0602T_ROSCANS_2000

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of SoLid Haste Nanagerent
Solid haste Section
SOLID WASTE NANAGE ENT FACILITY EVALUATION REPORT
Type of Facility Permit / County
Name of Facility Location
Date of Last Evaluation
I_ Permit Conditions Followed Yes No N/A
A. Specific Condition(s)
II. Operational Requirements Followed Yes No
15A N.C. Admin. Code 13B Section
A_ Specific Violation(s) by nnber and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Cm is
V. Contin ticn Page Required! _Yes _No Receiving
Evaluation Date Solid Waste Section
DEHNR 3793 (Part I White: Facility Part II Canary: Central office Part III Pint: Regional Office)
Solid Waste Section (Review 7/44)

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Haste Management
Solid Haste Section
SOLID WASTE NAMAGEIENT FACILITY EVALUATION REPORT
Type of Faci
Permit
Mare of Facility. -
Date of Last Evaluation
I. Permit Conditions Followed _ Yes No N/A
A. Specific Conditions) Violated
11. Operational Requirements Followed Yes No
15A N-C. Admin. Code 13B Section
A. Specific Violati on(s) by number and letter.
111. Other Violations of Rule or Law
IV. Evaluator's Ccn nts
V. Continuation Page Required! _Yes _No Receiving
Evaluation Date Solid Haste Section
DEHRR 3793 (Part I White: Facility Part lI Canary: Central Office Part III Pink: Regional Office)
Solid Waste Section (Review 7/94)

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Haste Xanagcm t
Solid Haste Section
SOLID WASTE MANAGEMENT FACILITY EVALUATION REPORT
Type of Facility Permit ! Canty
Name of Facility. Location
Date of Last Evaluation
I. Pemit Conditions Followed Yes No N/A
A_ Specific Condition(s) Violated
11. Operational Requirer is Followed Yes No
15A N.C. Admin. Code 13B Section
A. Specific VioLation(s) by nuber and letter.
III. Other Violations of Rule or Law
IV. Evaluator's Currents
V. Cw in tion Page Required! _Yes _No Receiving Signature
Evaluation Date Solid (taste Section
DEHNR 3793 (Part I (Ante: facility Part II Cmary: Central Office Part III Pink: Regi anal Office)
Solid Waste Section (Review 7/94)