7504T_PolkCounty_Trans_AFR13-14

Transfer2014 Page 1 75-04-T
Facility Name:Polk County Solid Waste Permit: 75-04-T
Physical Address
Street 1: 322 Landfill Rd
Street 2:
City: MillSpring
State:North Carolina Zip: 28756
County: Polk
Mailing Address
Street 1: P.O. Box 308
Street 2:
City: Columbus
State:North Carolina Zip: 28722
Primary Facility Contact Person
Name:Neal Hall
Phone: [phone] Fax: [phone]
Email: [e-mail]
Billing Contact Person
Name: Joyce Williams
Phone: [phone] Fax: [phone]
Email: [e-mail]
1. Tipping Fee: $45.00 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: Joyce Williams
Certification type and expiration date: Transfer Station Operation- 05/2016
Name: Randy Moss
Certification type and expiration date: Transfer Station Manager- 06/2017
Name: David Hall
Certification type and expiration date: Transfer Station Operation- 06/2017
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 tons112.42 Gypsum/drywall tons
Cardboard tons159 Electronics tons18.83
Other Metal tons89.01
Other Plastic tons175.37Shinglestons
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 6,120.36
October 1 - December 31 5,427
January 1 - March 31 4,861.95
April 1 - June 30 6,245.84
Total 22,655.15
Transfer2014 Page 2 75-04-T
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
2,237.05 2,164.04 1,719.36 2,025.03 1,578 1,824.65 1,641.95 1,479 1,741.66 1,968.35 2,354.16 1,923.33 22,656.58
Grand Total 22,656.587. Indicate the facility(s) that received your facility's transferred waste material:
NAME, PERMIT #, and LOCATION (city, state) of FACILITY Tons
Union County Landfill----684 Mauldin Rd Greenville SC 29607-----Permit # 442441-1101 MSW Landfill 22,656.58
TOTAL 22,656.58
Facility Type
CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility.
Signature:Date: Jul 25, 2014
Name: J. Neal Hall
Phone Number: [phone] Email: [e-mail]
Title: Director
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:
Andrea Keller
2090 US Highway 70
Swannanoa, NC 28778
phone: [phone] email: [e-mail]
J. Neal Hall Digitally signed by J. Neal Hall
DN: cn=J. Neal Hall, o, ou, email=[e-mail], c=US
Date: 2014.07.24 12:49:11 -04'00'