2906-CDLF--FY16-17

5 1. QfN.Q.111a
CONSTRUCTION & DEMOLITION WASTE
LANDFILL
33ep rtmettt ofEnvirotiine tal Qu[ity ` Facility Annual Report
I n'is vn af Was Man eme tt For the period of July 1,2016-June 30,2017
According to G.S. 130A-309.09D(b), completed forms must be returned by August 1, 2017 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:Davidson County C&D Landfill Permit: 2906-CDLF
Physical Add?ss Mailing Address
Street 1: 220 Landfill Road Street 1: P.O.Box 1067
Street 2: Street 2:
City: Lexington County:Davidson City: Lexington
State: North Carolina Zip: 27292 State: North Carolina Zip: 27293-1067
Primaay Fac'rlity Ccmtact Person Bill'mg Contact Persan
Name: Steven Sink Name: Stacy Craven
Phone: [phone] Fax:[phone] Phone: [phone] Fax:[phone]
EmaiL• [e-mail] Email: [e-mail]
1.Tipping Fee:$0.00 per Ton (Attach a schedule oftipping fees if appropriate.)
2.Does the tip fee above include the$2.00 Solid Waste Ta c? Yes 0 No
3.Did your facility stop receiving waste during this past Fiscal Year? yes No
If so,please report the date this occurred: June 15,2016
4.How is your leachate transported to the waste water treatment plant? Sewer Connection Pump Truck N/A
Airspace(Capacity):Questions in this section relate to all cells/units of
the C&D facility operated under the current 4-digit permit number 5.Date Facility Last Surveyed:
regardless of whether the cells/units are closed or are not contiguous
at the time ofthis report. Tonnage questions must be based on scale 6.Airspace Used(cubic yards):0
records and cover the period between the opening date and the date of
the last survey unless another time period is approved. Airspace 7.Total Tons Disposed in
measurements include daily,intermediate and final cover. Airspace Used(tons):
8.Do you utilize any alternate daily cover at this facility?Ifso,please describe below.
Facility stopped receiving waste on June 15,2016. No waste was accepted this fiscal year.
For Internal Use Oniy:
R cc;ved 0 !
t_______....
Rer_yded — 0----
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Landf;(3 f2ate
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9.Total material RECEIVED(waste+recyclables)at this facility during the period ofJuly 1 2016.through June 30.2017. Indicate tonnage
received by COtJNTY of waste origin. If waste was received from a transfer station,indicate the CO[JNTY LOCATION OF THE
TRANSFER STATION.
Nortl Caroiina 5ources
Spttt Coasty Jul-Sept(Qtrl) Oct-Dec(Qtr2)Jan-Mar(Qtr3)Apr-Jun(Qtr4) T tA[
NC Davidson 0 0 0 0 0
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
In-State Total 0
Outside sfN cth Caratin Sources
S te- C nuty Jul-Sept(Qtrl) Oct-Dec(Qtr2)Jan-Mar(Qtr3)Apr-Jun(Qtr4) Tota!
Out-of-State Total
Q#8t AEC't`1A CC@1VC(It-$C i-Qii-O-tAtE 1IS _.
2.
CD201'7 :..;;:. CLMF Pa 2
10.What other activities occur at this facility?(check all that apply)
Recycling/Reuse Collection Scrap Tire Collection White Goods Collection Household Hazardous Waste Collection
Ifyou checked Recycling/Reuse Collection,please indicate the materials and amount recycled(tons):
Material Tons Materiat Zt ns
Paper Concrete/rubble/asphalt
Plastic Pallets
Carpet Electronics
Cardboard Fluorescent Light Bulbs
Glass Used oil/oil filters
Aluminum Cans Wood(not yard waste)
Steel Cans Gypsum/Drywall
White Goods Other(specify):
Other Scrap Metal Other(specify):
Commingled Recyclables Other(specify): O
Total Recycled Materiat 0
Summary of Facitity Activity NC Solid Waste Disposal Taa
11.Input total amount of waste that was received,recycled,and that 12.If required to file NC E-SOOK forms with NC Dept.of
is exempt from taxation(ex-sludge,biosolids).Subtract total Revenue,provide the four quarterly tonnages this faciliry
recycled material and total tax-exempt tons from total tonnaee reported for fiscal year 2016-2017.
received.This number should represent the amount of tons
subject to the solid waste disposal tax and thus should equal the
E-SOOK tax tonnage total on right.
Wastell6iateriai Tons Quarter Tons Reparted
Total Tonnage
Received(question 9) 0 July 1 -September 30(Qtrl) 0
Total Received
Materials Recycled(question 10) —0 October 1 -December 31 (Qtr2) 0
Total Tons Landfilled —
at this Facility 0 January 1 -March 31 (Qtr3) 0
Disposed Tons Exempt
from Taxation*(if any) —
0 April 1 -June 30(Qtr4) 0
Total Tonnage Subject to _ NC E-SOOK
Disposal Tax Tax Tonnage Total
13.If you indicated that your facility disposed tons ofwaste materials that were exempt from taxation in Question 11*,please provide a
description of any tax exempt tons disposed and explain any difference existing between Total Tonnage Subject to Disposal Taac and NC
E-SOOK Tax Tonnage Total.
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14.Are there SWANA or other certified operator(s)at this facility? Yes No
If yes,indicate the following:
Name: Certification type and expiration date:
Name: Certification type and expiration date:
Name: Certification type and expiration date:
Name: Certification type and expiration date:
Name: Certification type and expiration date:
15.Comments,suggestions or notes:
This facility ceased receiving waste on June 15,2016. No waste was accepted at this facility during this fiscal year.
tEMINDE t.:Accaording to Ci.S.13f A-3f 3,09D(h),tltis Please return your completed report to:
repcirtnaust be sent t s#he,e n{nviranmF ttal enior Susan Heim
oir yaiic area stnd a cupy`ufthis repc>rt tnttst be 450 W Hanes Mill Road Suite 300
sentta flte oun r af`eaeh cisuntv ftom wlich W nston-Salem,NC 27105
Yv Tele:336.776.9672 Email: [e-mail]
CERTIFICATION: I ce ' a e ' ormation ided is an accurate representation of the activity at this facility.
Signature: Date: 7/27/2017
Name: Rex Buck Title: Public Services Director
Phone Number: [phone] Email: [e-mail]
CT32Q17 ,.'....:...::: . .... . 2}LFy` ".- Paged
NC QEQ q p: _
Divisior of V ast Nt n gement - Solic faste=ec n
Facility Name: Davidson County C&D Landfill Permit: 2906-CDLF
Address: 220 Landfill Road
City: Lexington State: North Carolina Zip: 27292
Person completing Assessment: Joan Smyth, P.G. Date: Jul 27, 2017
Phone Number: [phone] Fax: [phone] Email: [e-mail]
Please indicate either Yes or No for each Receptor and Post Closure Maintenance question. Then pleaseI'
I tnstructions: determine the distance or distances for each Receptor from the Edge of Waste(using range finders and/or GIS
maps)and type that information into the form. Please attach additional information including GIS maps, lists of
potable well locations, etc.
Receptors
1.Are there Residential Structures Within 1,500 feet of the Edge of Waste? x Yes No
If Yes, how many? 13
What are the three closest distances from the Edge of Waste? 500 Feet 610 Feet 700 Feet
2.Are there Water Supply Wells Within 1,500 feet of the Edge of Waste? x Yes No
If Yes, how many? 3
What are the three closest distances from the Edge of Waste? 500 Feet 610 Feet 700 Feet
3.Are there Community/Municipal Wells Within 1,500 feet of the Edge of Waste? Yes 0 No
If Yes, how many?
What are the three closest distances from the Edge of Waste? Feet Feet Feet
4.Are there Surface Water Features Within 1,500 feet of the Edge of Waste? x Yes No
If Yes, how many? 1
What are the three closest distances from the Edge of Waste? 250 Feet Feet Feet
Please list the names of the water bodies: unnamed tributary of Hamby Creek
5. Is Public Water Available Within 1,500 feet of the Edge of Waste? x Yes No
If Yes, how many of the Residential Structures noted above are connected?
Corrective Measures
6. Is there an active methane extraction system (blower, flare, etc.)? Yes X No
7. Is there a passive methane extraction system (trench, vents in cap, flare, etc.)? Yes OX No
8. Is there groundwater remediation taking place on site? Yes x No
If Yes, what is the specific remedial technology used?
Comments
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