3416T_RepublicOverdale_Trans_AFR13-14

Transfer2014 Page 1 3416t
Facility Name:overdale transfer Permit: 3416t
Physical Address
Street 1: 5000 overdale rd.
Street 2:
City: winston-salem
State:North Carolina Zip: 27101
County: Forsyth
Mailing Address
Street 1: 2875 Lowery st.
Street 2:
City: winston-salem
State:North Carolina Zip: 27101
Primary Facility Contact Person
Name: Mark Tabaczynski
Phone: [phone] Fax: [phone]
Email: [e-mail]
Billing Contact Person
Name: Tom Mckenzie
Phone: [phone] Fax: [phone]
Email: [e-mail]
1. Tipping Fee: $43.00 per Ton (Attach a schedule of tipping fees if appropriate.)
3. Are there SWANA or other certified operator(s) at this facility?Yes No
If yes, indicate the following:
Name: Joseph Prestandrea
Certification type and expiration date: July 2015, transfer station
Name: Lamard crawford
Certification type and expiration date: April 2017, transfer station
Name: Sandra Lucas
Certification type and expiration date:june 2017, transfer station
2. Did your facility stop receiving waste during this past Fiscal Year? Yes No
If so, please report the date this occurred:
Does the tip fee above include the $2.00 Solid Waste Tax?Yes No
TRANS State of North Carolina
Department of Environment and Natural Resources
Division of Waste Management
TRANSFER STATION
Facility Annual Report
For the period of July 1, 2013-June 30, 2014
According to (G.S. 130A-309.09D(b)) completed forms must be returned by August 1, 2014 and a copy of this report must be sent to the
County Manager of each county from which waste was received. If you have questions or require assistance in completing this report, contact
your Regional Environmental Senior Specialist.
4. What other activities occur at this facility? (check all that apply)
Scrap Tire Collection White Goods Collection Household Hazardous Waste CollectionRecycling/Reuse Collection
If you checked Recycling/Reuse Collection, please indicate the materials accepted and amount collected: (check all that apply and provide tonnages)
Carpet tons
Wood tons
Concrete/rubble/asphalt tons Gypsum/drywall tons
Cardboard tons Electronics tons
Other Metal tons
Other Plastic tonsShinglestons
Other (specify)
5. Provide the four quarterly tonnages this facility reported on NC E-500K forms between July 1, 2013 and June 30, 2014:
Quarter Tons Reported
July 1 - September 30 24,427.42
October 1 - December 31 23,271.39
January 1 - March 31 22,322.66
April 1 - June 30 24,554.54
Total 94,576.01
Transfer2014 Page 2 3416t
6. Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED) at this facility during the period of July 1, 2013,
through June 30, 2014. Indicate tonnage received by COUNTY of waste origin. Please indicate COUNTY and STATE, if received from
another state.
Received from Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total
Forsyth 8,243.93 7,526.91 6,633.76 7,238.17 6,480.64 7,379.02 7,006.11 6,007.96 7,059.71 7,378.03 7,342.24 7,206.07 85,502.55
Davie 7.26 20.98 14.57 20 30.82 20 60 60 40 144.65 125.54 121.7 665.52
Davidson 51.01 71 54 53 53 70.33 55 57.87 54 97.8 115.7 87.81 820.52
Surry 6 3 5 7 5 5 8 4 6 4 4 4 61
Yadkin 11 5 12 12 12 6 13 5 5 5 5 7 98
Rowan 0 12 0 8.98 16 9.43 21.41 18.6 26 25 20 21 178.42
Stokes 10 16 6 8 7 8 9 8 8 9 9 8 106
Guilford 614 506 598 595 620 607 633 560 597 601 610 603 7,144
Grand Total 94,576.017. Indicate the facility(s) that received your facility's transferred waste material:
NAME, PERMIT #, and LOCATION (city, state) of FACILITY Tons
uwharrie environmental, Mt. Gilead n.c. 27306 MSW Landfill 94,576.01
TOTAL 94,576.01
Facility Type
CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility.
Signature:Date: 7/30/2014
Name: mark tabaczynski
Phone Number: [phone] Email: [e-mail]
Title: division manager
REMINDER: According to (G.S. 130A-309.09D(b)), this
report must be sent to the Regional Environmental Senior
Specialist for your area and a copy of this report must be
sent to the County Manager of each county from which
waste was received.
Please return your completed report to:
C.T. Gerstell
610 East Center Avenue
Mooresville, NC 28115
phone: [phone] email: [e-mail]
Tabaczynski, Mark Digitally signed by Tabaczynski, Mark DN: dc=com, dc=repsrv, ou=*Regions, ou=East, ou=Users, cn=Tabaczynski, Mark Date: 2014.07.30 14:48:39 -04'00'