N1016 DOGWOOD KNOB

SIUIe of Ivulul t_ulc,llllu
Department of Environment r IN T COOPER
Health and Natural R@L01060
Division of Solid Wcsre Mono em"t) PAf 4
51
APR -4 A 8 5. 5 1
' Jame3 B Hunt, Jr , Governor 097
5
Jonathcn 6 Howes Secretary
William L Meyer, Director itLG ,TCR h'
BuRt(t- IOU
LAND CLEARING ANtl INERT DEBRIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 130 05631211a1, the land ownerlsl and operator(sl of any Land Clearing and
Inert Debris Landfill under two (2) acres In size shall submit this notlficatlon form to rite Division rior
to cohStrUcting 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 owners) of the
land in the county or counnes in which the land is located The Register's seal and the date, book, and
page hUmber of recording must be Included on this form when submitted to the Division This
hot cat an I§ not valid to authorize operation of a landfill unless complete, accurate, recorded, and
§ubmltt@d to the Division as required by 15A NCAC 138 .0563(2)1b)
1. facility Name*
2
3.
S
Facility location
Is,reet addressl: uQ4 tinmed /5Ao b A
Clty:�J-QfLait y
Site
Directions to
d. the land oh which thi§ landfill Is located is described in the deed recorded in:
dead book G' �o 0 0 0 pages �coUnty
5. Name of land owner* //lII"vAt/67 G� �L�K1
ti. Mailing address of land owner: 73
CltyAZE76 .L1WD State: Zip• r—�1 7
7. Telephone number of land owner•l 70 dV 1 7 Sr' � — ` 2 6 Z
If the land is owned by more than one person, attach additional 'sheets with the name, address,
find phone number of all additional land owners
8. Name of operator: BwKQ G°„ DoT
S. trade or business name of operator: no r
t0 fviailing address of operator* /%%✓c as..�O , /1% C-
City• Ind State N 6 • 11 Zip: ' e� �S -
t 1 Telephone number of operator•1 '7
If the landfill Is operated by more than one person, attach additional sheets with the name,
addrest. and phone number of all additional operators
12. Projected use of land after completion of landfill operations• tZ t C 7rz9lflQ/�
P O Box 27687 Rcleigh North Carolina 27611-7687 Telephone [phone] FAX [phone]
Ar Ccc^..vly A:Srmchve ActionC o Action Employer Srecycled! 1096 pas' cons•,.�er pccer
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I IIt1 IUIIUVVII
Iy d1U LIIG uNjliluuuuil„ eau„
Landfills
operating under notification
0i0i
bEFiNinoN$
1721
'Lend clednnif waste' mains hold wasib which is geme ratee solely from land clearing activnli such as stumps trees limbs brush
itrass find other naturally cc_nnng vegetative material
1731
"Land clearing and Inert yeens, landfill' means a facility for re land disposal of land clearing waste, concrete brick concrete block
tmcontsminited soil, gravel and rock, untreated and unpainten rood and yard trash
(741
'Yazd hash' meant schd was,* resulting from landscaping and yard maintenance such as brush glass, track limos, and similar vegetative
materials
00i
APPUCA91UTY REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Management
of landclearing an inert coons sna a in a¢groance wi i t fill te reramny or managing scud waste as provided for under NC G S
f 130A
309 04(al Disposal In a landfill n considered to be the least desirable method of managing land clearing and Inert debris Where landlilfing
Is necessary the requirements of this Rule apply
(11
An individual permit from the Division of Solid Waste Management Is not required for Land Clearing and Inert Debris ILCIDI landfills that
meet all of the following ec•tdilions'
IM The facility is :e to contacted 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 4anagerrent
Ili) The total discesal area is under two acres in size
to) The facility and %notices comply with the suing under Rule 0564, and operational requirements under Rule 0586
fill the fill acinnry is not exempt Tom, and in comply with all other Federal, State, or Local laws, ordinances, Rules
regulations or aroeis Including but not limited to zoning restrictions, flood plain festdcnorl wetland restrictions,
tedlmentatlon and erosion control requirements and mining regulations
121
Where in individual permit Is not required the following applies
(a) The owner of Js land where the landfill is located must notify the Division on i prescribed form, duly signed, notarized, and
0 ( If 1 e operator o Me Ian r , I i Brent tom the land owner shaii also sign Ine notification
retmpe as per use
�—
Po The mils 9e the notification farm for recordation in the Register of Deeds' Office The Register of Deeds
owner prescribed
ingex the ratification in the grantor in ex unoer the name o t eT i ' wner cT t tReland m—i�ccunty or counties in which
shelf
the recorded notification, affixed with the Register s seal and the data, book and page number
a an Is ocreo copy of
of recording shall be sent to the Division of Solid Waste Management
Ic) When the lend on which the Land Clearing and Inert Debris Landfill Is sold, leased, conveyed or transferred in any manner,
the deed or 01 instrument of transfer shall contain In the description section in no smeller 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
ieference by beck and page to the recerdatlon or the notification
-----y'� .0664
SITING CRITERIA FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
a following
sling criteria P5111 apply or an eating an3 1nert ens an i s
III
Facilities at practices shall not be located in the I GO year floodolarn
Of
Facilities or practices shall nos cause or contra ute a t eta ing o any endangered or threatened species of plants, fish, or wildlife
13)
Facilities or truces steal rot ruurt m-Uu destruction or adverse modification of the critical habitat of endangered or threatened species
pr
As Identified in 50 C R art I w Ic s hereby Incorporated by reference including any subsequent amendments and edI This
materiel Is available far insoection it the Department of Environment, Health, and Natural Resources Division of Solid Waste
Management, 401 Oberlin Acted Rabngh, North Carolina 27605 where copies can be obtained at no cast
141
Facilities or practices shall not damage or destroy an archaeological or historical site
Facilities shall
rat cause m adverse Impact on a state park recreation or scenic area or Any other lands Included in the state
151
or prances
(6)
nature and historic preserve
Facilities shall not be located in any wetlind is defined In the Clean Water Act Section 4041bl
(7)
it must be shown t at seecuats suita a sot a are available for cove elthef imm on or off site
18)
Lind de61ng and Inert Metre an r s a a
meat the following surface and ground water requfrim ants
III Pacifies or prar ces shall not 'cause discharge of pollutants into waters of the state that is in violation of the requirements
of the National Pollutant Discharge Elimination System (NPOESI, under Section 402 of the Clean Water Act, as amended
fbl Facilities or ptarces shag not cause a discharge of dredged materials at fill material Into waters of the state that Is in violation
of the requirements under Section 404 of the Clean Water Am as amended
lei Facilities of prac•ices shag not cause non point source pollution of waters of the fiats that violates assigned water quality
itindarda
(d) Waste in landfills with a disposal area greater than two acres shag be placed i minimum of four feet above the seasonal high
water table, except where on alternative separation is approved by the Division
lei Waste In landfills with a disposal area less than two acres shall be placed abovi the seefonai high water table
(41
The facility shag meat the following minimum buffer requirements
Is) 50 test from this waste boundary to all sunned water of thi state as defined In O S 143 21
Oil set rem ms dispose area to property lines, s de tlat dwellings eommerdal or public bwfc ings, and wells
lei Buffet reunamenr may be adjusted as necessary to Insure adequate protection of pubic heinn and the environment
(101
The facility shall most all requirements of Any applicable zoning ordinance
—� 695A
OPERATIONAL REQUIREMENTS FOR LAND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Land dHring and loan Debits ILCI 1 tandleh i5iii meat ilia 111611 owing operational requirements
111
Operational plans shall be aooroved and followed as specified lot the tacJrty
121
The facility shall only social those solid wastes which It is permitted to receive,
131
bold wits snall be restrm•eo to the smallest area leasits and compacted as densely as practical into calls
(41
Adecruue soil cover shfill be applied monthly, or when the active aces leaches one acts In site whichever occuri first
(SI
1 cs an ar days III cor^cieuon of any phase of disposal operations or upon revocation of a permit the disposal area shall be covered
fact or suitable soil cover sloped to allow surface water runoff in a controlled manner The Division may require
with a minimum of one
further to Feet any condition which Is or may become injurious to the public health or a nuisance to the community
action in order cc
8�0878PG,0460

Adeguna erosion ccr::t measures s:runums, or damcea shall be uubxed to prevent lIII Iron Ieavmp the kite and to prevent[ excuuw
on ate awswn
Provmons for a grou cyva' aufh: ant to restrain erosion must be accomplished Ivlthul 30 working days of 120 calenear day; upon
Coin noon o anti y pnaze oiTndf ll development
Tha facility shall be scaauatety sec.fed by means of gates chains berms, fences, etc to prevent unauthorized access except when an
operator is on auto Al attendant shall ee-ar1 duty 71-11171ii—me9 w I ,n Public Use o assua Comp Nnee with
opanuonal requlremer•s and to prevent acceptance or unauthorized wastes
Access roads shalt to of as weemer construction and properly maintained
Surface water shall be dwened from the working face and shall not be Impounded over welts
solid waste shel net oa atspnsed o in water
pan burning of Iona waste Is plimmite
e concentration of explosive guns generated by the facility shall not exceed.
Ial Twenty rive percent of the lower explosive limn for the gases In 1ac61ry ftructufa$
fill The lower explosive limn for the gases at the property boundary
Leachate shall be piczedy managed on site through the use of current best managements practical
hould the Ithststaft seem n nai:sary, gr and water or surface water monitoring, or pq[h, rply be required as provided for under Rules
0601 an o. ;:.is u c spier
A sign shall be postec at the facility entrance showing the contact name and number In cast of On emergency and the permit number
The permit number requirement Is not applicable for facilities not requiring an IndividyAl pfrmlr
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 raclllty slung and disposal operations of this Land Clearing &Inert Pebrls
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, hav® BPQW19dga 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 C4rollna General Statute 13OA-
309.27. 1 further understand that North Carolina General Statute 130P-22 Provides for ildrnigiatrativp
penalties of up to five thousand dollars ($5,000 00) per day par' each bloletlort of the Solid Waste
Management Rules, 1 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 amendme
L%IDA;e^AN FAIAC56Q,41
Print Name (Owner) nat `O wrerf Da
North Carolina
I;�t-t•r e,County
le �1i1C1 be l ' I4• U1AAaf•`L—. a Notary Public for said Coprity gnd State, do hereby certify
thatApVatqCLA 4U4 J ISrS011 personally appeared before me this day and acknowledged theat
due execution of the foregoing Instrument.
pW�ttcSeas,r!�yJhand and official seal, this the 2 L day of ,[� 19 9 7
alktat Iia-
at""
o'ritrmsston expires aill"firl"1919
y�
Ira ou"tIk It
STATE OF NORTtt CAROLINA—BURRE COIL
The fomVtng c n,f,®tes of tAA:)
N P ofbb --s adjudged
////// to be venal Lathe Instrument wash t cembnm, be r/eg7u-
(W /,3119 Sr1 tered This _ y of 191L
Reguter of Deeds 3
BK O 8 7 8 P� a 4 b.l ELI 6E- T �Oo R OK
: .A , 404