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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid Waste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility. Permit county.
7�5
Name of Facility Location 1*1dj
Date of Last Evaluation is
I. Permit Conditions Followed V Y. No N/A
A. Specific Condition(s) Violated
11. Operational Requirements Followed Yes No
15A N.C. Admin. Code 138 Section
A. Specific Violation(s) by number and letter.
III- Other Violations of Rule or Law
IV. Evaluator's Comments
V. Continuation Page Required? -Yes No Receiving S
Evaluation Date Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)
Part p mot �r_- � GeS. 130A-294 requires -that- an emaluatim ished for ptugram be establi the
e b-a-sis. The, mft,ion of S61"A waste Amag m ,p�t facilities on a statrwid
solid waste marogemnt Act and slollid Waste Managenent Rules codified at
1_5A NCAC 13B list requirewmtz vAAch mmt-,, kx� follcywW- by solid Uraste
far-.1-11lities,
Solid Waste section per-somiel sttall cxmplete � evalwition fom each
tim- they conduct- officia.1 evalwrtiorms. Ice. form shall be signed by
the per=)(s) rewdwitsyl the report.
Distw1butim: Part I f-cia-ility c%W
Part 1:1 Cara jc Raluigh central office file cAW
Rart, .1.1-1 Plrakz is office ti-le c%W
UL-s'midtimi.- 'Ibis form R',-.y be reLzArbed in iam-ordancse with the ReL=d Retention mid
Dispxsitioli Sctterlule of the S-3olid hlwte, SE\ction, SoAd Waste Mrwagexty—ent
Divi!_aion (if the Dew�tlammt of Dwiru-iment, Health as Natural Rersom-ces.
;.,..:.•....-,,.,.���-..�,.ys�;:'ad+;7..x.+<s»1-'c: ��.>ri..,r:v� rh•��-a�.;-Kv:a� r.,t� r „
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Haste Kanageme nt
Solid Waste Section
SOLID WASTE KAJVU0ENT FACILITY EVALUATION REPORT
i7
Type of Fac i l i ty (" ` � Permit # t "� county.
Name of Facility t{Y�� `�t�1�Ila�1(ln•���(^..; , �.,.:?!_, t F tl t Location
Date of Last Evaluation
I. Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Viol
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section .s t�3
A. Specific Violation(s) by number and letter.
III. Other Violations of Rule or Law
IV. Evaluator's
V. Continuation Page Required? Yes No Receiving Signature 1
Evaluation Date i r f Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)
I?kjx,kxz-P-, G. 131MA-294 :ice-isthat an evaluation pwgiam be established for the
craystion of gold vmrste, facilities on a statewite basis. The
Solid %haste Mxevent Act and EVIld Was Managaiiesit wee codified at
15A y lid w
NCAC 1B 3AN MMi
ITI SMUMN MICII MY 1fO >0 lIcaiwASad blid MOINES,
Was,Le Section rknowwwa sball craplete the evaInation farm eadh
tign they c. a ls. official cvAaIxvVticnx;. The fray m stall he signed by
Or fwxwn(s) receiving the report.
U-ALv.tJcxiz furt I %bite: facility cqp
OPY
port 11 Cumaxy; wlei4gi cmtral offioe file Cq_w
I�wt, 171-1 4 a innal office file cap
Xw
ois i'n� 11bis- foie, .may be reLwined Q acconlawme with the Rec*rd Reti-,ntion ard
Yx,�I.tdcxn 'sulexiale allf the Solid. waste Soction, Solid WAS O VLL-wnageiremt
Division of the Departmexit of fwPxiIxx=CTIt, IRMAII alld MAMA ISSMOCIO.
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste lanagement
Solid Waste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility Permit County. {4
Name of Facility Location
Date of Last Evaluation
I. Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section
A. Specific Violation(s) by number and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Comments
V. Continuation Page Required? Yes No Receiving Signature
Evaluation Date Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)
jAwqxxxa: Q& 130N-294 that an evaluation fwagram be established far the
r tion of, s�olid waste raroqown1t facilities an a stabewide basis. Tibbe
$olid Maste Yjaiiaqena--nt Act and Solid Waste Manageineat Rules codified at
VS fu X.% , -A N' NC138 List reqpxtriazp-ats whic,1h i st I , followed kT swIN nozQ3
facilities:
-Ai shall cxaTMe the evaluation form ead -1-J.d per-,-x" I rich
-ti";�n th-'ev Aficial evaluatiass. The form ,all. be sigma by
thce reyxxt,
j-i Cfla xal. Oftkv I -Ale CX4-jy
A V
1INgirnwil CAMMs Me Cot,
A '.kbiis form nay he istaAM-in xxiardixyns With the Record Retention and
MajusiLifal of the Solid %ste Section, Solid 10sste Man agOIW-Mt
Avision of the Enjaitment of ErwOunnert, Health. and Natural Resouroes.
MT;'i#rs4'•;F.. ..sl1r++.�'bi`r":#r�t?'y°KTJn-�t
dJr '`i.;
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Managanent
Solid Waste Section
SOLID WASTE MANAGENENT FACILITY EVALUATION REPORT
Type of Facility ` Permit # County.
Name of Facility (443 k) ( -f )v,>�t l%., �•��, }Jill Location D
! / —
Date of Last Evaluation `
I. Permit Conditions Followed Y Yes No N/A
A. Specific Condition(s) Violated
II. Operational Requirements Followed ,,. Yes No
15A N.C. Admin. Code 13B Section �� J
A. Specific Violation(s) by number and letter.
III. other Violations of Rule or Law
IV. Evaluator's Comments
V. Continuation Page Required? Yes No Receiving Signature jt
Evaluation Date Solid Waste Section: r
DEHNR 3793 (Part I bite: Facility Part II Canary: Central office Part III Pink: Regional office)
Solid Waste Section (Review 7/94)
G.1.30A-294 rt-x-pil-m-s- that an evaluation pram be eotab,LiEibed for the,
rratinn of savAid waste ranaqemnt. fac-ilitif,,q (,xn a statevide basis. 11he
S woad Wrv-,to-- Marviclemmt Art and Solid Waste MdnaqEment Rales coaified at
JAP, list mquiram-mUs whicli must lx� folImEAL L waste -y' wAid
se-dzi(m pexo-rilywel shall cmplete the e-wattation fo.-rin ea(ti
IA-mv-tbwy off ie is evaluatiorr--,. The farm shall be signed by
�bi- fx-��-rsnnfs) -mx-Avimj the r'qxxt.
J.AsAx ilm fticmba. :t I WhItt"'. fACA.Lby Cow
Rnt It Camiry: Ralei4l Omtral Office file 001V
"I'll Pink: Regional cyfficm- file
lliips borm mory be retaimed iri. acmrd&ry-,P-. with. the Pix-=d- - Ret�ention and
ul�- - - It i ai the �k-)Iid Waste Sec-t-Lon, Solid Waste Managextent
h and Natural Resource,. -
Ur trie w-p taeAlt of I�nvirorurlemt, iiealtl