9607T_GoldsboroCity_Trans_AFR13-14

TRANSFER STATION
Facility Annual Report
For the period of July 1,2013-June 30,2014
According to (G.s.130A-30Y.OYD(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.
Facility Name:City of Goldsboro Transfer Station Permit:907T -Transfer-1997
I!hxslcal AadJ"es!i~""-~"~C'.~".,;;:~Mailing-~Addr~ss .~..e;--...",_np;
Street 1:904 Brick St Street 1:1601 N Clingman St
Street 2:Street 2:
City:Goldsboro County:Wayne City:Goldsboro
State:North Carolina Zip:27530 State:North Carolina Zip:27530
Primary Facility Contact Person &,e•..Billing Contact Person ,,~<,oCC'..~;.~==.
-.-"..",'
Name:Jose Martinez Name:Cleveland McKithan
Phone:[phone] Fax:[phone] Phone:[phone] Fax:[phone]
Email:[e-mail] Email:[e-mail]
l.Tipping Fee:$3l.50 per Ton (Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax?[g]Yes D No
2.Did your facility stop receiving waste during this past Fiscal Year?
If so,please report the date this occurred:--------------------
DYes [g]No
3.Are there SWANA or other certified operator(s)at this facility?[g]Yes D No
If yes,indicate the following:
Name:Leroy Randolph Certification type and expiration date:Transfer Station Operator,12/5/17
Certification type and expiration date:Transfer Station Operator,10/9/16Name:Harry McClarin
Name:Christopher Crawford Certification type and expiration date:Transfer Station Operator,10/9/16
4.What other activities occur at this facility?(check all that apply)o Recycling/Reuse Collection 0 Scrap Tire Collection 0 White Goods Collection 0 Household Hazardous Waste Collection
If you checked Recycling/Reuse Collection,please indicate the materials accepted and amount collected:(checkallthatapplyand providetonnages)
D Carpet tons D Concrete/rubble/asphalt tons D Gypsum/drywall tons D Other Metal tons
D Cardboard
D Wood
tons D Shingles tons D Electronics tons D Other Plastic tons
tons D 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-~."IeIlSRG)'lOFtG9 ~....~-·C .•,
July 1 -September 30
October I -December 31
January 1 -March 31
April 1 -June 30
Total
907T-1"ransfer-1997"'':."!1!'·'!.._=~~Cc'iAA-:S;:
6.Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED)at this facility during the period of July I 2013
through June 30,2014.Indicate tonnage received by COUNTY of waste origin.Please indicate COUNTY and STATE,if received from
another state.
Jul Aug Sept Oct Nov Dec Jao Feb Mar Apr May June TotalReceivedfrom
Waste Disposal 907.56 93161 912.66 1,081.57 740.12 87509 868.68 825.95 998.48 1,214.22 883.69 1,026.38 11,266.Dl
---------I---I--,
7.Indicate the facility(s)that received your facility's transferred waste material:Grand Total I 11,266.0 I I
b,,,,..,}'"ikJ'l{AME,.PERMTT #,and LOCATION (city,.,state)ofE~ClLITY c;;}Facility:TYI!e~Tons .~
City of Goldsboro Transfer Station,907t-transfer-1997,Goldsboro,NC Other 11,266.oJ
-
TOTAL 11,266.01
Please return your completed report to:
Wes Hare
127 Cardinal Drive Ext.
Wilmington,NC 28405
phone:[phone] email:[e-mail]
C~RTIFICATION:hcf'9:ify th~the infor~ation provided is an accurate representation of the activity at this facili~.""""
SIgnature:d~,f)1XfWG;q~Date:111~(+~O(~__
Name:Cleveland McKithan Title:Sanitation Superintendent-----------------------------------
Phone Number:[phone] Email:[e-mail]
.907T-Transfer:1997 ",:'.Pag~