N1017 NCDOT DUMP - TALLENT ROAD

1•' Departmentlof nvironmeHti7-.BILiHST COOPER
Health and Natural Resourcesr)' •
Dlvislon of Solid Wcs;e Managemet��t .37 r
James B Bunt. Jr , GovernorI pt iiii
Jonaihcn B Howes Secretary C
William L Meyer. Director
LAND CLEARING ANtl INERT DE6RIS LANDFILL NOTIFICATION
Pursuant to 15A NCAC 136 05631211a1, the land ownerlsl and operatorls) of any Land Clearing and
Inert Debris Landfill under two (21 acres In size shall submit this notification form to the Divislon�rior
to constructing or operating the landfill This form must be filed for recordation to the Register of
Deeds` Office The Register of Deeds shall Index the notification under the name of the ownei(s) of the
land n ounty or counties in which the land is located The Register's seal and the date, book, and
page number of recording must be Included an this form when submitted to the Division This
norirication is not vans to autnorize operation of a landfill unless complete, accurate, recorded, and
lubmlttad to the Division as required by 15A NCAC 136 .0563121161.
4.
Facility Narne•
Facility location Is:reet
City: County: l�l.Sfl�Zr Zip: L.�lo � S� —
Directions
?he land ah which this landfill Is located is described In the deed recorded in:
Mailing address of
telephone
of land owner) �ZI 1 ri'R� � �%rXS
(f tlla land is owned by more than one person, attach additional sheets with the name, address,
and phone number of all addltlonal land owners.
fj. Name of operator: ��
9. 7tAde or business name of oaerator. .l�n /
IO �Vlalling fiddress of operator• ,2/L / - C /7%7� l�%yaC C/i, ��
Clty•�'L d� State•.. "�/%�. �, Zlp: Z 9G � f
� i telephone number of operator:( 70 y 1 � � S/ - / � 7 �/
It the landfill Is operated by more than one person, attach addltlonal shears with the name,
AddrAs#, grid phonA Number of all addltlonal operators LL
12. Protected use of land after completion of land(dl operations• 7GCj•/�1 rtiS c%dC��..
P O box 2i6d7 Rcleigh florin Carolina 27611-7687 lelaphone 919-733-4996 F.>X 919-715-3t05
// ,r Ar Ec..el Cccc-..�dy A„amchve Aciicn 6rployer SC'Y, recycled/ 10% 0;;1�p qg.�er Gczef( r

I lie l„Il�,�llry ,. un. al•h� �,. ,� � t
Landfills oper2ling under nouNcatiDn
DIG1 OEFImnON§
1721 'Land cb{and waste' meirs solid waste which is generam< solely Irom land Jeering acilvulei such a lamp
grass {red othn naturally ccc nnq vegessu.e matellal
1731 'land cleedng and Inns canm Nndlig' mans a lacibry Ipr ra land disposal of land clearing waste concrete
uneontsminWd aml govtl end rock unha red and unpmmep wood and yard cash
1741 'Yard trash' means scbd wasse retuning Irom lanoscaping and yard maintenance such as brush glass, rice tut ps
masarlsls
0683 APPUCAgILITY REOUIRE�fEtl TS FOR lAIlO CLEARING AND It1ERT DEOOIS ILCIDI LANDFILLS
aces limbs brush
Duck eonc�eu block
and sunder vegesallve
Mutapeman(o n
eT��lenmgT3�tnen coon— s-snaifba n acnroancs call ITifii Stun u u¢nT y rmaneging =a Id wave as Drovided lal under Is C G 5
i 130A 309 Odul
Disposal in s hndl II a cpnmdued tp be the least devohle method of managing lend deumg and Ines debns Wlmie landhllmg
b netef=uy ilia lequlremenra
of Ihts fl.rle apply
Itl An mJimdual
Oamn hom th Dtwaon of Solid Waste Management Is not requhed for Lend Cleuinp utd Ines Dehna II CIOI tandldls mat
eat all
of ilia ladowmq cc^dmoro
1+1
The lacglry is :c ce opensnd for the disposal or land : eating wasu men dcbns unueased wood and yard vash Ova aeons
must be corulr. a^s and M compiance with the local goveinmen( solid waste management Dlan as appiaved by use Oiviapn
pl Sabd Waste `unagemem
Ibl
Ihs tpsal disccsal area is under two lace In stxe
Icl
ilia lacrkry and pucbces [amply won the suing cuuna under Rule 0584yand openrionsl regmr<mems under Fula 05fifi
Idl
ir,-rlr aeuwry Is not eaempt rom en must c��omly with erg other Federal State, or Local laws, ordinances, Rules
reqularions o orpers Including but not Ilmised to spring restikdons Ilopd plain reatnc•lons wetland usmcpons
laalmensasion and uoslon comros raquuemams and mining requlauona
121 Whau in Indimdual perms s nos requhed ilia fallowing applms
1{I
Ths owner or tie land where the Undllg is located muss nprily me Dlvlslpn on d prescnbsd Iprm, duly signed noullsed sled
ucpraed as p—er ui�le US$T311��Tira ooe�ator--Z-1he i�19. it la'Nerent si om a +n owner sTislT f71 o3lgn IhTnauricauou
Toim —
Ibl
The owns roar. Rle ins presnlbad nouhcarian loon Ipr racordatlon m ilia Rsglsur pl Deeds' Olhce Tha Register of Deeds
Mad mace ins ton ¢aeon m me gnmor 7�ew anger me name of lTla ownsi of 1 Il�a�iand In Te teensy o, couunes I'n wT cF
i� an is ocl-3'�!" sTe 7Ccopy of the recorded nonlicailon, offload with the Ragistar'1 seal and the dsie bopk and page number
of recording sMll be sent to the Dlviswn of Solid Waste Management
Icl
When ilia land cn wMch the Land Clearing and loco Debris Landfill Is sold, leased, conveyed pr sranslerred in any manner
the deed or oCtl mstmment of uansln shag column In the description faction In no smaller type than that used m she body
a! tM deed or msuumenl a ssesement :lies she property his been used as s Land [leering and Inns Debris Landhll and a
aelaence by heck Ind page to the racordatlon of the noulicatipn
---7� .068d SITING CRITEfl!A FOR LAND CLEARING ANO INE6T OEBOi6 ILCI01 IANOF!LLS
a o awing suing totem s u apny or an eating an oars IIe rs!—is t an i s•
(11 Fsctlinas or pnctices :lief not Os locoed In the 100 year Ilopdoldn
121 Facilitlea or pracdcas shag not cause aausa w conui6uu o ei� riF teEingT any endangered or threatened spac!sa o! plans:, Ilsh, err wddlire
131 Faalltles or granite sMg rot�n�-�i ^she dasruction or adverse modification p! ma critical hablsat of endangered or thraatenad apec!aa
u Idannhad In SO C B smart i7-wTifd^i Tf Aamby Incprponted by relannce 4+cluding any suhsaquant amendments and edoions 71ns
material Ia rvsgab4 for Imoection U W Department of Enwronmenl, Hedsh, and Natural Rasourcea Drvlsion of Solid Wasu
Management eOl 06erim Rcad Raleigh, Nprth Carolina 27605 where copief can be obtained at na cos[
141 Fa<duies or practices shag no[�dame a a�desnoy an archaeological err historical site
ISI Faogdes or poc•Ices shag roe uusa an sdvarse Imo+ct on a zuse park recriitmn err scenic free err any other lands Included m ma :ease
nature and humnc anew:
IAI Fadlitisa shall not ba touud m any wM11nd a dehnad In tM Clean Wiser Act $action /041b1
171 trmua[ sE'Town t ai apauste suua a sal f ua svadaDla for cover, a t�lrom pre or oil ate
Igl land Cle/ring and loan acus�Td110i ihallmeet the !ogowmg audece and ground wear rdquudmanu
lal Fsc kues pr pnC.cu shag not ama a discharge of paglnanu rnto wasara of the sou that is in vialarron of the requuements
of the Iledpnal Pollutant Olschngs Eltminaslon System RIPDESI, under See(ipn 102 0l the Clean Waur Act as ameiideJ
Ibl Faolmn err pre-ces shag not ease a disdwge of dredged matemb err Iig matenal into waseu or me state Chas Is m viola ups
of the requbsmanis under Sacnon 40d al the Clean Water Act, sa amended
(cl Fanhues or pncticn shall not uusa non point source pollution of waters al Ili/ lute that vlolatea assigned water quality
aandards
Idl Wasv m landhgs wnh a disposal sea gieatn than two sues shag b8 placed 1 minimum of lour Ices above she seasonal high
water table cacaos when sn Ntemative separanpn b approved by the Dlvtslon
Isl W�te in landtdb wish a disposd uea leas than two auas fhill bi placed shovl 1ha fellonsl high water able
I$I The lac@ty shag man Rra lollowmg minimum bulbr requuamems
bl ut rpm ins wuu Dun ary o s sur ac-7 a wasai of thF sou 1! de!Ined In 0 5 id] 212
161 seal.:( rom .ps :pose ua■ to Wopsrry roes readendal dwallingf, commsraU or public bmldmgs and walla
Icf allot recmrammu may La a� as necessary to Insure adagwte protactlon of public linen and the emuonmau
I101 Tha facility (hall meet all Irpubementf of any applicable :prong ordinance
—"� C6Ad OPERATIONAL REDUIRE!dElliS FOR lANO CLFARiNO ANO INERT OEgRiS I1C101 LANDFILLS
find tllldnq end ran Debris IICIDI Iandldts s a mess tM o owing apentional ngwramenb
111 Openuonal plena shag ba approved and followed of spocdied for ilia lacdiry
(21 Tlu hcllity fhag only scoot those solid wares which It is permuted to ncews
131 can e a a a resales m s ems ast nu sass a an campsna as 3enselp a pracdcd Imo cells
Idl Adsausu sod cover sMll 6a applied monthly, err when the aniw arse lathe! one sere In site whichever actin: Ihs:
(51 1 e'�a a ern err diva sYu c.r^eiepon of any pMss el disposal ooerauons a upon revocation of a permit, (ha disposal sea shall be coveted
can a minimum o ors Ices or :unable sad cover sloped to allow mdsps caner runarl In s comrplled roamer The Dwlsion may wqupa
Itumer acuon m order a cc re<( soy condition which Is or may become Inlunpus to the public bacilli or / nwsance sq me cotmmm�iy
,I
(itQ��? io�si�s/
Ui�IJUUJ;17Uu'iL

I61 AJepwte erosion c:: _:� measw es s.rucmei or dev,cas shall be utdrsEQ to pr}vent llll Irgrll Illymy trio eltl end .o prevent ascasuva
an ar'T-uc3um
171 Pram ions lol a prou-::over sufh: ant to restrain erosion must of accomphiih!9 ylgNq 19 wolklnj days of 140 uhtncu dart upon
comp Elan o anV pnasa o andhll development
Iel It's facility s1uS be acsauuay soc.nd by means of pates chains berms. IMcl i. it6 to prevent unauthorised access erupt when an
ii­
operator a on uty 1 at an ant a WfiTs a0l"r6lit-TI a whitlFfl✓]iji(IIQ'jlipbliC use 10 tafu19 campiTinoe with
operational ,epuuemer:s and to prevent acceptancs of unauthorised waste{
191 Access roads shell be of ab weamst construction and properly maintained
(101 Surface Water shad us drvened from the working ace and shall no; ba ImpoupdaQ pvlf wllil
II II Solid wasu she not os aisooasd a m water
(121 Open bit mg of souo waste of prcniorte
1131 TFG'Canc4n anon o rep ostve piles 9enemgd by the Ifahty ahtp not eece7Q.
let Twenty five percent of the lower eap1031Vt limit for the gases 11 Vilely Iuucrtult
Ibl The lower ieplosivs Smlt lot the gasef it the property boundary to
1141 tesceato shalt bet p=o(ly managed on site duough frill use of current beat m/plgiminl IfIlQlical
IISI U00,
t eDivision death neensiry, gr 4 wlllr or surffcl water mardtodpi. ,f 0111• filly bl gptdri4 is prowdeQ lot under Rules
ana�30idri.Ts33Fdipur
161 A sign shall be posts. it the facility entrance showing the contact name Ind number In cool of 19 lmotgency and the pftmn number
The permit numov tacmtemsni Is not applicable lot facilities not fagubrnif lit lgdIvldutlf effmll•
Ceru6catlon by Land Owner:
I certify that the information provided by me 1n Ihls notiflcatlon 19 true, accura[a, and complete to the
best of my knowledge The tactll[y slung and disposal operatloni of this band Clearing &Inert pebns
landfill will comply with the requirements of Sections 0563, .0564 end .0566 of 15A NCAC 138,
North Carolina Solid Waste Management Rules. The facility gnd pparatlgns of this landfill will also
comply with all applicable Federal, State, and Local laws, Mot r9ptil4tiona, and ordinances. Where the
operator Is different from the land owner, I, the land gwnerr, hays kngyylpdQo of the op¢ratgr's plans
to dispose of solid wasta on the land and I specifically grant perfnissien fpr the operation of the landfill.
I understand that both the land owner and operator orb jointly find ievarally liable for Improper
operations and proper closure of the landfill as provided for pre North (whits General Statute 13OA-
309 27. 1 further understand that North Carolina General Stattfta 140tlk-22 pfgvldes for admlm{tfativs
penaitiag of up to five thousand dollars (45,000 001 per day p4r 6flch vlpldtlon 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 operatloni pi this landfill will be required to
comply with all such revisions or amend a ts.
Print Name (Owner) S(dn___atura (Owner) Data
North Carolina
County
htop UJ&dd a Notary Public for 0014 County and State, do hereby certify
It
tha
t �g al A LU . (aC I lent personally appeared before ma this day and dcknowlsdged the
dW'e;aKacLjitifl,pf the foregoing Instrument.
,�i#��f?0'Vhl-and official seal, this the 7 day of
`i�t�l3l4
w��+1:'
i1. Notary Pliblic
ti,
My pltitmtssion expires , 19 .
ernTs or• tvoaTTt cnaotnan-etrraa croa}y'rr
The farrym�,etttemsd �7n-G-n.Q )l cXezu�,1m-sue
.,MP d add smory a adiudged
to be comport totI the with tb mtlfinete, be�regru.
(1 ? c� /�3/�9Y� urge lL e __Z_dey o� l9_.L.
gist
aa� z
r% AdETH T COOP, t a " °r t
rS(� d f dJn � Jc r J
�u Diii k, i v _: � � r E� tJ i