4120T-TRANSFER-GREENSBORO CITY OF TRANSFER STATION SW023-0068 PARF & INVOICE 6-14-2023

SW023-0068
P1108
PERMIT APPLICATION REVIEW FORM (PARF)
Review Requested by:
Diana (Deana) Yitbarek
Date Requested:
6/13/2023
Facility Name and Permit ID
4120T-TRANSFER- Greensboro, City of Transfer Station
Applicant (Owner) Name
Description of Permit Request
[This is the action the applicant
is requesting in accordance with
NCGS 130A-294(a3)]
City of Greensboro
❑ (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
>25.000
Permit Fee (New Only)
0
Date Application Received
6/12/2023
Contact Name & Title
Richard Lovett, Manager
Phone #
[phone]
Email Address
Richard. Lovett(@greensboro-nc.gov
Company
NA
911 Address
401 Patton Ave, Greensboro, NC, 27406
Mailing Address
401 Patton Ave
City/State/Zip
Greensboro, North Carolina 27406
Parent Company
NA
Known Subsidiaries
NA
Other known names business
has operated under
NA
Known Counties of Operation
Guilford
Does the applicant have a past
or current solid waste permit?
Yes ® No ❑ Unknown ❑
Facility Type: Transfer Station Permit #: 4120T-TRANSFER-
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes ® No ❑ Not Needed ❑
(If Yes or No checked, copy Sarah Moutos when submitting
PARF)
Other notes
Permit modification for revised operation plan and closure plan

North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
CAROL Solid Waste Section
NORTH CnROLINq
thHrorvmnldOMa�l'
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
To: Richard Lovett, Manager
City of Greensboro
401 Patton Avenue
Greensboro, NC 27406
Invoice Date: June 14, 2023
Invoice #: SW023-0068
DESCRIPTION AMOUNT DUE
Facility -Application: $0.00
Greensboro City of Transfer Station (4120T-TRANSFER-) 10
6310 Burnt Poplar Road
Greensboro, NC 27409
3A Modification Change to Approved Plans
Total Amount Due
Pavment Oations:
Date Due: July 14, 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