8202_SampsonCoMSWLF_20171003_PARFSW017-0049

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Requested: 10/3/2017
Facility Name and Permit ID WI - Sampson County Disposal, Inc. / 8202-MSWLF-2000-
Applicant (Owner) Name Sampson County Disposal, LLC
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 – Renewal/Review 5YR 10YR
(2)c. Amendment – Change in Ownership
(3)a. Modification – Change to Approved Plans (No CHR)
(3)b. Modification – Subsequent Permit to Operate (No CHR)
(3)c. Modification – Five-year Limited Review
(4) Major Permit Modification
Permitted Annual Tonnage 1,432,829
Permit Fee NA
Date Application Received 10/3/2017
Contact Name, Title & Phone # Bryan Wuester, Landfill Manager, 910-525-4132
Email Address [e-mail]
Company Sampson County Disposal, LLC
911 Address 7434 Roseboro Hwy. (NC 24), Roseboro, North Carolina
28382
Mailing Address 7434 Roseboro Hwy.
City/State/Zip Roseboro, North Carolina 28382
Parent Company Waste Industries USA, Inc.
Known Subsidiaries NA
Other known names business
has operated under
NA
Known Counties of Operation 100 counties in North Carolina
Does the applicant have a past
or current solid waste permit?
Yes X No Unknown
Facility Type: LFs & TS Permit #: 82-02, etc.
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes X No Not Needed
Other notes NA
SW017-0049
P0131
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW017-0049
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:Rita Wurschum
Sampson County Disposal, LLC
PO Box 640
Roseboro, NC 28382
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:
Sampson County Disposal, LLC (Site B) (8202-MSWLF-2000)
7434 Roseboro Highway
Roseboro, NC 28382
Permit Modification Application (Modification-Subsequent Permit to Operate (NO CHR))
received on 10/3/2017
$0.00
$0.00Total 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