0601_ROSCANS_1974

NORTH CAROLINA STATE BOARD OF HEALTH
Inspection Form for Sanitary Landfills
anon
Person
County
11 Contacted
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 (X).
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
Attendant on Duty
Access Controls (Gate, Chains)
All Weather Road
Dust Controlled
5. WATER PROTECTION
Surface Drainage Controlled
Evidence of Leaching
Waste Placed in Ground Water
REMARKS:
6. BURNING
Evidence of Burning
Fire Control Equipment Available
7.
SPECIAL WASTES
Spoiled Food Properly Handled
Animal Carcasses, Abattoir
Waste, Hatchery Waste, Etc.,
Fron-or-ly-Handled --
8. HAZARDOUS WASTES NOT ACCEPTED
Pathological
Pesticides
Other
9. VECTOR CONTROL
Effective Rat Control
Effective Fly Control
Other Vector(s) Controlled
1.0. MISCELLANEOUS
Blowing Paper Controlled
Directional Signs
Operational Signs (Procedures,
Hours, Etc.)
DATE NAME
Solid Waste & Vector Control Section
North Carolina State Board of Health
SBH FORM 1709 (2/73)
Solid Waste & Vector Control Section

NORTH CAROLINA STATE BOARD OF HEALTH
Inspection Form for Sanitary Landfills
iW..L'hZL Conditions
-- - ounrv- __
?erson s --Conte
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 (X).
1. PLAN REQUIREMENTS
6. BURNING
Site Plan Approved
Evidence of Burning
Operational Plans Approved
Fire Control Equipment'Available
Plans Being Followed
7, SPECIAL WASTES
2. SPREADING & COMPACTING
Spoiled Food Properly Handled
Waste Restricted to the
Animal Carcasses, Abattoir
Smallest Area Practicable
Waste, Hatchery Waste, Etc.,
--------Waste ProperlyCompacted
-P-r-op-erly Handled -- _- -_
Proper Slope on Working Face
8. HAZARDOUS WASTES NOT ACCEPTED
3. COVER REQUIREMENTS
Pathological
Six (6) Inches Daily Cover
Pesticides
Two (2) Foot Final Cover
Other
Erosion Controlled
9. VECTOR CONTROL
4. ACCESS
Effective Rat Control
Attendant on Duty
Effective Fly Control
Access Controls (Gate, Chains)
Other Vector(s) Controlled
All Weather Road
10. MISCELLANEOUS
Dust Controlled
Blowing Paper Controlled
5. WATER PROTECTION
Directional Signs
Surface Drainage Controlled
Operational Signs (Procedures,
-7�--
Hours, Etc.)
Evidence of Leaching
Waste Placed in Ground Water
REMARKS:
_
DATE ,' NAME
�.
Solid Waste & Vector,;,Control Section
North Carolina State Board of Health
SBH FORM 1709 (2/73)
Solid Waste & Vector Control Section

NORTH CAROLINA STATE BOARD OF HEALTH
Inspection Form for Sanitary Landfills
Name -of- Site ----
County
Location - - -- - Person s --
Person(g) --
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
Attendant on Duty
Access Controls (Gate, Chains)
--•€=— All Weather Road
f
Dust Controlled
5. WATER PROTECTION
Surface Drainage Controlled
Evidence of Leaching
Waste Placed in Ground Water
REMARKS:
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 NOT ACCEPTED
Pathological
Pesticides
Other
9. VECTOR CONTROL
Effective Rat Control
Effective Fly Control
Other Vector(s) Controlled
10. MISCELLANEOUS
Blowing Paper Controlled
Directional Signs
Operational Signs (Procedures,
Hours, Etc.)
DATE L NAME
Solid Waste & Vector Contr6'1 Section
North Carolina State Board of Health
SBH FORM 1709 (2/73)
Solid Waste & Vector Control Section

i
r
NORTH CAROLINA STATE
BOARD OF HEALTH
Inspection Form for
Sanitary Landfills
-
- Name—of--S-ite
County -'
_`
Location
-- -- Person s Contacted
r
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 M .
1. PLAN REQUIREMENTS
6. BURNING
Site Plan Approved
Evidence of Burning
Operational Plans Approved
Fire Control Equipment Available
Plans Being Followed
7. SPECIAL WASTES
2. SPREADING & COMPACTING
Spoiled Food Properly Handled
Waste Restricted to the
Animal Carcasses, Abattoir
Smallest Area Practicable
Waste, Hatchery Waste, Etc.,
Waste Properly Compacted
Properly __Handled
Proper Slope on Working Face
8. HAZARDOUS WASTES NOT ACCEPTED
3. COVER REQUIREMENTS
Pathological
` Six (6) Inches Daily Cover
Pesticides
Two (2) Foot Final Cover
Other
Erosion Controlled
9. VECTOR CONTROL
4. ACCESS
e Effective Rat Control
Attendant on Duty
Effective Fly Control
Access Controls (Gate, Chains)
Other Vector(s) Controlled
All Weather Road
10. MISCELLANEOUS
Dust Controlled
Blowing Paper Controlled
5. WATER PROTECTION
Directional Signs
Surface Drainage Controlled
Operational Signs (Procedures,
--
Hours, Etc.)
Evidence of Leaching
Waste Placed in Ground Water
REMARKS:
r
i' r,! r 4 , ; Lfi'r ' r � t« �'; r, , t.`�r' F :,f C .O Lf
DATE % _ "f NAME
Solid Waste & Vector/Control Section
North Carolina State Board of Health
SBH FORM 1709 (2/73)
• Solid Waste & Vector Control Section