4204-INDUS-1994 Halifax County Coal Ash Landfill SW018-0055 PARF & Invoice 7-17-18

PERMIT APPLICATION REVIEW FORM
Review Requested by: Larry Frost
Date Requested: 7/16/2018
Facility Name and Permit ID 4204-INDUS-1994, Halifax County Coal Ash Landfill
Applicant (Owner) Name Halifax County
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 < 100, 000 TPY
Permit Fee $0
Date Application Received 7/6/2018
Contact Name, Title & Phone # Greg Griffin, Director
Email Address [e-mail]
Company Halifax County
911 Address 921 Liles Road
Mailing Address PO Box 70
City/State/Zip Halifax, NC 27839
Parent Company NA
Known Subsidiaries NA
Other known names business
has operated under
NA
Known Counties of Operation Halifax
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: INDUS Permit #:
Did the permit applicant submit
Financial Assurance cost estimates?
Yes No Not Needed
Other notes Notification of Intent to Close, Final Cover System Design
Information - Ash Monofill Schedule for Completion of Closure Work/Request for Extension of Closure Timeframe. FID 1230121.
SW018-0055
P0830
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW018-0055
Date:7/17/2018
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Greg Griffin, DirectorHalifax County Coal Ash LandfillHalifax County Department of Public UtilitiesHalifax, NC 27839
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/swNorth Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpayRequires 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/swpayAccepts 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 ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646
Description Amount Due
Facility-Application: Halifax County Coal Ash Landfill (4204-INDUS-1994)921 Liles RoadLittleton, NC 27850Permit Modification Application (Modification- Change to Approved Plans (NO CHR)) received on 7/6/2018
$0.00
$0.00Total Amount Due
8/16/2018Date 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] Ed Mussler [phone]
Solid Waste Contacts:
Regulations and Technical Assistance: Ed Mussler [phone] Landfills, Transfer Stations Adam Ulishney [phone] Land Application Sites, Compost Facilities
NC Solid Waste Invoice Form I-2014