5601_ROSCANS_1977

N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Inspection Form for Sanitary Landfills
Name: of Site" County
Location Signature or Person s Receiving Report
Weather Conditions
SIR; An inspection of your land disposal site has been made this date and you are
notified of the violations, if any, marked below with a cross W .
1. PLAN REQUIREMENTS
Site Plan Approved
Operational Plans Approved
Plans Being Followed
2. SPREADING & COMPACTING
Waste Restricted to the
Smallest Area Practicable
Waste Properly Compacted
Proper Slope on Working Face
3. COVER REQUIREMENTS
Six (6) Inches Daily Cover
Two (2) Foot Final Cover
Erosion Controlled
4. ACCESS
Attendant on Duty
Access Controls (Gate, Chains)
All Weather Road
Dust Controlled
5. WATER PROTECTION
Surface Drainage Controlled
Evidence of Leaching
Waste Placed in Water
REMARKS
6. BURNING
Evidence of Burning
Fire Control Equipment Available
7. SPECIAL WASTES
Em
Spoiled Food Properly Handled
Animal Carcasses, Abattoir
Waste, Hatchery Waste, Etc.,
Properly Handled
HAZARDOUS WASTES ACCEPTED
Pathological
Pesticides
Other
9. VECTOR CONTROL
Effective Rat Control
Effective Fly Control
Other Vector(s) Controlled
10. MISCELLANEOUS
Blowing Material Controlled
Directional Signs
Operational Signs (Procedures,
Hours, Etc.)
DATE NAME
Solid Waste & Vector Control Branch
.Division of Health Services
DHS FORM 1709 (12/74)
Solid Waste & Vector Control Branch

N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Inspection Form for Sanitary Landfills
Name of Site County
Location Signature of Person s Receiving Report
Weather Conditions
SIR: An inspection of your land disposal site has been made this date and you are
notified of the violations, if any, marked below with a cross W .
I. PLAN REQUIREMENTS
Site Plan Approved
Operational Plans Approved
Plans Being Followed
2. SPREADING & COMPACTING
Waste Restricted to the
Smallest Area Practicable
Waste Properly Compacted
Proper Slope on Working Face
3. COVER REQUIREMENTS
Six (6) Inches Daily Cover
Two (2) Foot Final Cover
Erosion Controlled
4. ACCESS
6. BURNING
Evidence of Burning
Fire Control Equipment Available
7. SPECIAL WASTES
Spoiled Food Properly Handled
Animal Carcasses, Abattoir
Waste, Hatchery Waste, Etc.,
Properly Handled
8. HAZARDOUS WASTES ACCEPTED
Pathological
Pesticides
Other
9. VECTOR CONTROL
Attendant on Duty
Access Controls (Gate, Chains)
All Weather Road 10.
Dust Controlled
5. WATER PROTECTION
Surface Drainage Controlled
Evidence of Leaching
Waste Placed in Water
REMARKS:
Effective Rat Control
Effective Fly Control
Other Vector(s) Controlled
MISCELLANEOUS
Blowing Material Controlled
Directional Signs
Operational Signs (Procedures,
Hours, Etc.)
DATE NAME
Solid Waste & Vector Control Branch
Division of Health Services
DHS FORM 1709 (12/74)
Solid Waste & Vector Control Branch