8805_ROSCANS_1983

Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVIC ES
Permi-t Number
INSPECTION FORM FOR SANITARY LAND FIL LS
-r;,-
Name County
J{ /,J) /,,,,) ----~~ Location 1Sigrfature of Person(s) Receiving Report
'
IR: An inspection of Y-Qur land disposal s.ite has been made this date and you are
notifi~d of the violations, if any, marked be low with a cross (X).
PLAN REQUIREMENTS
Site plan approved
Construction plans approved
__ Plans being followed
2 . SPREADING & COMPACTING
Waste restricted to the
smallest area practicable
Waste properly compacted
3. COVER REQUIREMENTS
Six inches daily cove r
Two foot final cover
One foot intermediat e cover
4. DRAINAGE CONTROLLED
On-site eros i on
Off-site s ilta tion
Erosion control devices
Seeding of completed areas
__ Temporary seeding
5. WATER PROTECTION
__ Off-site leaching
REMARKS:
Waste placed in water
Surface water impounded
Monitoring wells installed
DHS FORM 1709 (7/82)
Solid & Hazardous Waste Management Branch
6. ACCESS
Attendant on duty
Access controls
All weather r oad
Dust controlled
7. BURNING
Evidence of burning
Fire control equipment available
8. SPECIAL WASTES
Spoiled food, animal carcasses,
abattoir waste, hatchery waste,
et c., covered immediately
9. UNAUTHORIZED WASTES ACCEPTED WITHOUT
WRITTEN PERMISSION
Type
10. VECTOR CONTROL
Effective control measures
11. MISCELLANEOUS
/ Bl owing ma t erial controlled
Proper signs posted
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Weather Conditions r
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N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF PEALTH SERVICES Permit Number
INSPECTION FORM FOR SANITARY LANDFILLS
/;Vl /:~,JJ,;J
Name of Site I
;J J
;
Location Sigri&c Mie of Person{s) 1,/ Receiving Report
SIR: An inspect ion of y:our 1 and_disp_us.aLsi_t_e____has_h_e._en_made this date and__y...au_a.~------
no t if ied of the violations, if any, marked below with a cross (X).
1. PLAN REQUIREMENTS
Site plan approved
Construction plans approved
Plans being followed
2. SPREADING & COMPACTING
Waste restricted to the
smallest area practicable
__ Waste properly compacted
3. m VER REQUIREMENtt) 1 t , " ~ "' f. •. ("') X' Six inches ~dai-ly cover
Two foot final cover
One foot intermediate cover
4. DRAINAGE CONTROLLED
On-site erosion
Off-site siltation
Erosion control devices
Seeding of completed areas
__ Temporary seeding
5. WATER PROTECTION
__ Off-site leaching
__ Waste placed in water
__ Surface water impounded
__ Monitoring wells installed
REMARKS:
DRS FORM 1709 (7/82)
6. ACCESS
Attendant on duty
Access controls
All weather road
Dust controlled
7. BURNING
Evidence of burning
Fire control equipment available
8. SPECIAL WASTES
Spoiled food, animal carcasses,
abattoir waste, hatchery waste,
etc., covered immediately
9. UNAUTHORIZED WASTES ACCEPTED WITHOUT
WRITTEN PERMISSION
Type--------------
10. VECTOR CONTROL
Effective control measures
11. MISCELLANEOUS
Blowing material controlled
Proper signs posted
I /\ NAME \~ ; , ) J'Yl/if' I
( Soiid & Hazardous,;Waste Management Branch
Solid & Hazardous Waste Management Branch
) ·.
A5:J ·, (' \J (•
l r
.,
/
[er Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVIC ES
INSPECTION FORM FOR SANITARY LANDFILLS
I / l ui l n~ ~,,:,// d'.' 115 --r,;;,
Permit Number
/
Name of Sit e ;,! I· '
,.;.-i;;
Co unty
, .. X
.,
Location 'SignatuYe of Person(s ) Receiving Report
l
SIR: An inspection of your land disposal site has been made this date and you are
notified of the violations, if any, marked be low with a cross (X).
1. PLAN REQUIREMENTS
Site plan approved
Construction plans approved
~~ Plans being followed
2. SP~EADING & COMPACTING
Waste restricted to the
smallest area practicable
~~ Waste properly compacted
3. COVER REQUIREMENTS
Six inche s daily cover
Two foot final cover
One foot intermedi a t e cover
4 . DRAINAGE CONTROLLED ;
On-site erosi ori
Off-site silta tion
Erosion control devices
Seeding of completed areas
~~ Temporary seeding
5. WATER PROTECTION
~~ Off-site leaching
~~ Waste placed in water
~~ Surface water impounded
Monitoring wells installed
REMARKS:
DATE
DHS FORM 1709 (7/82)
6. ACCESS
Attendant on duty
Access controls
All weather road
Dust controlled
7. BURNING
Evidence of burning
Fire control equipment avail able
8. SPECIAL WASTES
Spoiled food, animal carcasses,
abattoir waste, hatchery waste,
etc., covered immediately
9. UNAUTHORIZED WASTES ACCEPTED WITHOUT
WRITTEN PERMISSION
Type ~~~~~~~~~~~~~-
10. VECTOR CONTROL
Effective control measures
11. MISCELLANEOUS
/)
NAME L /
Soli d
~ Bl owing material controlled
I
Proper signs posted
(A ) )J//f"d /}
--......,7 , \ I
& Hazardous Was L,e Mam.agement Branch
Solid & Hazardous Waste Management Branch