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Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date:May 08, 2017
DIN 27709
Page 1 of 9
North Carolina Department of Environmental Quality
Division of Waste Management
Roy Cooper Michael S. Regan
Governor Secretary
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: 919-707-8200 Internet: http://deq.nc.gov/about/divisions/waste-management/solid-waste-section
An Equal Opportunity \ Affirmative Action Employer
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WASTE MANAGEMENT
SOLID WASTE SECTION
SOLID WASTE MANAGEMENT FACILITY
IMAGE FIRST SERVICES, LLC (OPERATOR)
And
JHB SUBSIDIARY NC, LLC (LANDOWNER)
is hereby issued a
PERMIT APPROVAL TO CONSTRUCT
NOT APPLICABLE
PERMIT APPROVAL TO OPERATE
4124-MWP-2012, A MEDICAL WASTE TREATMENT FACILITY
PERMIT FOR CLOSURE
NOT APPLICABLE
located at 639 Alton Place, City of High Point, Guilford County, North Carolina, in accordance with
Article 9, Chapter 130A, of the General Statutes of North. The legal description of the site is identified
on the deeds recorded for this property listed in Attachment No. 1 of this permit.
Edward F. Mussler, III, P.E.
Permitting Branch Supervisor
Solid Waste Section
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 2 of 9
ATTACHMENT 1
GENERAL PERMIT CONDITIONS/INFORMATION
PERMIT APPROVAL TO OPERATE DATA TABLE
Permit Number Status Issuance Date Expiration Date DIN
4124-MWP-2012 Active May 08, 2017 July 02, 2022 27709
DIN = Document Identification Number.
PART I: GENERAL FACILITY
1. This permit is issued by the North Carolina Department of Environmental Quality,
Division of Waste Management (Division), Solid Waste Section (Section). In accordance
with North Carolina Solid Waste Management Rule (Rule) 15A NCAC 13B .0201(d), a
solid waste management facility permit shall have two parts: a Permit Approval to
Construct and a Permit Approval to Operate. The Permit Approval to Construct (PTC)
must be implemented in accordance with Attachment 2 of this permit. The Permit
Approval to Operate (PTO) must be implemented in accordance with Attachment 3 of
this permit.
2. The persons to whom this permit is issued (“permittee”) are the owners and operators of
the solid waste management facility.
3. The certified copy of the permit issued on July 02, 2012 (DIN 16630) was presented and
recorded in Book Number R7369 and Page Number 1058 through 1066 by Guilford
County Register of Deed Office on July 13, 2012 (DIN 16902).
4. When this property is sold, leased, conveyed, or transferred in any manner, the deed or
other instrument of transfer shall contain in the description section in no smaller type than
that used in the body of the deed or instrument, a statement that the property has been
used as a sanitary landfill and a reference by book and page to the recordation of the
permit.
5. By beginning receiving waste at the facility the permittee shall be considered to have
accepted the terms and conditions of this permit.
6. Construction or operation of this solid waste management facility must be in accordance
with the Solid Waste Management Rules, 15A NCAC 13B, Article 9 of the Chapter 130A
of the North Carolina General Statutes (N.C.G.S. 130A-290, et seq.), the conditions
contained in this permit; and the approved plan. Should the approved plan and the rules
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 3 of 9
conflict, the Rules shall take precedence unless specifically addressed by a permit
condition. Failure to comply may result in compliance action or permit revocation.
7. This permit is issued based on the documents submitted in support of the application for
permitting the facility including those identified in the “List of Documents for the
Approved Plan” which constitute the approved plan for the facility. Where discrepancies
exist, the most recent submittals and the Conditions of Permit shall govern.
8. This permit may be transferred only with the approval of the Section, through the
issuance of a new or substantially amended permit in accordance with applicable statutes
and rules.
9. In accordance with N.C.G.S. 130A-295.2(g) the permittee shall notify the Section thirty
(30) days prior to any significant change in the identity or business structure of either the
owner or the operator, including but not limited to a proposed transfer of ownership of the
facility or a change in the parent company of the owner or a change in the operator of the
facility or parent company of the operator.
10. The permittee is responsible for obtaining all permits and approvals necessary for the
development of this project including approval from appropriate agencies for a General or
Individual National Pollutant Discharge Elimination System Stormwater Discharge
Permit, if applicable and a sedimentation and erosion control permit. Issuance of this
permit does not remove the permittee’s responsibilities for compliance with any other
local, state or federal rule, regulation or statute.
PROPERTIES APPROVED FOR THE SOLID WASTE MANAGEMENT FACILITY
Guilford County, North Carolina Register of Deeds
Book No. Page No. Grantor Grantee Acreage
7123 625 Springfield Industrial Park, LLC JHB Subsidiary NC, LLC 2.5
Total Property Acreage 2.5
PART II: MUNICIPAL SOLID WASTE LANDFILL UNIT(S)
Not Applicable.
PART III: CONSTRUCTION AND DEMOLITION DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART IV: INDUSTRIAL LANDFILL UNIT(S)
Not Applicable.
PART V: LAND CLEARING AND INERT DEBRIS LANDFILL UNIT(S)
Not Applicable.
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 4 of 9
PART VI: TRANSFER STATION/TREATMENT & PROCESSING UNIT(S)
4124-MWP-2012, Image First Services, LLC, a Medical Waste Treatment Facility
Permit History
Permit Type Date Issued DIN
PTC & PTO, original issuance July 02, 2012 16630
PTO, 5 - year permit amendment May 08, 2017 27709
List of Documents for the Approved Plan
DIN DOCUMENT DESCRIPTION
16629 Medical Waste Treatment Application. February 29, 2011 and revised May 11,
2012. Prepared by IFS Services, LLC. May 2012. The property deed info is
included.
27710 Renewal - Medical Waste Treatment Application. January 26, 2017 and revised
March 03, 2017. Prepared by IFS Services, LLC. The Certificate of Occupancy
issued by the City of Hight Point is included.
PART VII: MISCELLANEOUS SOLID WASTE MANAGEMENT UNIT (S)
Not Applicable.
- End of Section –
ATTACHMENT 2
CONDITIONS OF PERMIT APPROVAL TO CONSTRUCT
PART I: GENERAL FACILITY
Not Applicable.
PART II: MUNICIPAL SOLID WASTE LANDFILL UNIT(S)
Not Applicable.
PART III: CONSTRUCTION AND DEMOLITION DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART IV: INDUSTRIAL LANDFILL UNIT(S)
Not Applicable.
PART V: LAND CLEARING AND INERT DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART VI: TRANSFER STATION/TREATMENT & PROCESSING UNIT(S)
Not Applicable.
PART VII: MISCELLANEOUS SOLID WASTE MANAGEMENT
Not Applicable.
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 5 of 9
- End of Section-
ATTACHMENT 3
CONDITIONS OF PERMIT APPROVAL TO OPERATE
PART I: GENERAL FACILITY OPERATION CONDITIONS
1. This permit shall expire July 2, 2022. Pursuant to N.C.G.S. 130A-295.8(b)(2), the
permittee must submit a request to the Section for permit review and must update
pertinent facility plans including, but not limited to, the facility operation.
2. Copies of this permit, the approved plans, and all records that are required to be
maintained by the permittee according to the approved document (DIN 27710) must be
maintained at the facility and made available to the Section upon request during normal
business hours.
3. A responsible individual trained in facility operations must always be on-site during all
operating hours of the facility.
4. The permittee must maintain a record of the amount of solid waste received at the facility
including daily records of waste received and origins of the loads, in accordance with the
approved documents (DIN 27710). Scales must be used to weigh the amount of materials
received, recovered and disposed. The daily records should be summarized into a
monthly report for use in the required annual reports.
5. On or before August 1 annually, the permittee must submit an annual facility report to the
Section, on forms prescribed by the Section.
a. The reporting period shall be for the previous year beginning July 1 and ending
June 30.
b. The annual facility report must list the amount of waste received, in tons and be
compiled:
i) On a monthly basis.
ii) By county or city of origin.
iii) By diversion to alternative management facilities.
c. The completed report must be forwarded to the Regional Senior Environmental
Specialist for the facility by the date due on the prescribed annual facility report
form.
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 6 of 9
d. A copy of the completed report must be forwarded to each county manager for
each county from which waste was received at the facility. Documentation that a
copy of the report has been forwarded to the county managers must be sent to the
Regional Senior Environmental Specialist by the date due on the prescribed
annual facility report form.
6. Signs must be posted at the facility that state types of waste accepted and prohibited,
operation hours, the permit number, emergency contact phone number(s), and other
pertinent information. Traffic signs or markers must be provided as necessary to
promote an orderly traffic pattern to maintain efficient operating conditions.
7. Pursuant to N.C.G.S. 130A-295.2, the permittee must be continuously maintained for the
financial assurance duration of the facility. Closure and/or post-closure cost estimates
and financial instruments must be updated annually.
PART III: CONSTRUCTION AND DEMOLITION DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART IV: INDUSTRIAL LANDFILL UNIT(S)
Not Applicable.
PART V: LAND CLEARING AND INERT DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART VI - TRANSFER STATION/TREATMENT & PROCESSING UNIT(S)
4124-MWP-2012, Image First Services, LLC, a Medical Waste Treatment Facility
1. The facility is permitted to only receive medical waste and regulated medical waste as
defined in N.C.G.S. 130A-290(a)(17a) and Rule 15A NCAC 13B .1201(10) and as
described in the approved plan (DIN 27710). The approved waste stream shall not consist
of, contain, mix, or comingle with any prohibit wastes:
a. Hazardous waste and material as defined in N.C.G.S. 130A-290(a)(18) & (18a).
b. Radioactive wastes as defined in 15A NCAC 13B .0101(33).
c. Household waste as defined in 40 CFR 261.4(b)(1).
d. PCBs as defined in 40 CFR 761.
e. Any other wastes that may pose a threat to public health or the environment.
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 7 of 9
2. The permittee is approved to operate the medical waste treatment facility and associated
facility appurtenances for processing, treating and temporally storing medical waste and
regulated medical waste in accordance with the approved plan (DIN 27710), the
applicable Rules 15A NCAC 13B .1201 through .1207 and .1301 and the permit
conditions specified herein to ensure that medical waste is transported, stored, treated,
and disposed of in a manner sufficient to protect human health, safety, and welfare; and
the environment.
3. This permit approves the operation of the medical waste treatment facility consisting of
two (2) steam sterilization units and associated facility appurtenances for storage and
processing of treated and untreated medical waste. All operating procedures shall
conform to described in the approved plan (DIN 27710) and Rules 15A NCAC 13B
.1207(1) & (2).
4. Medical Waste is subject to the general requirements of Rule 15A NCAC 13B .1202.
5. Regulated Medical Waste is subject to the requirements of Rule 15A NCAC 13B .1203.
6. Blood and body fluid in individual containers in volume greater than 20 millimeters shall
be properly packed & labeled, temporally stored, and transported to an off-site permitted
medical waste incinerator for final disposal according to applicable rules and the
approved plan (DIN 27710).
7. Steam sterilization shall not be employed for treatment of pathological wastes according
to Rule 15A NCAC 13B .1203(a)(3). All pathological wastes accepted at the facility
shall be segregated from other medical wastes, stored in a refrigerated trailer which shall
remain locked and secures, and subsequently transported to an off-site permitted medical
waste incinerator, in accordance with the approved plan (DIN 27710) and all applicable
sections of Rule 15A NCAC 13B .1200.
8. Transportation of untreated regulated medical waste shall conform to the requirements of
Rule 15A NCAC 13B .1205.
9. Storage facilities for untreated medical waste shall be provided at the treatment facility as
shown on the General Arrangement Drawing in the approved plan (DIN 27710) and in
accordance with Rules 15A NCAC 13B .0104, .1206, and .1207(1).
10. Contingency plan including fire-fighting and report, spill prevention and control,
transport of non-processible and/or non-conforming wastes to an approved disposal
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 8 of 9
and/or treatment facility shall be implemented as described in the approved plan (DIN
27710).
11. The facility must not cause nuisance conditions.
a. The facility must always be maintained in a clean, sanitary condition.
b. The operating floor, trailer storage, unloading dock area, and storage container and
area must be cleaned and disinfected after all treatment has taken place during facility
operations.
c. The storage of the waste must not cause any nuisance, such as odor or attraction of
vectors.
d. Effective vector control measures must always be applied to control any potential
vectors including flies, rodents, insects, and other vermin.
e. Control measures must be utilized to minimize and eliminate visible dust
emissions and blowing litter.
i) Fugitive dust emissions are prohibited.
ii) Windblown materials must be collected by the end of the day and no
windblown material may be allowed to leave the facility boundary.
12. All water that comes in contact with solid waste, including vehicle wash-down water, is
leachate, as defined in Rule 15A NCAC 13B .0101(24) and must be captured and properly
treated before release to the environment.
a. The leachate control system, such as floor drains, leachate collection devices, sanitary
sewer connections and leachate storage tanks, must be operational during facility
operations.
b. The operating floor must drain away from the building entrance and into the leachate
collection system.
13. Treated medical waste shall be properly disposed of at a permitted municipal solid waste
landfill, medical waste incinerator, or municipal solid waste incinerator as described in
the approved plan (DIN 27710).
14. Reused waste containers will be washed, disinfected, and inspected for damage prior to
be being returned to the customer.
Facility Permit No. 4124-MWP-2012
Permit Approval to Operate
Image First Services, LLC
Medical Waste Treatment Facility
Issuance Date: May 08, 2017
DIN 27709
Page 9 of 9
15. The Regional Senior Environmental Specialist will be notified of any plant shutdown,
other than normal course of business, due to the business closing, major repairs, or
similar interruptions in operation. The specialist will be given the opportunity to perform
an inspection, including a demonstration showing that the facility meets the operational
requirements listed in 15A NCAC 13B .1200, prior to re-opening.
16. The permittee must maintain records of all waste received at this facility for no less than
three (3) years. The records shall include the information as described in the approved
plan (DIN 27710).
PART VII: MISCELLANEOUS SOLID WASTE MANAGEMENT
Not Applicable.
- End of Section-
ATTACHMENT 4
CONDITIONS OF PERMIT FOR CLOSURE
PART I: GENERAL FACILITY
Not Applicable.
PART II: MUNICIPAL SOLID WASTE LANDFILL UNIT(S)
Not Applicable.
PART III: CONSTRUCTION AND DEMOLITION DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART IV: INDUSTRIAL LANDFILL UNIT(S)
Not Applicable.
PART V: LAND CLEARING AND INERT DEBRIS LANDFILL UNIT(S)
Not Applicable.
PART VI: TRANSFER STATION/TREATMENT & PROCESSING UNIT(S)
Not Applicable.
PART VII: MISCELLANEOUS SOLID WASTE MANAGEMENT
Not Applicable.
- End of Permit Conditions -