7304-MSWLF-1997 Upper Piedmont Regional Landfill SW023-0051 PARF & Invoice 5-8-23

SWO023-0051
P0759
PERMIT APPLICATION REVIEW FORM
Review Requested by:
Allen Gaither
Date Requested:
5/3/2023
Facility Name and Permit ID
Upper Piedmont Regional Landfill, 7304-MSWLF-1997
Applicant (Owner) Name
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-294(a3)]
Republic Services of North Carolina, LLC
❑ (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
>250,000 TPY
Permit Fee (New Only)
N/A
Date Application Received
5/2/2023
Contact Name & Title
Matthew Einsmann, P.E., Regional Engineer
Phone #
[phone]
Email Address
MEinsmann(orepublicservices.com
Company
Republic Services
911 Address
9650 Oxford Road, Rougemount, NC 27572
Mailing Address
5111 Chin Page Road
City/State/Zip
Durham, NC 27703
Parent Company
Republic Services, Inc.
Known Subsidiaries
Unknown
Other known names business
has operated under
Upper Piedmont Environmental Inc.
Known Counties of Operation
North Carolina
Does the applicant have a past
or current solid waste permit?
Yes ® No ❑ Unknown ❑
Facility Type: MSWLF Permit #: 73-04
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes ❑ No ® Not Needed ❑
Other notes
Application for Permit Approval to Operate Cell 6B (CQA Report).

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:
Upper Piedmont Regional Landfill (7304-MSWLF-1997)
9650 Oxford Road
Rougemont, NC 27572
3a. Modification - Change to Approved Plans
Pavment Oations:
To: Matthew Einsmann, P.E. Regional Engineer
Republic Services Inc.
5111 Chin Page Road
Durham, NC 27703
Total
Invoice Date:
Invoice #:
Date Due:
11
0
May 08, 2023
SW023-0051
June 07, 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