5803-HHW- Madison County Solid Waste HHW SW021-0078 PARF & Invoice 06-01-2021

PERMIT APPLICATION REVIEW FORM
Review Requested by: Allen Gaither
Date Requested: 6/1/2021
Facility Name and Permit ID Madison County Solid Waste HHW, 5803-HHW-
Applicant (Owner) Name Madison 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) N/A
Date Application Received 5/28/2021
Contact Name & Title Mr. Sam Lunsford,Solid Waste Director
Phone # [phone]
Email Address [e-mail]
Company Madison County
911 Address 271 Craig Rudisill Drive, Marshall, NC 28753
Mailing Address Same as above
City/State/Zip Same as above
Parent Company N/A
Known Subsidiaries N/A
Other known names business
has operated under
N/A
Known Counties of Operation Madison
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF, CDLF, TS, TP Permit #: 58-02 & 03
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes Five-year Permit Approval to Operate renewal request for the HHW.