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Home My WebLink About0601_ROSCANS_1982N.C. DEPARTMENT OF HUMAN RESOURCES Permit Number DIVISION OF HEALTH SERVICES Inspection Form for Sanitary Landfills Name of Site County Location Signature of Person s Receiving Report 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 M . 1. PLAN REQUIREMENTS Site Plan Approved Operational Plans Approved Plans Being Followed 2. SPREADING & COMPACTING 6. ACCESS Waste Re.stricted to the 7. Sma1-1-e t`Area PraEticable Waste Properly Compacted Fire Control Equipment Available 8. SPECIAL WASTES Attendant on Duty Access Controls (Gate, Chains) All Weather Road Dust Controlled Proper Slope on Working Face 3. COVER REQUIREMENTS Six Inches Daily Cover Two Foot Final Cover One Foot Intermediate Cover 4. DRAINAGE CONTROLLED On -Site Erosion Off -Site Siltation Erosion Control Devices Seeding of Completed Areas Temporary Seeding 5. WATER PROTECTION REMARKS: DATE Evidence of Leaching Waste Placed in Water Surface Water Impounded Monitoring Wells Installed BURNING Evidence of Burnin-g— Spoiled Food Properly Handled Animal Carcasses, Abattoir Waste, Hatchery Waste, Etc., Properly Handled 9. HAZARDOUS WASTES ACCEPTED WITHOUT WRITTEN PERMISSION Type 10. VECTOR CONTROL Effective Rat Control Effective Fly Control Other Vector(s) Controlled 11. MISCELLANEOUS Blowing Material Controlled Directional Signs Operational Signs (Procedures, Hours, Etc.) NAME Solid & Hazardous -Waste Management Branch Lino FORM 1709 (11/79) Division of Health Services Solid & Hazardous Waste Management Branch N.C. DEPARTMENT OF HUMAN RESOURCES Permit Number DIVISION OF HEALTH SERVICES Inspection Form for Sanitary Landfills Name of Site County Location Signature of Person s Receiving Report 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 Re.stricted to the ---Small-est A-rew-Practic-able Waste Properly Compacted Proper Slope on Working Face 3. COVER REQUIREMENTS Six Inches Daily Cover Two Foot Final Cover One Foot Intermediate Cover 4. DRAINAGE CONTROLLED On -Site Erosion Off -Site Siltation Erosion Control Devices Seeding of Completed Areas Temporary Seeding 5. WATER PROTECTION Evidence of Leaching Waste Placed in Water Surface Water Impounded Monitoring Wells Installed REMARKS: DATE 6. ACCESS Attendant on Duty Access Controls (Gate, Chains) All Weather Road Dust Controlled 7. BURNING Evidence of Burning Fire Control Equipment Available 8. SPECIAL WASTES Spoiled Food Properly Handled Animal Carcasses, Abattoir Waste, Hatchery Waste, Etc., Properly Handled 9. HAZARDOUS WASTES ACCEPTED WITHOUT WRITTEN PERMISSION Type 10. VECTOR CONTROL Effective Rat Control Effective Fly Control Other Vector(s) Controlled 11. MISCELLANEOUS Blowing Material Controlled Directional Signs Operational Signs (Procedures, Hours, Etc.) NAME Solid & Hazardous -Waste Management Branch DHS FORM 1709 (11/79) Division of Health Services Solid & Hazardous Waste Management Branch N.C. DEPARTMENT OF HUMAN RESOURCES Permit Number DIVISION OF HEALTH SERVICES Inspection Form for Sanitary Landfills Name of Site County Location Signature of Person s Receiving Report 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 Pra-cttcalsl-e Waste Properly Compacted Proper Slope on Working Face 3. COVER REQUIREMENTS Six Inches Daily Cover Two Foot Final Cover One Foot Intermediate Cover 4. DRAINAGE CONTROLLED On -Site Erosion Off -Site Siltation Erosion Control Devices Seeding of Completed Areas Temporary Seeding 5. WATER PROTECTION Evidence of Leaching Waste Placed in Water Surface Water Impounded Monitoring Wells Installed REMARKS: DATE NAME 6. ACCESS Attendant on Duty Access Controls (Gate, Chains) All Weather Road Dust Controlled 7. BURNING —E_vi denc_e_o_f_Bu rn i ng Fire Control Equipment Available 8. SPECIAL WASTES Spoiled Food Properly Handled Animal Carcasses, Abattoir Waste, Hatchery Waste, Etc., Properly Handled 9. HAZARDOUS WASTES ACCEPTED WITHOUT WRITTEN PERMISSION Type 10. VECTOR CONTROL Effective Rat Control Effective Fly Control Other Vector(s) Controlled 11. MISCELLANEOUS Blowing Material Controlled Directional Signs Operational Signs (Procedures, Hours, Etc.) Solid & Hazardous -Waste Management Branch DHS FORM 1709 (11/79) Division of Health Services Solid & Hazardous Waste Management Branch Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES DIVISION OF HEALTH SERVICES Name of Site Location INSPECTION FORM FOR SANITARY LANDFILLS Permit Number County Signature of Person(s) Receiving Report 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. ACCESS Site plan approved Attendant on duty Construction plans approved Access controls Plans being followed All weather road 2. SPREADING & COMPACTING Dust controlled Waste restricted to the smallest area practicable Waste properly compacted 3. COVER REQUIREMENTS Six inches daily cover Two foot final cover One foot intermediate cover 4. DRAINAGE CONTROLLED On -site erosion Off -site siltation Erosion control devices Seeding of completed areas Temporary seeding 5. WATER PROTECTION Off -site leaching Waste placed in water Surface water impounded Monitoring wells installed REMARKS: DATE 7. BURNING Evidence of burning Fire control equipment available 8. SPECIAL WASTES Spoiled food, animal carcasses, abattoir waste, hatchery waste, etc., covered immediately 9. UNAUTHORIZED WASTES ACCEPTED WITHOUT WRITTEN PERMISSION Type 10. VECTOR CONTROL Effective control measures 11. MISCELLANEOUS Blowing material controlled Proper signs posted NAME Solid & Hazardous Waste Management Branch DHS FORM 1709 (7/82) Solid & Hazardous Waste Management Branch