6016TP-HHW- North Mecklenburg HHW Facility SW020-0132 PARF & Invoice 12-4-20

PERMIT APPLICATION REVIEW FORM
Review Requested by: Jordan Russ
Date Requested: 12/1/2020
Facility Name and Permit ID 6016TP-HHW-, North Mecklenburg HHW Facility
Applicant (Owner) Name Mecklenburg County
Description of Permit Request [This is the action the applicant
is requesting in accordance with NCGS 130A-294(a3)]
(1)a. New – New Facility(1)b. New – Substantial Amendment
(1)c. New – Expand Waste Boundary(1)d. New – Waste Category Change(1)e. New – Permit Less than LoS Duration
(2)a. Amendment – Renewal/Review(2)b. Amendment – Change in Ownership(3)a. Modification – Change to Approved Plans (No CHR)(3)b. Modification – Five-year Limited Review (No CHR)Permitted Annual Tonnage N/A
Permit Fee (New Only) $0
Date Application Received 11/24/2020
Contact Name & Title Amber Grzymski, Project Manager
Phone # [phone]
Email Address [e-mail]
Company Mecklenburg County
911 Address 12300 N. Statesville Rd., Huntersville, NC 28078
Mailing Address 2145 Suttle Ave
City/State/Zip Charlotte, NC 28208
Parent Company N/A
Known Subsidiaries N/A
Other known names business has operated under N/A
Known Counties of Operation N/A
Does the applicant have a past or current solid waste permit? Yes No Unknown
Facility Type: HHW Permit #:
Did the permit applicant submit Financial Assurance cost estimates?
Yes No Not Needed
Other notes 5-yr permit renewal
SW020-0132
P0786
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW020-0132
Date:12/4/2020
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:Frederick Forbes, Senior Fiscal Analyst
North Mecklenburg HHW Facility
2145 Suttle Ave
Charlotte, NC 28208
More information available on the web:
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card -Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.]
Paper check -Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy
of this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Remit paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
North Mecklenburg HHW Facility (6016TP-HHW-)
12300 North Statesville Road
Charlotte, NC 28078
Permit Renewal Application (Amendment- Five-Year Renewal) received on 11/24/2020
$0.00
$0.00Total Amount Due
1/3/2021Date Due
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shall be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Billing process:
Mary H. Johnson [phone]
Ed Mussler [phone]
Solid Waste Contacts:
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Adam Ulishney [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014