirements:
(a) Facilities or practices shall not cause a discharge of pollutants into waters of the state that is in violation of the requirements of the
National Pollutant Discharge Elimination System (NPDESI, under Section 402 of the Clean Water Act, as emended.
(b) Facilities or practices shall not cause a discharge of dredged materials or fill material into waters of the state that is in violation of
the requirements under Section 404 of the Clean Water Act, as amended.
(c) Facilities or practices shall not cause non -point source pollution of waters of the state that violates assigned water quality standards.
C� (d) Waste In landfills with a disposal area greater than two acres shall be placed a minimum of four feet above the seasonal high water
LLl table, except where an alternative separation is approved by the Division.
C7 M (a) Waste In landfills with a disposal area less than two acres shall he placed above the seasonal high water table.
Q (9) The facility shall meet the following minimum buffer requirements:
0L. Ch (a) 60 feet from the waste boundary to all surface waters of the state as defined in G.S. 143-212.
(b) 100 feet from the disposal area to property lines, residential dwellings, commercial or public buildings, and wells.
(c) Buffer requirements may be adjusted as necessary to insure adequate protection of public health and the environment.
(10) The facility shall meet all requirements of any applicable zoning ordinance.
.0660 OPERATIONAL REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS (LCID) LANDFILLS
Land Clearing and Inert Debris (LCID) landfills shall meet the following operational requirements:
LIDI) Operational plans shall be approved and followed as specified for the facility.
CrgI The facility shall only accept those solid wastes which it is permitted to receive.
1 Solid waste shall be restricted to the smallest area feasible and compacted as densely as practical into cells.
Ci'11 Adequate soil cover shall be applied monthly, or when the active area reaches one acre in size, whichever occur: first.
n) 120 calendar days after completion of any phase of disposal operations, or upon revocation of a permit, the disposal area shall be covered with
a minimum of one foot of suitable soil cover sloped to allow surface water runoff in a controlled manner. The Division may require further action
In order to correct any condition which is or may become injurious to the public health, or a nuisance to the community.
(6) Adequate erosion control measures, structures, or devices shall be utilized to prevent silt from leaving the site and to prevent excessive on site
erosion.
(7) Provisions for a ground cover sufficient to restrain erosion must be accomplished within 30 working days or 120 calendar days upon completion
of any phase of landfill development.
(8) The facility shall be adequately secured by means of gates, chains, berms, fences, etc. to prevent unauthorized access except when an operator
is on duty. An attendant shall be on duty at all times while the landfill is open for public use to assure compliance with operational requirements
and to prevent acceptance of unauthorized wastes.
(9) Access roads shall be of all-weather construction and properly maintained.

C53/
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1101 Surface water shall be diverted from the working face and shall not be impounded over waste.
1111 Solid waste shall not be disposed of in water.
112) Open burning of solid waste is prohibited.
(13) The concentration of explosive gases generated by the facility shall not exceed:
la) Twenty-five percent of the lower explosive limit for the gases in facility structures.
lb l 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.
115) 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.
NOOK PAGE
Certification by Land Owner:
1085 331
1 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 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 ($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 amendrpents. /
rrOVNr bJ ISSN _
Print Name (Owner)
North Carolina
Signature (Owner)
Date
PNID) flt)ofl ff County
QKS I, M_=- kev- r KN , a Notary Public for said County and State, do hereby certify that
Arta Pic V4ASOY1 -5 ty--,6e I k personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
ifficial seal, this the I a day of Kf ucembl')r19T_.
Notary Public
-Dl,eCe-M\3n- Ilo .

Certification by 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. I have
informed the land owner of my plans to dispose of solid waste on the land and the land owner has
specifically granted permission for the operation of the landfill. 1 understand 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. 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 b4reqir d to comply w'th II h revisions or amendments.
+erPrint Name (Operator) (Operator) DaAfi
lv
North Carolina U; p p K PACE
:0�1� County 1 0 8 5 3 3 2
I, MQV- T' 4arAi >n , a Notary Public for said County and State, do hereby certify that
V�6 rAlY) t )r . personally appeared before me this day and acknowledged the due
execution of the foregoing instrument..
official seal, this the 1- day of &W.flakk-r-, 1999
Notary Public
; and landfill operators, attach separate notarized certifications for each additional land
or.
For Corporate land owners 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 Lend Clearing and Inert Debris Landfills under two (2) acres in size is recauUitaqd o er 1,r� NCAC T 0563(2)(a). Contact the Solid
IyUtlll(U�It10 lire R y
Waste Section at the address below for further information. ,,.,,-:.a..,�_F+.�,j1,(1 .. �OUnI
y{ The forWidnq e5 s1
Distribution: Mail completed recorded original notification to the following address:
�
�t (tVi:ii3i: n r
Division of Waste Management h CC!!O::,i jc ,
Solid Waste Section,) V
PO Box 29603 %ll »,uvv
Raleigh, North Carolina 2761,1-y403,p �IS Y f` __
[phone] !l/yf�6AjC,[,'//T/
Wv 1.In-die„�vr [i j a''r b1y°ar�'the State
Disposition: This Corm will be transferred to the State Records Center when ference va ue , -etc will be .,..,if0 a
Records Center five (5) additional years and then transferred to the custody of the Archives.
4