88C_ROSCANS_1994

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
Q�f Permit # .'$?
Name of Facility bc),Ij 4�OM I R!)1(j Location ST 161A f, P,
Date of Last Evaluation
I. Permit Conditions Followed -Yes No N/A
A. Specific Condition(s) Viol
11. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section
A. Specific Violation(s) by number and Letter.
111ol'o.-i I), � Alorrm -
III. Other Violations of Rule or Law
c
IV. Evaluator's Comments oo/
V. Continuation Page Required? —Yes No Receiving Signature
(y
on EvaluatiDate - 11e- ./ Solid Waste Section 1,
DEHNR 3793 (Part I White: Facility Part II Canary: Central office Part III Pink: Regional Office)
Solid Waste Section (Review 7/%)

Purpose: G.S. 130A-294 requires that an evaluation program be established for the
operation of solid waste management facilities on a statewide basis. The
Solid Waste Management Act and Solid Waste Management Rules codified at
15A NCAC 13B list requir+etnents which must be followed by solid waste
facilities.
Instructions: Solid Waste Section personnel shall complete the evaluation fort each
time they conduct official evaluations. The form shall be signed by
the person(s) receiving the report.
Distribution: Mute:..
py
Part • Raleigh , ...
Part III Pink: Regioral office file copy
Di-sqxeltion: This form may be retained in accordance with the Record Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Department of Ernrirornment, Health and Natural Resources,

NC DEPARTMENT OF Eh vIRONMENT, HEALTH AND NATURz.,L RESOURCES
Division of Solid baste Management
Solid Waste Section
SOLID WASTE MANACEIENT FACILITY EVALUATION REPORT
i -T
Type of Facility ' ' Permit # County.
Name of Facility. "9A/l'f�(('03�, % li, � Yif Il'�✓i`+,�/,� Location 'biu �.
Date of Last Evaluation
I. Permit Conditions Followed _Yes No N/A
A. Specific Condition(s) Violated
II. Operational Requirements Followed >'t Yes No
15A N.C. Admin. Code 13B Section
A. Specific Violations) by rxsber and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Coaramts j( `. e.• i i :f l7 f r C C!/ /s"
V. Continuation Page Required? Yes No Receiving Signature
Evaluation Date �. Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central Office
Solid Waste Section (Review 7n4)
Part III Pink: Regional Office)

Purpose: G.S. 130A-294 requires that an evaluation program be established for the
operation of solid waste management facilities on a statewide basis. The
Solid Waste Management Act and Solid Waste Management Rules codified at
15A NCAC 13B list requirements which must be followed by solid waste
facilities.
Inst=tions: Solid Waste Section personnel shall complete the evaluation form each
time they conduct official evaluations. The form shall be signed by
the person(s) receiving the report.
Distribution: part I Mute: facility cry
Part II Canary: Raleigh central office file copy
Part III Pink: Regional office file copy
Disposition: This form may be retained in accordance with the Record Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Department of Environment, Health and Natural Resources.