8606-MSWLF-1998 Surry County MSWLF SW22-0056 PARF and Invoice 6-22-22

PERMIT APPLICATION REVIEW FORM
Review Requested by: Jordan Russ
Date Requested: 6/21/2022
Facility Name and Permit ID Surry County MSWLF; 8606-MSWLF-1998
Applicant (Owner) Name Surry County
Description of Permit Request [This is the action the applicant
is requesting in accordance with NCGS 130A-294(a3)]
(1)a. New – New Facility(1)b. New – Substantial Amendment
(1)c. New – Expand Waste Boundary(1)d. New – Waste Category Change(1)e. New – Permit Less than LoS Duration
(2)a. Amendment – Renewal/Review(2)b. Amendment – Change in Ownership(3)a. Modification – Change to Approved Plans (No CHR)
(3)b. Modification – Five-year Limited Review (No CHR)Permitted Annual Tonnage <100,000tpy
Permit Fee (New Only) $0
Date Application Received 6/7/2022
Contact Name & Title Jessica Montgomery, Public Works Director
Phone # [phone]
Email Address [e-mail]
Company Surry County
911 Address 237 Landfill Road, Mount Airy, NC 27030
Mailing Address PO Box 342
City/State/Zip Dobson, NC 27017
Parent Company N/A
Known Subsidiaries N/A
Other known names business has operated under N/A
Known Counties of Operation Surry
Does the applicant have a past or current solid waste permit? Yes No Unknown
Facility Type: Permit #:
Did the permit applicant submit Financial Assurance cost
estimates?
Yes No Not Needed
Other notes Revised operations plan for updated wood waste processing area
SW22-0056P0913
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW22-0056
Date:6/22/2022
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:Jessica Montgomery, Director
Surry County
PO Box 342
Dobson, NC 27017
More information available on the web:
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card -Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.]
Paper check -Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy
of this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Remit paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
Surry County MSWLF (8606-MSWLF-1998)
237 Landfill Road
Mount Airy, NC 27030
Permit Modification Application (Modification- Change to Approved Plans (NO CHR)) received
on 6/7/2022
$0.00
$0.00Total Amount Due
7/22/2022Date Due
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shall be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Billing process:
Mary H. Johnson [phone]
Ed Mussler [phone]
Solid Waste Contacts:
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Adam Ulishney [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014