5802_ROSCANS_2000

NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Haste Management
Solid Haste Section
SOLID 4((STE NANAGENENT FACILITY EVALUATION REPORT
Type of Facility Permit M County
Naae of Facility Location
Date of Last Evaluation
I. Permit Conditions Followed Yes No N/A
A. Specific Conditions) Violated
IT. Operational Requirements Followed Yes No
15A N.C. Admin. Code 138 Section I ()till f
A_ Specific Violation(s) by number and letter.
III. Other Violations of Rule or Law
1
IV. Evaluator• s`� Comments
V. Continuation Page Requiredt _Yes _No Receiving Signature
Evaluation Date Solid Haste Section
DEHNR 3793 (Part 1 White: Facility Part 11 Canary_ Central Office Part Ill Pink: Regional Office)
Solid Haste Section (Review 7/94)