8805_ROSCANS_1984

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Weather Conditions
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Name of Site
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N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
INSPECTION FORM FOR SANITARY LANDFILLS
Permit Number
County
----~--------~,,-+--,,-~-/k.,-a , 1 (~si_hiture of Person(s) Receiving Report Location
-,-__ _.,_IR~p_e_c_ti.on_of_Y-QJ1r land disp.o_s_al site has been made this date and y~o~u~a~rR=-------~
notified 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. COVER REQUIREMENTS
Six inches daily 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
DATE ,,f' /",(I/>.</
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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
NAM /~.,~7.1 . ) }/;/J;,,J
j'Solid & Hazardous Waste Management Branch
Solid & Hazardous Waste Management Branch
Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Permit Number
INSPECTION FORM FOR SANITARY LANDFILLS
"! J. 1A) .L// tlf fl/ b
----'-'-'-'
ffl,!Jn,; 'i' LI/ !If\ I A
Name of Site
(
1 /s'·-gna.eure of Person(s) Receiving
/ .'7 ------
Location Report
11-----S-f.R. An-i-ns-pe-e-t:--ien-e.f-yem-r-l-a-nd-d-±-s·pos-a--1-s·i-t e-h-a-,, b-een-.nad·e-t-h-±-s-d-ate-and-you-aro----
no t if i~d 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. COVER REQUIREMENTS
Six inches daily 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:
DATE 1'1 /// /~ if --~~~--+-~,-------
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 available
8. SPECIAL WASTES
Spoiled food, animal carcasses,
abattoir wa ste, hatche ry waste,
etc., covered immediately
9. UNAUTHORIZED WASTES AC CEPTED WITHOUT
WRITTEN PERMISSION
Type ___ _
10. VECTOR CONTROL
Effective control measures
11. MISCELLANEOUS
Blowing material controlled
Proper signs posted
,1 / 4 /;h a N1\1'ffi I 1,,/, "-·t (.. ( I l( . /l,/.1-n-
/Solid & Hazardous Waste Management Branch
Solid & Hazardous Waste Management Branch
.. , '.
0 ~)(?1-1!;-
Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES Permi-t Number
~ r 1NSPECTION FORM FOR SANITARY LANDFILLS
/~ I
r -,r' _,., /\ I f'."'y> ( 'J
Name of Co6nty
f/3r'J ~, ~ ,~/r' ~
Location ign_,,afore 'o'f Person ( s) Receiving Report
-+-----'S.IR:-An----ins.p.ec.tion-0-f-y.ou-r-l a-nd-d-i-s-pe-s-a-l-s-i--t-e-ha-s-beefl-mad-e-t:-h-i-s-d-a-t:-e-a-n-d-you---:-a-re-------
notified 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. COVER REQUIREMENTS
Y Six inches 'cl'rtTy cover
Two foot final cover
One foot intermediate cover
4. DRAINAGE CONTROLLED
On-site erosion
Off-site siltation
Erosion control devices
Seeding of comple ted areas
__ Temporary seeding
5. WATER PROTECTION
__ Off-site leaching
Waste placed in water
__ Surface water impounded
__ Monitoring wells installed
REMARKS:
DHS FORM 1709 (7/82)
Solid & Hazardous Waste Management Branch
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
>1-. Blowing material controlled
Proper signs posted
SoJid & Hazardous Wa1ste ~arui"gement Branch
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