0601_ROSCANS_1978

N. C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Inspection Form for Sanitary Landfills
Si-gn-ature—o P_er-_son —s Receiving
SIR: An inspection of your land disposal
notified of the violations, if any,
site has been made this date and you are
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 Properly Compacted
Properly Handled
Proper Slope on Working Face
8.
HAZARDOUS WASTES ACCEPTED
Pathological
3. COVER REQUIREMENTS
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 ..Material Controlled
5. WATER PROTECTION Directional Signs
Operational Signs (Procedures,
Surface Drainage Controlled Hours, Etc.)
Evidence 9f,.,,LPach
Waste Placed in Water
REMARKS
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
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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
6. BURNING
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 Q¢STR.IU 1CT/I Waste, Hatchery Waste, Etc.,
COM�I4CTIAX� Waste- Properly Handled
Properly -Compacted sto�cOn/
Proper Slope on Working Fac 8. HAZARDOUS WASTES ACCEPTED
F� eC-
3. COVER REQUIREMENTS
Six (6) Inches Daily Cover
Two (2) Foot Final Cover
�&Gb t p SEED St*D
Erosion Controlled 9.
AREA A CO -w-ArL Co0ST(zUC TID X1 at
4. ACCESS U=h ZAiZViiER OR 5"\Mne4 3"'L)
Attendant on Duty
Access Controls (Gate, Chains)
All Weather Road
Dust Controlled
Pathological
Pesticides
Other
VECTOR CONTROL
Effective Rat Control
Effective Fly Control
Other Vector(s) Controlled
10. MISCELLANEOUS
Blowing Material Controlled
5. WATER PROTECTION Directional Signs
NEDTO WkJUTMN 6R4bC SIAWW E-s BRAE Operational Signs (Procedures,
X Surface Drainage Controlled
Hours Etc.)
_L_ Evidence of LeachingSMAk.t VOL. ov"pper- %iTc-. ELGOS.� '
Flow 4DO 1_OW0- eCEUA-116A S
Waste Placed in Water
REMARKS: �)ac_ _ To StgRLL1 -�E FAVOM06D t Q,UA �NVAC-[,_ lY\QS l
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DATE CCl $%7$ NAME
Solid Waste & Vector/ Control Branch
Division of Health Services
DHS FORM 1709 (12/74)
Solid Waste & Vector Control Branch