7909-LCID-2023 SW023-0001 1201 NC 68 LCID PARF & Invoice 1-9-2023

PERMIT APPLICATION REVIEW FORM
Review Requested by:
Ming Chao
Date Requested:
01/04/23
Facility Name and Permit ID
1201 NC 68 LCID; 7909-LCID-2023
Applicant (Owner) Name
Thomas Stanley Grading, Inc.
Description of Permit Request
(1)a. New — New Facility
[This is the action the applicant
(1)b. New — Expand Facility Boundary
is requesting in accordance with
(1)c. New — Expand Waste Boundary
NCGS 130A-295.8(b)]
(1)d. New — Substantial Amendment
(2)a. Amendment — Next Phase of the Approved Facility Plan
(2)b. Amendment — Renewal/Review 5YR 10YR
(2)c. Amendment — Change in Ownership
(3)a. Modification — Change to Approved Plans (No CHR)
(3)b. Modification — Subsequent Permit to Operate (No CHR)
(3)c. Modification — Five-year Limited Review
(4) Major Permit Modification
Permitted Annual Tonnage
Unknown
Permit Fee
50
Date Application Received
01/03/23
Courtney Lilly
Contact Name, Title & Phone #
Email Address
CLilly(c)-thomasstanleygrading.com
Company
Thomas Stanley Grading & hauling, Inc.
911 Address
1278 NC 68
PO Box 489, 1278 NC 68
Stokesdale, NC, 27357
Mailing Address
City/State/Zip
Parent Company
N/A
Known Subsidiaries
N/A
Other known names business
N/A
has operated under
Known Counties of Operation
Rockingham, Guilford, Forsyth, Alamance
Does the applicant have a past
Yes No Unknown Permit #79-29, closed 12/13/2021
or current solid waste permit?
(likely mining permit)
Facility Type: Permit #:
Yes No Not Needed
Did the permit applicant submit
Financial Assurance cost
estimates?
Other notes
The check of fee of $50 dollars is mailed to Sherry

N, r-a
North Carolina Department of Environmenal Quality
Division of Waste Management
waste ManagQement Solid Waste Section
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
INVOICE
To: Courtney Lilly
Thomas Stanley Grading & Hauling, Inc.
PO Box 489
Stokesdale, NC 27357
Date:
Invoice #:
Description
Facility -Application:
1201 NC 68 LCID (New Permit)
PO Box 489
Stokesdale, NC 27357
New Application for Permit (New Facility) received on 1/3/2023
Total Amount Due
Date Due
Payment Options:
1 /9/2023
SW023-0001
Amount Due
$50.00
$50.00
2/8/2023
E-check - Available online at https://deq.nc.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 https://deq.nc.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.]
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
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.
Solid Waste Contacts:
Billing process:
Theresa Williams [phone]
Sherri Stanley [phone]
Regulations and Technical Assistance:
Sherri Stanley [phone] Landfills, Transfer Stations
Perry Sugg [phone] Land Application Sites, Compost Facilities
More information available on the web: Remit paper checks to
North Carolina Department of Environment and Natural Resources (DENR) - http://portal.ncdenr.org/ N.C. Division of Waste Management
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw Solid Waste Section
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics 1646 Mail Service Center
Raleigh, NC 27699-1646
NC Solid Waste Invoice Form 1-2014