88C_ROSCANS_1996

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 s Permit * '� County
t
Name of Facilityn1_ fVf t :i ie `i t r.j 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
A. Specific Violations) by number and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Comments
V. Continuation Page Required? Yes No Receiving Signature y
Evaluation Date / 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)

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 retirements which must be followed by solid waste
facilities.
Instructions: 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 IMute:♦i•....
Part II Canary: Raleigh central office file copy
Part III Pink: Regicnal 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 Envircrunent, Health and Natural Resources.

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid waste Management
Solid waste Section
SOLID WASTE MAMAGE ENT FACILITY EVALUATION REPORT
Type of Faci l i ty�. ' , Permit County
P t i
Name of Facility 11 r,- + :'� re I Location
Date of Last Evaluation
I. Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated
r
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 138 Section
A. Specific VioLation(s) by number and letter.
i
III. Other Violations of Rule or Law
IV. Evaluator's Comments fk7 jy/t,, l- i.-s. t r» - (.)
V. Continuation Page Required? Yes !.,No Receiving SignaturetiCJ~�. >`J� j `�
r'
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/%)

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.
Tnstnmtions: 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.
46 ...
Part IEE r.Raleigh.N
Part BEE 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.

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid haste Management
Solid haste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT }
Type of Facility L Permit # Canty "I Let-" s ,
,r
Name of FacilityI .�AitIV, ; "f E" j Location &A
Date of Last Evaluation.
I. Permit Conditions Followed Yes No N/A
A. Specific Condition(s) Violated
II. Operational Requirements Followed ¢Yes _
15A N.C. Admin. Code 13B Section d' "' CP
A. Specific Violation(s) by ember and letter.
III. Other Violations of Rule or
IV. Evaluator's Comments
No
V. Continuation Page Required? Yes No Receiving Signature "'a
Evaluation Date f `� !. Solid Waste Section_ 4.
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
cperation of solid waste management facilities on a statewide basis. The
Solid Waste Management Act and Solid Waste Management Rules edified at
15A NCAC 13B list requirements which must be followed by solid waste
facilities.
in structicns: Solid Waste Section personnel shall eamplete 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
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.