4117-CDLF-2008 A-1 Sandrock C&D Landfill 10-4-17 COMPLETE PARF SW017-0048

Modified on 10.4.2017 
Revision #4 
PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao Date Requested: 10/2/2017
Facility Name and Permit ID A-1 Sandrock C&D Landfill, 4117-CDLF-2008
Applicant (Owner) Name A-1 SandRock, Inc.
Description of Permit Request
[This is the action the applicant is
requesting in accordance with
NCGS 130A-295.8(b)]
☐(1)a. New – New Facility
☐(1)b. New – Expand Facility Boundary
☐(1)c. New – Expand Waste Boundary
☒(1)d. New – Substantial Amendment
☐(2)a. Amendment – Next Phase of the Approved Facility Plan
☐(2)b. Amendment – Five-year Renewal
☐(2)c. Amendment – Change in Ownership
☐(3)a. Modification – Change to Approved Plans (No CHR)
☐(3)b. Modification – Subsequent Permit to Operate (No CHR)
Permit Fee $550 (2016-2017 annual disposal rate 96,279 tons)
Date Application Received 9/29/2017
Contact Name, Title & Phone
No. Ronnie Petty, Owner, 336-855-8195
Contact Email Address [e-mail]
Company Name A-1 Sandrock, Inc.
911 Address 2091 Bishop Rd, Greensboro, NC 27406
Mailing Address 2091 Bishop Rd, Greensboro, NC 27406
City/State/Zip Greensboro, NC 27406
Parent Company NA
Known Subsidiaries unknown
Other Known Related or
Associated Business Names Sandrock Quarry, ARC - Recycling
Known Counties of Operation Guilford
Does the Applicant have a Past
Or Current Solid Waste Permit?
Yes ☒ No ☐ Unknown ☐
Facility Type: C&DLF Permit No.: 41-17
Did the Permit Applicant Submit
Financial Assurance Cost
Estimates?
Yes ☒ No ☐ N/A☐ Not Needed ☐
Other Notes CHR & FA Approval (for construction & closure & post closure) are
required
SW017-0048
P0970
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW017-0048
Date:10/4/2017
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:Ronnie Petty, Owner
A-1 Sandrock, Inc.
2091 Bishop Road
Greensboro, NC 27406
More information available on the web:
North Carolina Department of Environment and Natural Resources (DENR) -
http://portal.ncdenr.org/
North Carolina Solid Waste Program - http://portal.ncdenr.org/web/wm/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
Credit Card -Available online at http://go.ncdenr.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.]
Paper check -Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number
on check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy
of this invoice with your payment.
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Remit paper checks to
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
A-1 Sandrock C&D Landfill (4117-CDLF-2008)
2091 Bishop Road
Greensboro, NC 27406
Permit Amendment Application (Substantial Amendment) received on 9/29/2017
$550.00
$550.00Total Amount Due
11/3/2017Date Due
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s)
shall be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Billing process:
Mary H. Johnson [phone]
Ellen Lorscheider [phone]
Solid Waste Contacts:
Regulations and Technical Assistance:
Ed Mussler [phone] Landfills, Transfer Stations
Tony Gallagher [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014
PAID
Check No. 5667
$550.00 10/13/17