0704-TIRETP-2023 Tire Reclaim of Eastern North Carolina SW022-0139 PARF, Data Sheet, and Invoice 5-15-23

SW022-0139
P1387
PERMIT APPLICATION REVIEW FORM
Review Requested by:
Jordan Russ
Date Requested:
12/1/2022
Facility Name and Permit ID
Tire Reclaim of Eastern Carolina; # TBD 0704-TIRETP-2023
Applicant (Owner) Name
PFTW, Inc. d/b/a/ Tire Reclaim of Eastern 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
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-294(a3)]
Permitted Annual Tonnage
N/A
Permit Fee (New Only)
50
Date Application Received
11/15/2022
Contact Name & Title
Steve Goldman, Owner/Operations Manager
Phone #
[phone]
Email Address
stevemgoldman (cb-aol.com
Company
PFTW, Inc. d/b/a/ Tire Reclaim of Eastern North Carolina, LLC
911 Address
114 East Hwy 33, Aurora, NC 27806
Mailing Address
114 East Hwy 33
City/State/Zip
Aurora, NC 27806
Parent Company
Unknown
Known Subsidiaries
Unknown
Other known names business
has operated under
Unknown
Known Counties of Operation
Beaufort
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
Application for New T&P / Scrap Tire Facility

Data Field
Description
Data
Site —Name
M: name given to the facility. Name can permit name, but does not
have to.
Tire Reclaim of Eastern North Carolina
Address1
M: first line of physical address assigned by local 911 service, may
be different than mailing address.
114 East Hwy 33
Address2
M: second line of physical address, used when necessary.
City
M: city, town or locality where facility is located.
Aurora
State
M: two letter US postal service abbreviation for the state where the
facility is located.
NC
Zip
M: zip code for the location address.
28706
County
M: county name where facility is located.
Beaufort
Latitude
M: decimal degrees, should be between 33 and 37.
35.300921
Longitude
M: decimal degrees, should be between -75 and -85.
-76.783716
Horiz_Collection _Method
O: applies to how the coordinates were collected: 001=GPS or
002=geocode or 003=from map
3
Supplemental_Location
O: descriptive text for locating a facility when address is not
practical.
Tire Reclaim of Eastern North Carolina
Geometric —Type
M: 001=Fixed or 002=Mobile, e.g. Facility is Fixed, a septage
pumper is Mobile
1
Reference_ Point
O: description of point where coordinates were collected at the
facility, 001=front door, 002=permitted feature, 003=for mobile,
004=undefined point on facility
4
Status
M: description of the overall facility; Open or Closed.
Closed
Owner
M: classification of the owner of the facility as either Public or
Private entities.
Private
Start Date
M: date on which the facility began to be of interest to the
program, Facility Registration Date; Facility's Original Permit Issue
Date; Facility's First Inspection Date; Program's Start Date;
Department's Creation Date (07/01/1989)
11/15/2022
Start_ Date_ Qualifier
O: description of event represented by Start —Date field, e.g.
Facility's Original Permit Issue Date.
Receipt of Permit Application
End Date
O: date on which the facility ceased to be of interest to the
program.
End Date Qualifier
O: description of event represented by End_Date field, e.g. Date
of Final Closure.
PermitlD
M: unique id number used for permit
LocationlD
M: id number used in location table to identify the facility or
environmental interest subject to this permit. This number is
assigned and is only needed if permit relates to an existing site.
Permit Name
M: Common Name used for this permit
Tire Reclaim of Eastern North Carolina
Orig_PermitlssueDate
M: Date when first permit issued.
PermitlssueDate
M: Date MOST recent permit issued.
PermitExpDate
M: Date when current permit expires.

M: Active=Accepting/handling waste; Inactive=Not accepting
waste; Proposed=Application in-house for NEW permit;
Expired=Past Expiration date but not officially closed; Post-
Closure=Not taking waste but monitoring; Closed=Not accepting
waste and 'official' closure letter sent; Post -Closure Complete=Not
taking waste and monitoring complete; County=Non-facility within
PermitStatus
a county
Proposed
M: block of rules governing site e.g..1600, .0500, .1100, .0800,
Rule
etc.
0.1100
M: environmental monitoring required, yes is required or no is not
EnvMonitoring
required.
No
M: primary waste type handled under this permit: MSW, CD,
PrimaryWaste_Type
Indus, Tire, LCID, Medical, YW, Septage, HHW, WG
Tire
M: primary operation when dealing with waste: LF, Trans, LandAp,
TP, Compost, MatRecovery, Incin, Hauler, WasteToEnergy,
PrimaryOperation_Type
Authorization, Notification, Collection, Detention
TP
Owner Name
M: name of owner as appears on the permit.
Tire Reclaim of Eastern North Carolina
Operator_Name
I M: name of operator/facility manager.
Tire Reclaim of Eastern North Carolina

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]
DESCRIPTIG.
To: Steve Goldman, Owner
Paso Fino Trainers Worldwide, Inc.
114 East Hwy 33
Aurora, 27806
Facility -Application:
Tire Reclaim of Eastern North Carolina (0704-TIRETP-2023)
114 East Hwy 33
Aurora, NC 27806
1a New Facility
Total Amount Due
Pavment Oations:
Invoice Date:
Invoice #:
AM
Date Due:
December 05, 2022
SW022-0139
$50.00
$50.00
January 04, 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