0601_ROSCANS_1975

NORTH CAROLINA STATE BOARD OF HEALTH
Inspection Form for Sanitary Landfills
--Name of -Site- -` :. County_ -
Locat-ion - - r Person s � Contacted—
Weather o ions
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
;r Evidence of Leaching
Waste Placed in Ground Water
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.4.,.:r;.,.`
Directional Signs
Two ,. t.._• L..
Operational Signs (Procedures,
Hours, Etc.)
REMARKS: za s
1
DATE V NAME
Solid Waste & Vector C'ntrol Section
�or.th Carolina State Board of Health
j,
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 Contacted
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 (X).
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 a//Leav
Evidence of Leaching
Waste Placed in Ground Water
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.)
REMARKS:.
DATE NAME
Solid Waste & Vector Cofitrol Section
North Carolina State Board of Health
SBH FORM 1709 (2/73)
Solid Waste & Vector Control Section