N1019 ISLAND CREEK AVENUE

7
I /
' State of Nolth c..arotlna
•-f— ' Department of Environment,
Health and NCTural Resources 4 6
Division of Solid Wcste Management FILEDAmy
ELIZABETH T COOPER�►+�...e►
James 6 Hunt, Jr , GovernorI� E H N Jonathan B Howe=, Secretary 9" Ps'
8 7 � �} , S o
William L Meyer, Director 9Z qpp 14 P3
rzL rlsrrh of , � ,
LAND CLEARING AND INEWFWBRiB aNDFILL NOTIFICATION
Pursuant to 15A NCAC 138 05631211a), the land owners) and operatorlsl of any Land Clearing and
Inert Debris Landfill under two 121 acres in size shall submit this notification form to the Division rp ior
to cohstructing or operating the landfill. This form must be filed for recordation in the Register of_
oo
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 Regite sr's seal and the date, book, all
page number of recording must be Included on this form itted when submto n
the Division This
hot c>;t on It not valid to authorize operation of a landfill unless complete, accurate, recorded, and
�UbmittAd to thA Division as required by 15A NCAC 138 .0563121161•
1. facility Name•
2
{=acility location Is:redt address)• f !� �.k %/ S
Clty•�n Lr.% County C. Zip: Z�GI t
Directions to Site. O;<
4. 'ihd land on which this landfill Is located is in the deed recorded in:
deed books V-2 page: -T"1h� co/uunty:
5. Name of land owner 40 dA[n & 0
b. Mailing address of land owner: Po IJo,c i/ ("
City: Cor`HE[toj,,t•�srState* N C Zip: gLl2—
i. Telephone number of land owner:( i D (/ 1 �� i Pa 6 0
It the land Is owned by more than one person, attach additional sheets with the name, address,
And phone number of all additional land owners.
Name of operator•.
TradA of business name of operator:.
�vlailing 5ddress of
City: MsL..4"._ State•_(! Zip! 1-PG SS -
Telephone number of operator:) 74 �/ 1 �G3 S' G Z �Y
it the landfill Is operated by more than one person, attach additional sheets with the name,
Address, and phone number of all additional operators
Projected use of land after completion of landfill operations* i�i4 S,7'"4RF
P O box 2i6i37 Raleigh Nodh Carolina 27611-7687 telephone [phone] iA'( 919-715 J605
A Ar Be..pl Cep^..roly A:`umchva Achcn Emplcyer SC A recycled/ p10'/%, pest curs----ier paper
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IUtlU witty dIC ll It dlllJil,.u�mif, ..� n��,
Landfills
i �
opereiing under notification
DIOI
bEFINItI0L1�
1721
e
'Lend deenn� wafle' means fond westd wnrcn rs gen rates solely /rom land cleedng acdvniea inch as Humps trees brnhs brush
press and other naturally ¢erring vegabuve material
(731
'Land ale Bring end Inert peens Iandlili' means a IacAity Iqr r e land disposal of land clearing waste concrete brick concrete 61ock
uncontaminated soil, gravel and rock unlreetM and unpmnteh vood end yard cash
I7d1
'Yard trash• miens scud was a resulting Ircm landscaping and yard maim enance such es brush grass, tree tin ps and similar vegetative
materrels
DSd�
APPUCABRlTY REOUIflEME4 r5 FOR LAIJO CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
Management o an c Baring an r, Bemis sna 6eTn accorgance wiIFT52"a�e Fin a'cny Tor"rr a aging so d wasre as provided lot under tJ C G S
1 230A
309 041e1 Deposal m a land) s e considered to be the lean desnaole method of managing lend clearing and men debris Whore landhllmg
If necefaery the requirememz of the Rule apply
h)
An indwidual pamn Ircm iPe Orv�sgn of Solid Waste Management b not repmred for Lend Clearing end Inert Debris ILU01 landlyds that
Bet all of the following c:^Gtlons
Isl The laoliry is c _e operated for Ne disposal o/ land deanng waste inert debris, unueated woad and yard trash Opnauons
must be coreirent and in compliance with the local government solid waste management plan es approved by the Diwswn
of Sobd Waste 4anagement
Ibl The total disccfal area is under two acref In size
Id The lauhry and :ncuces comply won me vting criteria under Rule 0584, and overauonel requirements under flute 0586
Idi vm/ a of exempt rom a must p�m1y with all other Federal State, or Local laws grdmances Rules
regula«ons or orders Including but not Ilmned to :Doing restnctlons /food plain res(nc•ions, wedand resnicaions,
aadlmentatlon era erosion eontlol requnemems and mining regulation!
121
Where an indwidual permit a not required Ns lollowmg applies
lei The owner of � e land where the landfill is located must ngtlly N8 Division on a prescribed form, duly signed, natar¢ed, end
racosged as per u-A le 036T31211 1 he o� pereior of the lendii�-i1371erent r�f om-iTa an owneri� sF"aT�sign tF"e ride it catiaa
Ta m—
Ibl The owner mar. 51e sna presuihed noulmatlon loan for recgrdanpn m the Register of Deeds' Olhce Tha flegemr al Deeds
shad mgez Ne ^cn ¢anon m me gran n ex uncer the name o t e owner o t e n t,e county or counties min �Fi
t ,TTa dis�lo � e^_-7Ccopy pl the recpraea npnucappn alhxed with the Regeler s seal and the date book and page number
of re ordmg shad be sent to the Drvison of 5ghd Waste Management
Icl When the land on which the Land Cleating and Inert Debris Landfill is sold, leased, cgnvayed or vanslerred in any manner
the deed or ot`u mnmment of Hensler shall contain m the descnpdmt section in no smeller type than that used m the body
of sna deed or inf[rument a statement [hat the property has been used of a Land Clearing and Inert Dehrls Landfill and a
reference by beak end page tb the recordation pl the ngnlicanon
---7> 0584
SITINO CRItEflIA FOR LSND CLEARING AND INERT DEBRIS ILCIDI LANDFILLS
e o'i6—T1fow'inq�sTiing crone s a a-Fll pny o Can�ileerinq�'an�T—Hen TSebiis iCCf6 an i s
111
Fanllum or pncdces shad not be located m the 100 year Ilggdplain
111
Famblles or prepticef 3hali no• cause art eontri� t o the t� a� g oFany endangered or threatened spec es of plants Ilsh, qr wddlile
131
Fanllnes or practrcn fhall ro— a resur in Ihs destrucion or adverse mgdllicanon of Uta critical hab«at of endangered or threatened spedef
u Identified m 50 CAR dart late hereby Incorpgrarod by reference including any subsequent amendments and edmom This
materiel Is evadable for in net the Oepanment of Environment, Nealth, and Neturel Resources Division of Solid Wane
tRaleigh
Management a01 Oberlin R rid Nanh Cargbna 27505 where copies can he obtained at no cost
I41
Faciblies or precnces shall ngt damage or destroy an archaeological qr hlstpncal site
(51
FenlNer or prac¢es shop ro: cause an adverse
Impact on a ease vark rdcrianon or scenic area or any other lands Included m the state
naturd and histnnc preserve
Idl
Fecditlef shell not be locoed m any wetland a defined (n the Clean Water Act Section dOdlbl
171
it mutt s f own t at rceauate swta s sot f are evadable for cover either Irom on or oft rise
181
Land Clearing 8nd Inert :ri�landl7G a—iialLmeet
the lollawing surface end ground water rbqu(rbments
lei Fereves ar prae,.ces shall no[ cause a discharge of pollutants into waters of the stale that is In violation of the requirements
of the tlenonal Pgnutan[ Discharge Ebminatlon System INPDESI, under Section d02 of the Clean Water Ac[, es amended
Ibl Feaanes cr pre^cef shall not cause a discharge of dredged materials or Idl malenal Inro waters of the slate that is in viola non
of the requnemems under Section 40a of the Clean Water Acf, es emended
Iel Fenbnes or prac•ices shall not cease non point squrce pollution of waters of the state that violates assigned water quality
ftanmrdf
Idl Wu'e m Iendhlls won a disposal area greater than two acres shall be placed 8 minimum ql lour feet above the seasonal high
water tabl! axceot where en elternanve separation a approved by the Dlvelon
Isl Wane in landfills wnh a disposal area less than two acres shell lid placed ebgva thb sedignel high water table
ISI
Tha Iacllity shall mast the fallowing minimum Duffer requirement]
IN Bet ram trio wesu sun ary to a stir ace water of the Hard as defined In G 5 143 212
fbl T4iU Bet om ;pa dispose area to property line esden[lal dwellingf, commercial or public 6uildmga and wells
Iel ullll er recuirements tray be adjusted as necessary to imure adequate protactign of public health and the environment
I101
The tecdlly shall meet all requuemenn of any eppllcable toning ordinance
--'� d6ds
OPERATIONAL REDUIRE'dENTS FOR LAND CLEARING AND INERT DEBRIS ILD101 LANDFILLS
Lend tlbadng
end
Hen Deena ILCIDI iandldls s el meet the of awing gvetational requirements
111
Operanonel plant shell be aoprgved and followed as specdied for the faciLry
121
TM Iaclll(y (hall only accfot Nose fohd wastef winch It is pnmi« ed to receive
131
a sna ennc•eq m ei est area a ompene a densely a practical min cells
111
Adequate foil eovere shall ba applied monthly, or when the active area feechef one acre In sitd whichever occurs Ihst
151
1 n en er days of er ccnclepon of any phase of disposal opal atmns or vvon revocatlgn of a permit Ne disvgsal uee shall be covored
with-i m�inum of one 'c.., el fellable sad cover sloped to allow surface wetly rungll In a controlled manner The Dwlsion may require
lusher erngn in older to c. reel any condition winch Is or may became miunous to the public health ar a nuisance to the community
(�a�� �a�3i�s�
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Ifil
Adequate erosion c.: _ci measwes s. unures or oewces shall Oe unload to prevent lilt Iram leaving rho life and ,p prevent excesuvs
on site erosion
171
Provrelans for a gro ^c cover aulh_ ant to restrain erosion must be accomplished within �0 workinyl days or 1IO calancar days upon
Camp eugn o any pnaaa o andldl tlevalopmen[
lei
The laohry !hall Ds ueeuately sec..red 6y insane of gates, chains, berms. lances, etc to prevent unauthorized access except when +n
oparuor a on u,v �n a an ant s aRh�'atiiQ-t imr3gZ of wFri't n pis ¢use to assue comp once vino
opera venal requuemer a and to prevent ecceptanca of unautnonzed wastes
191
Access roads !hall Ea of all waelnar conitruaton and properly maintained
I101
Surlace water shall pe dtvened Item the worling lace and Snell not he impounded over w+;te
It 11
Sand wears shall nc[ oa gispoaad o in water
p21
iTpeo urmng o aouo wasr+a premm[e
1131
7Fa concentn ion o exp Give gases ganented bV the raahty shall not exceed
Isl Twenty rive percent or :he lower explosive Ilmit for the gases In laclllly tlructures
(bl The lower ixplesive hmn for the gases ar the propeny houndary
1141
!sachets shall be prc�erly managed on sits through the use of current be;r managsmenS praetice;
11 fi1
o t e ivivon cam n necessary, gr and w;ter or surface water menitgrin�, fir both, may 6e ngrdred a; provided for under Rules
0801 an p ;: is u c apter
h fil
A sign shall be poste; n the laohry entrance showing the comet[ name and numb/r in coal of !n emergency end the perm![ numoar
The patina number rqueemen[ is oar apphcable for !emboss no[ raquumg m Individual Permit
Certification by Land Owner.
I certify that the lnformanon provided by me in this notification is true, accurate, and complete to the
best of my knowledge Tne tac10ry slang and disposal operators of this Land Cieanng &Inert Debris
landfill will comply with the requlrernents of Sections 0563, .0564 and 0566 of 15A NCAC 138,
North Carolina Solid 4Vaste Management Rules Tha faculty and operations of this landfill will also
comply with all applicaole Federal, State, and Local laws, rules, regulations, and ordinances. Where the
operator is different from the lend owner, 1, the land owner, havq knpvyll3dg@ of the operator's plans
to dispose of solid wes:e on the land and I specifically grant permission for the operation of the landfill.
I understand that bath the land owner and operator arA 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 unde�s;and that North Carolina General Statute 130A-22 provides for administrative
penalties of up to five thousand dollars 155,000 00) per day per each vlolAbon of the Solid Waste
Management Rules 1 further understand that the Solid Waste Management Rules may ba revised or
amended in the future and that the facilit siting and operations of this landfill well be required [o
comply with all such,rQevisions or amen en s.
�O �NN4 �. /J %.e.�w.s � ^� �"9 %
Print Name Owner) nature ( wnerl Date
��dri�et,,el�ecutlop of the
�� � Witness my �5and and
��r' I r
(Official �r`al)'
U„` ..,
County
a Notary Public Tor said County and State, do hereby certify
personally appeared before me this tray end Acknowledged the
foregoing Instrument.
official seal, this the �� day of 19�
Notary P ilc
`� ` / _ �/
My corrlmisslon expires r � � — y �1 19 q
STATE OF NORTH CARD A—HURHE CDI1N19 --�A
The foregoing certdiata of � �_b // �
N P of urd ewnty u adpdged r/
ro be .urre, � lei the msrmmmt with iu endiote, 6e rCeyp`�]
� of Q' to l r
(2��/O/3��f ' ; '�C nl
` d Head.
EL12AB � 1'H T COOPER
B� mat, t�� , c� lu-a� ��/�-.
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E�!�ilu; U('�; i 7�2