9607T_GoldsboroCity_Trans_AFR14-15

TRANSFER STATION
Facility Annual Report
For the period of July 1,2014-June 30,2015
According to (G.S.130A-309.09D(h))completed forms must be returned by August 1,2015 and a copy of this report must be sent to the
County Manager oleach 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:City of Goldsboro Transfer Station Permit:907-transfer-1997
Physical Address 't~~~.¢.='~Mailing Address "'~,~~.
y~
Street 1:904 Brick St Street I:1601 N.Clingman St
Street 2:Street 2:
City:Goldsboro County:Wayne City:Goldsboro
State:North Carolina Zip:27530 State:North Carolina Zip:27530
P~.mary Facility Contact Person Billing Contact_Person -~,=.,-'c,~
.""",,",",,,~..""'~~
Name:Cleveland .Mclxithan Name:Cleveland McKithan
Phone:[phone] Fax:[phone] Phone:[phone] Fa-x:[phone]
Emai!:[e-mail] Email:[e-mail]
1.Tipping Fee:$31.50 IperTon(Attach a schedule of tipping fees if appropriate.)
Does the tip fee above include the $2.00 Solid Waste Tax?I [Z]Yes D No
2.Did your facility stop receiving waste during this past Fiscal Year?
If so,please report the date this occurred:----------------------
DYes [Z]No
3.Are there SWANA or other certified operator(s)at this facility?
If yes,indicate the following:
~Yes DNo
Name:Leroy Randolph Certification type and expiration date:Transfer Station Operator,12/5117
Certification type and expiration date:Transfer Station Operator,1019116
Certification type and exrlration date:Transfer Station Operator,12/5/15
Name:Harry McClarin
Name:Gerald Stickle
4.What other activities occur at this facility?(check all that apply)
D Recycling/Reuse Collection D Scrap Tire Collection D White Goods Collection 0 Household Hazardous Waste Collection
If you checked RecyclinglReuse Collection,please indicate the materials accepted and amount collected:(check all that apply and provide tonnages)
D Carpet
D Cardboard
tons D Concrete/rubble/asphalt tons D Gypsum/drywall tons D Other Metal tons
tons 0 Shingles tons []Electronics tons D Other Plastic tons
D Wood tons 0 Other (specify)
5.If required to file NC E-500K forms with NC Dept.of Revenue,provide the four quarterly tonnages this facility reported for fiscal year
2014-2015.•_.•~.
'<~Quarter -,
TTons Reported -
July 1-September 30 -
October 1-December 31 ,
January 1 -March 31 I
April 1 -June 30 I
Total I~.~"-~--,f'907-trimsferll99i .~~pTransfer2015
6.Total waste received (INCLUDING WASTE TRANSFERRED AND RECYCLED)at this facility during the period of Julv l.2014.
through June 30.2015.Indicate tonnage received by COUNTY of waste origin.Please indicate COUNTY and STATE,if received from
another state.
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June TotalReceivedfrom
waste disposal 926.6 939.32 904.73 1,326.66 696.47 1,500 857.58 647.08 925.75 849.97 1,022.28 842.12 11,438.56
~-~.-
-
------NAME,PERMIT#;-andtOCATION (city;-statefofFACILlTY,j>Facility Type
11,438.5617.Indicate the facility(s)that received your facility's transferred waste material:
OtherCityofGoldsboroTransferStation,907-transfer-1997,Goldsboro,NC 11,438.56
TOTAL 11,438.56
Please return your completed report to:
Wes Hare
127 Cardinal Drive Ext.
Wilmington,NC 28405
phone:[phone] email:[e-mail]
CERTIFICATION:I certify that the information provided is an accurate representation of the activity at this facility,
Signature:tJJ~Jf~CIt{~rNr~.'Date:_Ju_I_2_7_,_20_1_5 _
Name:Cleveland MCKithan Title:Sanitation Superintendent
Phone Number:[phone] Emai1:[e-mail]