88C_ROSCANS_1997

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid (taste Management
Solid haste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility. ----, Permit # County ."I. t
y
Name of Facility. 1"'- js; '� �' ��t t ,�, .�i.- �' Location S';?!`t�
Date of Last Evaluation
I_ Permit Conditions Followed Yes No N/A
A_ Specific Condition(s) Violated
II. Operational Requirements Followed XYes No
15A N.C_ Admin. Code 13B Section
A. Specific Violation(s) by number and letter.
M
III_ Other Violations of Rule or
IV. Evaluator's Comments
V. Continuation Page Required? Yes No Receiving Si
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)

M
facilities.LAn7pose: G.S. 130A-294 requires that an evaluation program be established for . tM
cperation of solid waste management facilities on a statewide basis. Ma
Solid Waste Managregent Art and Solid Waste Managauent Rules codified
15A NCAC 13B list reqpirments which must be followed by solid
hwtrx=tions: Solid Waste Section personnel shall omplete the evaluation form each
time they conduct official evaluations. The form shall be signed by
the person(s) receiving the report-
Distrih*-Ian: Part I Mute: facility copy
Part II Canary: Raleigh central office file ccpy
Part III Puk: Regicnal office file cogy
ioi--poaiticn: This form may be retained in accordance -with the Record Retention aryi
Disposition Schn• of • • Waste Section,• • Waste Fbmgement
Divisionof the Departnent of EnvirormLent, Healthand Natural Resources.

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Waste Management
Solid haste Section
SOLID WASTE MAMAff?ENT FACILITY EVALUATION REPORT
Type of Facility. Permit # Canty.
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
A
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
Evaluation Date Solid Waste Section
DEHMR 3793 (Part I White: Facility Part II Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)

1")
G_3OA-29el that an eva1urition pmp-am W- cv,:;tablished for the
rp0rRT7Jnawl of soli,-J vast- wmaqew.xTt- tacilIties on a statevide basis. 7-he
Sol_.: d Waste Plarkqeme-m Act and Solid Waste Managawnt Rules coditied at
I r g
1-I'st rrzx*drpIve3-&s -vdlich muet be folIrxwed by solid Uraslx-.
ti r—,
Sollid Waste jQ-,I per-mirke-I shall CmPlete the evall-latiat tbxrm eacli
Mum, they officdal (�-,valuatdons. The form sball be sigivA by
the Ixtenon 'sYynxelvinq the reyxart .
Jco-v.Part I Mite: facility acw
: camazy. Ralei4i amytxai office file. cxw
ph&.- Regic"A offlfile cxly
Re�rd Retention and
ass farr may bexe;taimd in a(Amrdw �e, with thL
of the Solid Waste Set ion, &AAd Was-LL, Mmgment
epwrbwnt of Envirarm imt, Health ar4 Natural Re-souxv-as.