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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Divisim of Solid Yaste Nauage111e11t
Sol id Yaste Sectim
SOLID MASTE NAIIAGEJIEIIT FACILITY EVALUATICJf REPOIT
Type of Facility mSi,b · ,+hv:.j }...-71:.J) {f.lf Permit I 't'J -O ~
Nillle of Facility Zt;,lt sht -Pnptr: Li h,9 &" #I
Date of Last Evahmtim <j /?.., 7 f 1 3
~ ' . CoUlty J/2.m, 5:J LJ l n I G
Locatim ) 1?, J [rl. 1]1"Jp ~ ~rt.,S t,.
I ./
I. Permit Conditions Followed ~Yes No NIA
A. Specific Condition(s) Violated·--------------------------------
II. Operational Req.iirElll!nts Followed
15A N.C. Adlin. Code 138 Sectim __ G_D_S...:;;_o_· _s:..._ ______ _
A. Specific Violatim(s) by. ~rand letter.
III. mher Violations of Rule~ L~~--------------------------------
IV. Evaluat~·s cai.ents )..IC> v,~c..., r I~-~
V. Contiruatim Page Req.iired? __ Yes
Evaluatim Date J fJ · ?, ~ -1 3
DEHNR 3793 (Part I "1ite: Facility
Solid Yaste Sectim (Review 7/94)
Sol id Yaste Secti
Part II canary: Part Ill Pinlc: Regional Office)
Pu:tpose: G.S. 130A-294 requires that an evaluation program be established for the
operation of solid waste managenent facilities on a statewide basis. '!he
Solid Waste Managenent Act am Solid Waste Managenent Rules a:xlified at
15A NCAC 13B list requirements which must be followed by solid waste
facilities.
InstnJct:ims: Solid Waste Section personnel shall complete the evaluation form each
time they conduct official evaluations. '!he form shall be signed by
the person(s) receiving the report.
Di.st:ril:utiai: Part I 'White: facility cx.py
Part II canary: Raleigh central office file cx.py
Part III Pink: Regi.ooal office file cx.py
Dispositicn: '!his form may be retained -in accordance with .the Reo:>:r:d Retention -and
DiSp::>Sition Schedule of the Solid Waste section, Solid Waste Management
Division of the Deparboont of Environment, Health am Natural Resourc.es.
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid Yaste Na11ageme11t
Solid Yaste Section
SOLID WASTE NAIIAGEJEIIT FACILITY EVALUATIOI REP(l!T
Type of Facility 5,,n:,+trr~ l..,hoi,)1 Permit, <?B-(.) .5
Nane of Facility LlU')ffi "Y;>r"p(r b t'"-Q k,t)
Comty ~nr~ l., e), ,·;»_,
Location ) p_ ) 5' I ·z.1 djs § Zh hJ~r)t
Date of Last Evaluation-___~_)_-Z.---'-f ~/_1~3 "----
I. Pen1it Conditions Followed L Yes __ No N/A
A. Specific Condition(s) Violated. ____________________________ _
II. Operational Requirements Followed { Yes ___ llo
15A N.C. Adilin. Code 138 Section __ ._0_~_D_$.;,_.. ______ _
A. Specific Violation(s) by n.Jllber and letter.
III. ~her~olati~of R~e~ L~~-----------------------------
V. Contiruation Page Required? __ Yes
Evaluation Datej J J.'j /5 ") Solid Yaste Secti,/':---#:,--.=>=:!..jf---J~~'-1-<~=------
DEHIIR 3793 (Part I "1ite: Facility
Sol id Yaste Section (Review 7/94)
·,i
l
I
I\Iq>ose: G.S. lJOA-294 requires that an evaluation program be established for the
q,eration of solid waste management facilities on a statewide basis. 'lbe
Solid Waste Management Act arrl Solid Waste Management Rules cxxlified at
15A NCAC 13B list requirements which must :be followed by solid waste
facilities.
Inst.nrticns: Solid Waste Section personnel shall canplete the evaluation form each
time they conduct official evaluations. 'lbe fonn shall be signed by
the person( s} receiving the report.
Di.st:riruti.ai: Part I White: facility cxpy
Part II canary: Raleigh cart:ral office file cxpy
Part III Pink: Regi.ooal office file cxpy
Dispositi.at: '!his form may be retained in aocordance with the Rec:X>:rd Retention and
Disposition Schedule of the Solid Waste section, Solid Waste Management
Division of the Deparbnent of Environment, Health arrl Natural Resources.
NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid waste Na11age111e11t
Solid waste Section
SOLID UASTE NAIIAGEJEIIT FACILITY EVALUATIOI REPORT
Coulty 7lin ,.., [)) lut,· bt 14
,,...-~ .,.~, .......
Type of Facility ~u1 f1\y.J L 19 tid ~1 I( Penai t I 1(8-t:> .S'
Nane of Facility Z:v..t s m Pn M'.r: t ?.hetft tr (&oc.c.ss) '
Location Sf... I $"'1 2:_~ 'PH5 ') ~ Aorn 1:-
Date of Last Evaluation. _________ _
I. Permit conditions Followed -X-ves ___ No N/A
A. Specific Condition(s) Violated. _____________________________ _
___llo
15A N.C. Amin. Code 138 Section--------~----
A. Specific Violation(s) by ruiber and letter.
III. Other Violations of Rule or Law. ______________________________ _
IV. Evaluator1sl:aments;_jrr_~/.5_flh.l._i}j_~~,_..:!::...t.f!_~_tft.i[S'.~k;,~_$:;~OQ_l-:;l/-.~~~·tl-~_(J~r~/'/~~~·!i:t,~_£j__D.J,~
,b#t;.,../PtL_i: '·f/2 ,h r ("//t.tO) 11 /6'~ y()Af2
V. Contiruation Page R1!C1Jired'? __ Yes ....d,110
Evaluation Date._...ot_-_'J..__,_'f_-__,7'--"3a__ ____ Sol id waste Secti l '---,--IU;:,,;µ.,,.__.:ib-..-1-#:::....E.:l'l,.!::::!-H,=..::!~ri:!-!!!!!-~-----
DEHIIR 3793 (Part I "1ite: Facility Part I I canary: Cen
Solid waste Sl!ction (Review 7/94>
.Putpose: G.S. 130A-294 requires that an evaluation program be established for the
operation of solid waste management facilities on a statewide basis. 'lhe
Solid Waste Management Act arrl Solid Waste Management Rules ccxlified at
15A NCAC 13B list requirements which must be followed by solid waste
facilities.
Inst:ruct.ials: Solid waste Section personnel shall canplete the evaluation fonn each
time they conduct official evaluations. 'lhe fonn shall be signed by
the person(s) receiving the report.
Distrib.Itia:i: Part I 'White: facility cqJy'
Part II cana:cy: Raleigh oentral offi~ file cqJy'
Part III Pink: Regiooal offi~ file cq,y-
Di.spa;iti.m: 'Ibis form may be retained in acx::ordance with the Rem:rd Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Deparbnent of Envirornnent, Health arrl Natural Resources.
•.
I.
NC DEPARTMENT OF Eh _.'IRONMENT, HEALTH AND NATU&i.u RESOURCES
Division of Solid Yaste Management
Sol id Yaste Section
SOLID W\STE NAIIAGEJEIIT FACILITY EVALUATION REP<RT
eou-.ty ll{!tN&Jv>'nf,-. . . ,,,.~
Location ,5 ,J<. J .r/ ~'2, , fjyj 7 A J~::: }· 7 I
Per11it Conditions Followed __ Yes No N/A
A. Specific Condition(s) Violated. ____________________________ _
II. Operational RE!C1,lirements Followed ___ Yes / llo
15A N.C. Acillin. Code 138 Section __ ._t>~5_D...,. ...... s ______ _
A. Specific Violation(s) by rullber and letter.
III. ~her~olati~of Rule~ L~~-----------------------------
V. Contiruation Page RE!C1Jired? __ Yes llo Receivi~ Si~ture·41~;(.,·?"vVV4,,
&;>-/?, v -
Evaluation Date._..'5""'-+-)-+y.-_./_9-'-,-~--------Sol id Yaste SectionL r:z#/;t~ £/J4r'l71t.t,µ-J'
., JC/ ·~' DEHIIR 3793 (Part I .aiite: Facility Part II Canary: Cent al Office Part II I Pink: Regional Office)
Solid \laste Section (Review 7/94)
i
I\n::pa3e: G.S. 130A-294 requires that an evaluation program be established for the
operation of solid waste management facilities on a statewide basis. The
Solid Waste Management Act and Solid Waste Management Rules codified at
15A NCAC 13B list requirements which nrust be foll~ed by solid waste
facilities.
Instructions: Solid Waste Section personnel shall complete the evaluation form each
time they conduct official evaluations. The form shall be signed by
the person(s) receiving the report.
Dist:ri.b.rtian: Part I White: facility cq,y
Part II canary: Raleigh central offia? file CXJPY
Part III Pink: Regional offia? file CXJPY
Disposition: 'Ihis form may be retained in accordance with the Record Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Ieparbnent of Environment, Health and Natural Resources.