9226-CDLF-2001 Shotwell Landfill PARF SW017-0055 10-24-17

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ethan Caldwell
Date Requested: 10/25/2017
Facility Name and Permit ID 9226-CDLF-2001
Applicant (Owner) Name David King (Shotwell Landfill 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 – 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 91,250
Permit Fee $5,500.00
Date Application Received 4/12/2017
Contact Name, Title & Phone # David King
Email Address [e-mail]
Company Shotwell Landfill Inc
911 Address 4724 Smithfield Road, Wendell, NC 27591
Mailing Address 3209 Gresham Lake Road, Suite 115
City/State/Zip Raleigh, NC 27615
Parent Company
Known Subsidiaries
Other known names business
has operated under
Known Counties of Operation
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: C&D Permit #: 9226-CDLF-2001
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes
SW017-0055
P0984
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW017-0055
Date:10/25/2017
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:David King
Shotwell Landfill, Inc.
3209 Gresham Lake Road, Suite 115
Raleigh, NC 27615
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:
Shotwell Landfill, Inc. (9226-CDLF-2001)
4724 Smithfield Road
Wendell, NC 27591
Permit Amendment Application (Amendment - Next Phase of the Approved Facility Plan)
received on 4/12/2017
$0.00
$0.00Total Amount Due
11/24/2017Date 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