2906-MSWLF-2008 Davidson County MSW Lined Landfill SW023-0027 PARF & Invoice 3-20-23

SW023-0027
P1203
PERMIT APPLICATION REVIEW FORM
Review Requested by:
Jordan Russ
Date Requested:
3/20/2023
Facility Name and Permit ID
Davidson County MSW Lined Landfill; 2906-MSWLF-2008
Applicant (Owner) Name
Davidson County
❑ (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
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-294(a3)]
Permitted Annual Tonnage
150,000 tpy
Permit Fee (New Only)
$00
Date Application Received
3/9/2023
Contact Name & Title
Charlie Brushwood, Solid Waste Director
Phone #
[phone]
Email Address
Charlie.brushwood(ab-davidsoncountync.gov
Company
Davidson County
911 Address
1160 Old US Highway 29, Thomasville, NC 27360
Mailing Address
1242 Old US Highway 29
City/State/Zip
Thomasville, NC 27360
Parent Company
N/A
Known Subsidiaries
N/A
Other known names business
has operated under
N/A
Known Counties of Operation
Davidson
Does the applicant have a past
or current solid waste permit?
Yes ® No ❑ Unknown ❑
Facility Type: MSWLF Permit #:
Yes ❑ No ® Not Needed ❑
Did the permit applicant submit
Financial Assurance cost
estimates?
Other notes
PTC Application — Phase 2, Areas 4-5

North Carolina Department of Environmental Quality INVOICE
Division of Waste Management
NORTH CAROLINA Solid Waste Section
ENORTHC R LINA
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
email: [e-mail]
DESCRIPTION
Facility -Application:
Davidson County MSW Lined Landfill (2906-MSWLF-2008)
220 Davidson County Landfill Road
Lexington, NC 27292
2a. Amendment Renewal/Review
Pavment Oations:
To: Michelle Burkhart, Finance Specialist
Davidson County Solid Waste Management Program
1242 Old Hwy 29
Thomasville, NC 27360
Total Amount Due
Invoice Date: March 20, 2023
Invoice #: SW023-0027
AM
Date Due:
$0.00
0
April 19, 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 alonq 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.
Mail paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
[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] - Payments, e-Payments
Sherri Stanley [phone] - Fee Amounts
Regulations and Technical Assistance:
Sherri Stanley [phone] - Landfills, Transfer Stations, Compost Facilities
Perry Sugg [phone] - Land Application Sites
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http://deq.nc.gov/
North Carolina Solid Waste Program - http://deq.nc.gov/about/divisions/waste-management/solid-waste-section
NC DEQ:WM Solid Waste Invoice Form 1-2023