U0039-MSWLF-.pdf

State Of North Carolina OUT OF STATE FACILITY
,Department ofEnvirortmental Quality Facility Annual Report
'Division of Waste Management For the period of July 1, 2016-June 30, 2017
We ask that completed forms be returned to: NC Solid Waste Section, 1646 Mail Service Center, Raleigh, NC 27699 or 6y email. If you have
questions or require assistance in completing this report, contact Geof Little (geoflittle®ncdenr.gov or 919.707.8252).
Facility Name: Atlantic Waste Disposal Permit:
Facility Wehsite (URL): https://www.wm.com
SWP562
Physicil Address
Mailing Address
Street 1: 3474 Atlantic Lane
Street l: 3474 Atlantic Lane
Street 2:
Street 2:
City: Waverly County: Sussex
City: Waverly
State: Virginia Zip: 23890
Stale: Virginia Zip: 23890
Primary Facility ContactiPersan —
Secondary EaciUo Contact Person
Name: Jason Williams
Name: Jim Sanville
Phone: [phone] Fax: (904) $34-3359
Phone: [phone] Fax: [phone]
Email: jiwillia®wm.com
-]
Email: [e-mail]
1. What type of facility is this?
® Municipal Solid Waste Landfill
❑ Construction & Demolition Landfill
[j Industrial Landfill
❑ Other (specify)
❑ Transfer Station
❑ Treatment and Processor
❑ Materials Recovery
2. If this facility is a Transfer Station, Treatment and Processor, or Materials Recovery Facility, please indicate the facility(s) that received
your non -recycled waste material:
NAMPEiiKU #, and LOCATION (city�a to) UFAGEUTY; ..-
Faduty 7M
Tons.
Atlantic wane Disposal, SWP562, Waverly VA
MSW Landfill
27,24719
TOTAL
27.24719
OS 201]

3. Total waste received at this facility during the period of July 1. 2016. through June 30, 2017 from NORTH CAROLINA COUNTIES.
Indicate tonnage received by COUNTY of waste origin. If waste was received from a transfer station, indicate the COUNTY LOCATION
OF THE TRANSFER STATION.
®®®®®®®®®®®®®
Grand Total Z7,247.19
Returit completed1brms to:
Goof L;'tttle Or by e-mail:
NC Solid.Waste Section g=aflitdc@nodenrgov
1646.Wil Service Center
Raleigh, NC 27699-1646
CERTIFICATION
eertify that the information provided is an accurate representation of the activity at this facility.
Signature: /%M, Dace: 0711912017
Name: Jason Williams
Phone Number. [phone] Email: [e-mail]
OS.201 _
Title: Sr District Manager
P4& 2