N1012 BRUNS DUMP

.�lurc v, , ,.., �„ _
' Department of Environment,
Health and Natural Resources
Division of Solid Wcste Mandg�ment
James (3. Hunt, Jr,. C-overnot
Jonathan B. Howe?.Secretory
William L. Meyer, Director
:'�
FOR REGIfiTRRTION REGISTER OF DEEDS
ELIZPBETM T COOPER
BURKE COUNTY, NC
2001 OCT 29 02 13 66 PM
BK 1057 PG 31-33 FEE S10
LAND CLEARING ANb (NEAT DEBRIS LANDFILL NOTIFICATION INSTRUMENT • 20010166 2
Pursuant to 15A NCAC 138 .0583(21191, the land ownerlsl and operator(sl of any Land Clearing and ,
Inett Debris Lehdfill Under two 121 eCre! in size shall submit this notification form to the Division prior
to constructing or operating the landfill. This form must b@ tlied for recordation in the Recister of
Deeds' Office. The Regilter of Deed! Shall index the notlfication under the name of the ownerlsl of the
land in the county or countie! in which the land is located. The Register's seal and the date, book, and
page number bf recording MUSt be included on thi3 form when submitted to the Givrson. This
__..__.,_.. ,......,.r a ... •... ,..a,• hn•rarinn nt a IandRll unles3 complete. accurate. recorded, and
submitted td the bivisioR A! tequtred by 15A NCAC 138 .05631211b1.
1. Facility NAme: SC`V1J ` .J I•" I Tt--
2. Facility location (s`tra±t AtidresSl: � � w '� 'Q�+- � �' Cj ���`
City: 11�Dre^a+J'rrrJ County: ��'��� Zip• Z-�4a��
3. Directions to Site: C 1 ��L `f to es �" }c� S � I � 3 R �+�n� f t�' i � ly�o
rv. � t .x a. d `1 ✓� �+ i e �} n,� '�'d � I� i t-I Z Ce n I ALU.� erg Lly� � ��
4. The (And an which thi! landtili i! located is described in the deed recorded in:
deed book: pane: county:
5 Nam@ of land owner: iar'D�c,� (� �-� +� S
6. Maiiine address df land awn@r. `'r t(r'� PCr.X Nr � � Qcs
Ciry: �O�Fitni� State: A��,?C-l� CPzn:ii,Jr� Zip: �sZ�I.sSJ�
7, Telephone number bt IAnd 6wner:f �L1� 1 LI � "1 — 1 '� D �
If th@ land is owned by more thAn on@ person, attach additional sheets with the name, address,
and phone number of All additional land owners. ,(� _ l
f3. Noma of operator: t� C �e r�� c9T � r Lt %�C5 p/'r!- �rii ri c) �
g. Trade or business Hama of operator /lit ��e0 } v'f Ti�anitJ 5 Eki�,�)
10. Mailino address of operator: � � � � C i'1'� 1 - (�,r+ a �'-�r�� �d
Cirr i'n��rttb�l�rJ7v State• Nidr`Ei,_ CG'�U6irJr� Zip: '7`"�� S r
If the landfill is operated by gore than one ��*^; � a:uiuonal sheets with the name,
address, and phone number of All additional operators
12. Projected use of land attar completion of landfill operations• P�S'�-J� �
"(D"
PO Eox2i657.fic!eicn NcrfhCcrcline2i611-i6o7 Tetecrcne91S-i�3-d;;6 F=<:1S-il� =!CS
An_a.dOenc-,:,hi�t:•mcliveAe•,cnEme'cyer EC: eerc'ed; 1C<c__, __ __-err_ce•
r , r,.

I81
Adequate erosion Co -.a messmes s, uc•we�, �• .
_
an site erosion,
17)
Provlebm toe / �tdt,-.a covet suhCint to ristrain erasion must b/ accomplished within 30 working days or
120 c3tenc3r days t,ecn
com enan o I Cn! or landifill dbielobmb il.
IBl
rms.
The h ahel be ltn; ibr3" byA�lii; W of gibes. eho, beces• etc, to prevent unauthorized
access except when an
operator rt an"au.r i ttenaan? a"iii3lf-aCTy7i7B�immw
i R-lenTialt 42 UP911 SUF Duo is use to
assue c_r,uance with
operedonil requidmMN and to prbvidt i1cce0tince lit unsutharli ed wastes
191
Accest riidi shill N it all-wl/thbr tonitruetfon end properly maintained
1101
SurNN
watie thei ba 6vined hers till working fete and shall not be impounded over waste.
illI
dolid wine shal nee, at taspmaa of in witkf.
1121
Open burninf at Scud waste a orereorte
1131
the cortcaRtrafl6n at explosive gates 11anMtid by the facility shall not exceed•
Dal twenty -era ierdm of 1a fowbe expletive limit for thi gases In tAcMty structures
Ib1 fill lower i iolasivi ginit Its tin 41111ei at the property boundary.
1141
leachiti"ell pr=bly frus Jil on deb daaugh the we of current best management practices
1151
Shoe the Division teem t nec%m with be surface with monitoring, or both, may be required as
provided for under Rules
0601 an :iJ 74t Succiaotir
it fie
A sign ship be bosttc at thi facility ambiance ihowing the contact name and number in case of in emergency
and the Permit number
The permit mrmcer reoslnmam If net applicable for IacTdes not requiring an Individual Dermn,
Certification by Land Owner:
I certify that the infor-anon provided by me in this notification Is true, accurate, and complete to the
best of my knowledge. The faeiiir/ siting dnd disposal operations of this Land Clearing & Inen Debits
landfill will comply with the fdduirdments of Sections .0563, .0564 and ,0566 of 15A NCAC 138,
North Carolina Solid WHte Management Rules. The facility and operations of this landfill will also
comply with All Applicable FdddrAl, Stato, and Local laws, rules, regulations, and ordinances Where the
operator It diffdtdnt from the lend 6*ndr, 1, the land owner, have knowledge of the operator's plans
to dispose of solid westd on the IAnd and I specifically grant permission for the operation of the landfill
I understand that bosh the lend Owner And operator are Jointly and severally liable for improper
operations and proodr closure of the landfill as provided for by North Carolina General Statute 130A-
309.27. 1 further undetStand that North Carolina General Statute 130A-22 provides for administrative
penalties of up to five thouAAnd dolldrs ($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 facili / siting and operations o this landfill will be required to
comply with All such revisions or dmdnd ts.
Geo!��r Prue �d
Print
""�Name
t�(Owner) 1 Signat a (Owner) 0 to
4Ju+J'1��J't'`"7L- W�fF-r'SS i��/ G)
North Carol na /
0
,iALP County
d Notary Public far said County and State, do hereby cerify
personally /N �-n��� �y� ac!cnowledged the
}offfcfal seal, this the c2-y ,, .day of 1=s aQoj
ot�N�bOc
My`c�amr„1sslon e•'t7i:e5

ELIZABETH T COOPER
REGISTER OF DEEDS, BURKE
JUDICIAL BUILDING
201 SOUTH GREEN STREET
MORGANTON, NC 28655
Fled For Registration 10129I2001 02 13 56 PM
Book: RE 1057 Page• 31-33
Document No. 2001016642
LNDFIL 3 PGS $10 00
Recorder. CHAPMAN TERESA
State of North Carolina, County of Burke
The foregoing certificate of TERESA S CHAPMAN Notary is certified to be correct. This 29TH of October 2001
ELIZABETH T COOPER ,REGISTER OF DEEDS
By ��.P/1�.2l�J �J'���IQy�aP-rn-a ���-----
DeputylAssistant Register fd Deeds
*2001016642*
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