N1011 BELLEVIEW FARM

State of North Carolina r r ILEA
Department of Environment, ELiZABETH T COO!'ER
c/p
Health and Natural Resources& O0 / r a �° •
Division of Sollc Wcsre Monagement•96 SEP 20 A10 : �;
t-Am�whvm�� OIL
James B Hunt, Jr , Governor Im7OF
clsrfr HN�
Joncan B Howes, Secretary BURtSE CO N f. `pE
William L. Meyer, Director
LAND CLEARING AND INERT DEBRIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 13B .0563(2)(al, the land ownerls) and operators) of any Land Clearing and
Inert Debris Landfill under two (2) acres to size shall submit this notification form to the Diviston 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 counues in which the land is located The Register's seal and the date, book, and
page number of recoreing 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 136 .0563(2)(b).
1 Facility Name
2
Facility locate \\
Gty ML�CGCON County
�1-�QKr zip• � �6�`�
3 Directions to Site e� We S.V� � ���1 �-i�P. t\Z \N �C--RSC•zRc�w�
l� l �l•�' � �.F��.JFt`� � � � '%• I�ILEZ S I�t E 1 S LtY.1�-i—C-� t�
"C�'re LC�r Naafi 4,� o etc�y��s�ir,
4. The land on whicn this landfill is located is escribed in the deed recorded in.
deed book �O page. , 1 county• 0P,%A\Q\\'L
5 Name of land owner �r�l>JE FP.�2h �\SST l cA rG' • EiZ�J1lJ
6. at address of land owner.
City I F \ eQ& YTi=TD" State, lit ,C `, zip, r
7. Telephone number of land owner.( "1 bt� 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 \
B Name of operator: k� I-C , epN, 1 t3Es
9 Trade or business name of
Mailing address of operator
City. M aRC.P�T1"Cb+� State
• � dC Zip• c��j�S�
11 Telephone number of operator•(
If the landfill is operated by more than one person, attach additional sheets with the name,
address, and phone number of all additional operators �7
12. Protected use of land after completion of landfill operations \" Pr�T\� (ZE_
P O box 27687, ficleicn North Carolina 27611-7687 Telephone [phone] FAX [phone]
An 2e..el Cccc�„^sty At`rmctrve Adicn Emplcyer SC%recycled/ 19 cc s ^ter pcoer

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The following are the appllcablllty, slung, and operating criteria for Land Clearing and Inert Debris
Landfills operating under notlflcatlon
0101 DEFINITIONS
1721 'Land clearing wane' means solid waste which is generated solely from land clearing activities such as stumps trees, limbs brush,
grass, and other naturally c<curnng vegetative material
P31 'Land clearing and inert ceons landfill' means a facility tar the land d•spgsal of land clearing waste, concrete, hock, concrete block,
uncontammatetl soil, gravy and rack, tint eared and unpamred wood anq yard wash
(741 'Yard vash' means loud haste resulting frcm landscaping and yard maimenance such as brush, grass, tree limos, and sim@ar vegetative
materials
0563 APPLICA6IUTY REQUIREMENTS FOR LAND CLEARING AND INERT DE9fl15 ILCIDI LANDFILLS
Management a anq clearing and finer: ceons sna a in accordance wit t e are hierarchy ar managing said waste as provided Iqr under N C G 5
5 130A-309 041a1 Disposal in a landf.11 rs convdere0 ;c be the least desirable method of managing Land deanng and inert debris Where landhlhng
i5 necessary, the requirements of this Rule apply
Ill An individual permit from .re Dwisipn of Scud Waste Management is no[ regwred for Land Clearing and Inert Dehns ILCIDI landfills the[
meet all of the lollowing r_ndiuons
lal The facility is :c ce ooera[ed icr :he disposal of land deanng waste inert debris, untreated woad, and yard trash Operations
must be ccnsinent and m compuance with the local government solid west@ management plan as approved by the Diwnon
of Solid Waste Management
Ihl The [oral cisccsal area is uncer two acres in srza
(cl The facdiry and sacnces comory wnh the snmg criteria under Rule 0564 and operangnal requirements under Rule 0566
Idl he III acvvm/ is not exempt vom, an must comp y with all oNer Federal, State, or Local taws, ordinances. Rules,
regulations, cr orders, mdumng but not limed to zomng resv¢ucns, flood plain restncnons, wetland restncuans,
sedimentation ono erosion control requvemems and mining regulations
12I Where an individual permit is tic[ required, the following aDOhes
lal The owner of u`e land where the landfill is located must notify the Diwsion on a prescnhed form, duly signed, ngtanzed, and
recorded as per pule 05631211D1 The operator of the lantlhll, i i Brent ram i e an owner, snot aisq sign t e non icanon
or�m
(hl The owner mu: file the prescnced nouficauon form for recordation in the fle9ister of Deeds' Office The Regarer of Deeds
snarl mcex ;tie ^cuncauon m the grantor index under lne name o Ne owner o •the an in t e ccunty or counties in whi—rc t
t e tang is ioca-ed copy of the recorded nanficauon, affixed with the Register's seal and rho date, book and page number
of recormng snarl be sent to the Dwinon of Solid Waste Management
Icl When the land on which the Land Clearing and Inert Debris Landfill is said, leased, conveyed, or transferred in any manner,
the deed ar ot: er instrument of vanster shall contain m the description section m no smaller type than that used m the body
of the dezd cr instrument a natement that the property has been used as a land Clearing and Inert Debris Landfill and a
reference by tccx and page to the recordation of the nonficauan
—�77 0564 SITING CRITERIA FOR LAND CLEARING AND JNERT DEBRIS ILCIDI LANDFILLS
111 Faalnies or practices, shall nct be located m the 100-year floodplain,
121 Facihnes or practices shall not cause or ccritrihuta to the taking of any endangered or threatened species of plants; fish, or wddlrfa
(3) Fanhnes or prances shml ^pt result m the destruction pr adverse modification of the critical habitat of endangered or threatened speces
s identified in 50 C=R Part 17 which is hereby incorporated by reference mduding any subsequent amendments and edmons This
material Is available for insoecnon at the Department of Environment, Heahh, and Natural Resources, Dwinon of Solid Wane
Management 401 ODerhn Road, Raleigh North Carolina 27605 where copies can ha obtained a[ no cost
(4I Fanlrties or Dracuces shad not damage or destrcy an archaeological or historical she
151 Faabnes or practices snail rot cause an adverse impact on a state park, recreavon or scenic area, or any other lands included m the state
nature and Nitonc preszrve
I61 Facihnes shalt not he located m any wetland as defined in the Clean Water Act Secnan 404(bl
171 It must be shown that acequate suitable sails are available for cover, either from an or pff site
Ig) Land Clearing and Inert Decns landtdls shall meet the following surface and ground water requvements
lal Fac lines cr prances shall not cause a discharge of pollutants into waters of the state that is m viglanon of the requirements
of the Nanonai Pcllutant Discharge Elimination System INPDES), under Section 402 of the Clean Water Act, as amended
fbl Facihnes cr pro maces shall not cause a discharge of dredged marenals qr fdl material into waters of the Hate Nat is in vwlanon
of the require^. Brits under Serion 404 of the Clean Water Act, as amended
(c) Facilities or Dracuces shall riot cause non -point source polluticn of waters of the state that violates assigned water quality
standards
Idl Was•a m lanc`ILc wnh a disposal area greater than two acres shall be placed a minmum of four feet ahgve the seasonal high
water table except where an alternative separation is approved by the Division
lei Waste in landfills wnh a disposal area less than two acres shall be placed above the seasonal high water table
191 Tha facdrty shall mee• the following minimum buffer requirements
lei 50 feet from the waste boundary to all surface waters of the state as defined in G 5 743.272
Ihl 0 feat from :he disposal area to prpperty lines residential dwellings, commeraal or public buddin95 and wells
Icl Buffer recuirements may be adjusted as necessary to insure adequate protection of public health and the environment
I701 Tho facility shall meat ail requvements of any applicable zoning ordinance
���0566 OPERATIONAL REDUIRE!AENTS FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Land Clearing and Inert Debris ILCIDI landfills shall meet the following operational requvements
171 Operational plans shall De approved and followed as specified for the facih[y
(21 The faality shall only ar_at these solid wastes which rt is permitted to retinue
l3) o i wane sna a res;ric:eq tot a smauest area ease a and rompacteo as ense y as pracvcal into cells
141 Adequate sml cover snail De applied monthly, or when the active area reaches one acre in size, whichever occurs fast
I51 120 calentlar days af•er ccmplenon of any phase pf disposal operations or upon ravocauon of a permit, the disposal area shall be covered
with a minimum al one :cc: of suitable ;od cover sloped to allow surface water runoff in a controlled manner Tho Dwisign may require
further action in order to ccrrect any contlinon which is pr may become inrynous to the public health or a nuisance to the community
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I61 Adeouate erosion co^-•_, neasurez stvctures, or devices shall be utilized to preven[ sil[ tram leaving [tie srta and ;o prevent excessive
on site erosion
Ol Promslons for a grou-c vier suY c en[ to restrain erosion must be accompLshed within 30 working days or 720 calencar days open
eomplauon of any pn3se of IandfJl cevelopment
(81 The faahry snail be ac_: atery sec_red by means of gates, chains berms, lenses, etc to prevent unauNonzeO accsss ezcep[ when an
operator is on uty ..n arenoan: snal(3e� V a a mes w i e e an i is open or pup is use to assure r_^,poetise wrch
operavonal reoulreme^•s and to prevent accep[ance of unauthonzed wasrez
(91 Access roads shall to c' all-weatner construction and properly maintained
(101 Surtaca water shall ca c vered frcm the working face and snail not be impounded aver waste
It 71 Solid waste snail net ce nzoosea cf in water
(121 Den urnmg o soeo waste is pre^mire
(7 31 a concentration o: exp.cvve gases generated by the fanlrty shall no[ azceed
lal Twenty-five eercent of :tie lower explosive limit far rite gases in facility structures
Ibl The lower ezplesrve limn for [he gases at rite property houncary
(741 Leachate shall be prcc:ny managep on srte through Me use of current best management practices
17 61 Should [ha Orvimon aen rt necessary, ground water pr surface wa[er monitonng, or both, may be reouved as provided for under Rules
0607 and 0602 0' � is Supchap•er
(761 A sign shall ba posies a; :tie fanlity entrance zhow�ng the contact name and number in case of an emergency and the permit numoer
The permit numoer rec_vement is no[ applicable far facilities not reouinng an individual permit
Certification by Land Owner•
I certify that the informa:lon provided by me In this notification is true, accurate, and complete to the
best of my knowledge Tne raclllty siting and disposal operations of this Land Cleating &Inert Debits
landfill well comply with the requirements of Sections .050"3, .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 appllcaole 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 soled waste on the land and I specifically grant permission for the operation of the landfill.
I understand that born the land owner and operator are iointly and severally liable for improper
operations and proper c�osure or 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 tnousand dollars (55,000.001 per day per each violation of the Solid Waste
Management Rules 1 furher 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 su�h revisions or amendments
W. L, ��� 1 N � t ���t�a..�� ` �
Print Name (Owner) Sig tore Owner) Dag
NorthCarollna `--j ��6
r County
I ate'''' II0. W a Notary Public for said County and State, do hereby cettlfy
that mil/ C � ��� personally appeared before me this day and acknowledged the
r
,due ezeCu2itir7 of the forecolna instrument.
' � Witit�s`�S 4hy hQRd and official seal, this the � � day of , 19�
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I�r c ' a.�t�Q� d1/ � I
„ � Notary u'b7hc
My cbmmission expires
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