8805_ROSCANS_1985

Weather Conditions N~ DEPARTMENT OF HUMAN RESOURCESe..=}
DIVISION OF HEALTH SERVICES
Permi-t Number
INSPECTION FORM FOR SANITARY LANDFILLS
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Location
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/Signcyture of Person(s) Receiving
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Report
SIR: An inspection of your land disposal site has been made this date and you are
-no-t~if-ied-of~t:he-vi0l-a-t-ions,-i-f-any,-ma-r·keEl-below-w-ith-::a-G-r-oss-(-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 # / 5() /~ '5 -------,-,-------~
DHS FORM 1709 (7/82)
6. ACCESS
Attendant on duty
Access controls
All weather road
Dust controlled
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
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NAME --~p-~-'---"'/'-------'----'-------~~-~ Solid & Hazardous Waste Management Branph
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Solid & Hazardous Waste Management Branch
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Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Permit Number
INSPECTION FORM FOR SANITARY LANDFILLS
Location Signature of Person(s) Receiving Report
--6-I-R--. An-:i:n-s-r>ee-t:-i-on-o-f-you-r-1-and-d±s-r>o·s-al--s-:i: t-e-h-a-s-beer1-ma-d-e-t-h±s-d·a-t-e-a:ncl-yeu-a-r-e·----
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 pToperly 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
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 road
Dust controlled
BURNING
Evidence of burning
Fire control equipment available
8. SPECIAL WASTES
Spoiled food, animal carcasses,
abattoir waste, hatche ry waste,
etc., covered immediately
9. UNAUTHORIZED WASTES ACCEPTED WITHOUT
WRITTEN PERMISSION
Type
10. VECTOR CONTROL
11.
Effective control measures
MISCELLANEOUS
( Blowing material controlled
Proper signs posted
Solid & Hazardous Waste Management Branch
(). -ir.
Weather Conditions N.C. DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
Permit Number
INSPECTION FORM FOR SANITARY LANDFILLS
;.>\ /11 . '1 '•tf/1 l ( £ I. 11 1.. ~ 1-i /I I
Name of Site County
/, I > 'r
Location (;Sigrfature -of Person(s) Receiving Report
~---S· I-R+--Arl-i-fl-S-J3ee-t-i-en-ecf-y-01:1-r-l-a-nd-d-i-s-i:>e-s-a-l-s-i-t:-e-h-a-s-been-m-a-d-e-H1-i--s-cl·a--fc-e-a-ncl-y-eu-a--l:'-e----
notified of the violations, if any, marked below wit_h 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:
I
DATE
DHS FORM 1709 (7/82)
NAME
Solid & Hazardous Waste Management Branch
6. ACCESS
Attendant on duty
Access controls
All weather road
Dust controlled
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 PER..~ISSION
Type
10. VECTOR CONTROL
Effective control measures
11. MISCELLANEOUS
.,
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Blowing material controlled
Proper signs posted
',.L.,,
Solid & Hazardous Waste Management Branch
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