HomeMy WebLinkAbout26M_Autry_CHR_FID1822862_20231213Compliance History Review —
Organization Chart, and Questionnaire
AUTRY GRADING, INC.
September 1, 2023
Pg 3
Compliance Review
AUTRY GRADING, INC. and any parent, subsidiary, or other affiliate of the applicant,
permit holder, or parent, including any joint venturer with a direct or indirect interest in the
applicant, permit holder, or parent are requested to provide the following information for all
solid waste management facilities. For purposes of the questions below, the phrase ""within the
past five years," means five years prior to the date of this request.
For each question that is marked with an answer other than "not applicable," please
provide a written, detailed explanation, including how or if the matter has been
resolved.
A. The following question applies to all of the applicant's solid waste management (including
hazardous waste management) activities.
1. With respect to the applicant's solid waste management activities, check whether the
applicant has been a party to or received any of the following within the past five years.
If not applicable, mark "N/A":
NJAa. Compliance Order with a penalty
b. Compliance order without a penalty
N/Lc. Order to cease operating
_d. Order to abate public health nuisance [130A-19];
e. Order to abate imminent hazard [130A-20];
Nlkf. Order to abate nuisance scrap tire site [130A-309.60]).
—g. Administrative Consent Agreement or Settlement Agreement (e.g., may involve
revised permit conditions)
NIA h. Revocation or suspension of a permit
i. Denial of a permit application for a solid waste management facility
'. Penalty Collection lawsuit (lawsuit to collect an unpaid penalty)
_k. Confession of Judgment (for the payment and collection of an unpaid penalty or
other monies owed to a special account, such as the scrap tire account or white
goods account)
1. Injunctive relief or law suit for injunctive relief
m.Lawsuit for forfeiture of gain (N.C.G.S. §130A-28)
NIA—n. Lawsuit for recovery of money (N.C.G.S. §130A-27)
o. State Criminal action- misdemeanor or felony (N.C.G.S. 130A-25; 130A-26.1 and
26.2;14-399
p. Federal criminal action -misdemeanor or felony
Compliance History Review —
Organization Chart, and Questionnaire
AUTRY GRADING, INC.
September 1, 2023
Pg 4
B. [Note: Questions 2 and 3 cover any type of environmental violation.]
Check all applicable boxes (ONE MUST BE CHECKED FOR EACH QUESTION).
Within the past five years:
Z. The applicant has been convicted of, or pled guilty or no contest to, a criminal violation
of a statute, regulation, or rule for the protection of the environment or conservation of
natural resources.
a. in state court
_b. in federal court
® c. not applicable
3. A monetary penalty (whether denominated as a civil penalty, an administrative penalty,
a judicial penalty, or by some other designation), has been assessed against the applicant
for the violation of a state or federal statute, regulation, rule, including a permit condition,
or for the protection of the environment or conservation of natural resources.
a. in a state forum
_b. in a federal forum
c. not applicable
[Note: Questions 4 and 5 will encompass those situations where a solid waste
management facility operated in violation of solid waste management
statutes/regulations, as well as water quality, including groundwater and surface
water, sedimentation and erosion control, and air Quality statutes/regulations,
among others.]
4. With respect to any solid waste management facility (including hazardous waste
management) owned or operated by the applicant, a lawsuit for injunctive relief has been
filed against the applicant for the violation of a statute, regulation or rule for the
protection of the environment or conservation of natural resources.
a. in state court
_b. in federal court
14-c. not applicable
Compliance History Review —
Organization Chart, and Questionnaire
AUTRY GRADING, INC.
September 1, 2023
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5. With respect to any solid waste management facility (including hazardous waste
management) owned or operated by the applicant, a judgment, or consent judgment, for
injunctive relief has been entered against the applicant for the violation of any statute,
regulation or rule for the protection of the environment or conservation of natural
resources.
a. in state court
_b. in federal court
4-c. not applicable
6. A permit for a solid waste management facility owned or operated by the applicant has
been revoked or suspended.
a. in a state forum
b. in a federal forum
�-c. not applicable
7. An environmental permit for any undertaking other than a solid waste management
facility has been revoked or suspended.
a. in a state forum
b. in a federal forum
c. not applicable
8. The applicant submitted a permit application for the proposed ownership or operation
of a solid waste management facility that has been denied.
a. in a state forum
b. in a federal forum
c. not applicable
9. A governmental agency or unit has notified the applicant in writing that the applicant
has operated or is operating a solid waste management facility without the requisite
permit.
a . yes
b. not applicable
Compliance History Review —
Organization Chart, and Questionnaire
AUTRY GRADING, INC.
September 1, 2023
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10. A governmental agency or unit has notified the applicant in writing that the applicant
has operated or is operating a solid waste management facility outside the scope of the
permitted activity.
a. yes
b. not applicable
11. A governmental agency or unit has notified the applicant in writing that the applicant has
operated or is operating a facility or undertaking other than a solid waste management
facility without the requisite environmental permit(s).
,a. yes
b. not applicable
Compliance History Review —
Organization Chart, and Questionnaire
AUTRY GRADING, INC.
September 1, 2023
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The applicant may be requested to provide a written, sworn statement certifying the
status of the matter.
If the applicant certifies that the applicant is now in compliance, the applicant may be asked to
submit proof from the agency having jurisdiction over the violation that the applicant is in the
process of correcting or has corrected the violation to the satisfaction of the agency.
The applicant will be asked to certify the truth and accuracy of the answers provided to these
Compliance review questions.
I, , hereby certify on behalf of AUTRY GRADING, INC. as AUTRY
GRADING, INC.'s (title of position with applicant), that I have
read the foregoing answers provided to the Compliance Review, that the information and
answers contained in the responses to the Compliance Review are true and accurate based on
my own knowledge and my review of documents and that I have not omitted any material
information or falsified any information contained in the foregoing answers. I further certify
that I have the requisite authority vested in me by AUTRY GRADING, INC. to bind the
corporation to the accuracy and completeness of the information provided herein. I am aware
that there are significant penalties for making any false statement, representation, or
certification including the possibility of a fine and imprisonment.
Signature/printed name and title:
Attest: ; .