3006-TP-2018 Anderson Aggregates, LLC SW018-0062 PARF, Data Sheet and Invoice 08-03-2018

PERMIT APPLICATION REVIEW FORM
Review Requested by: Allen Gaither
Date Requested: 8/3/2018
Facility Name and Permit ID TBD
Applicant (Owner) Name Chris Anderson
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 TBD
Permit Fee $50 (10% of $500 annual fee)
Date Application Received 8/3/2018
Contact Name, Title & Phone # Mr. Chris Anderson, Owner, [phone]
Email Address [e-mail]
Company Anderson Aggregates, LLC
911 Address 872 Main Church Road
Mailing Address P.O. Box 638
City/State/Zip Mocksville, NC 27028
Parent Company Unknown
Known Subsidiaries Unknown
Other known names business
has operated under
Unknown
Known Counties of Operation Unknown
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: Permit #:
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes Application for operation of a new wood grinding T&P facility.
SW018-0062
P1326
ANDERSON AGGREGATES, LLC 3006-TP-2018
APPLICATION FOR NEW PERMIT DATA SHEET (Revised March 2012)
Data Field Description Data
Site_Name
M: name given to the facility. Name can permit name, but does
not have to.Anderson Aggregates, LLC
Address1
M: first line of physical address assigned by local 911 service,
may be different than mailing address.872 Main Church Road
Address2 M: second line of physical address, used when necessary.
City M: city, town or locality where facility is located.Mocksville
State
M: two letter US postal service abbreviation for the state where
the facility is located.NC
Zip M: zip code for the location address.27028
County M: county name where facility is located.Davie
Latitude M: decimal degrees, should be between 33 and 37.35.93705
Longitude M: decimal degrees, should be between -75 and -85.80.57625
Horiz_Collection_Method
O: applies to how the coordinates were collected: 001=GPS or
002=geocode or 003=from map C
Supplemental_Location
O: descriptive text for locating a facility when address is not
practical.
Geometric_Type
M: 001=Fixed or 002=Mobile, e.g. Facility is Fixed, a septage
pumper is Mobile 001
Reference_Point
O: description of point where coordinates were collected at the
facility, 001=front door, 002=permitted feature, 003=for mobile,
004=undefined point on facility 004
Status M: description of the overall facility; Open or Closed.Open
Owner
M: classification of the owner of the facility as either Public or
Private entities.Private
Start_Date
M: date on which the facility began to be of interest to the
program, Facility Registration Date; Facility's Original Permit
Issue Date; Facility's First Inspection Date; Program's Start Date;
Department's Creation Date (07/01/1989)7/17/2018
Start_Date_Qualifier
O: description of event represented by Start_Date field, e.g.
Facility's Original Permit Issue Date.Facility Inspection for YWN-30-004
End_Date
O: date on which the facility ceased to be of interest to the
program.
End_Date_Qualifier
O: description of event represented by End_Date field, e.g. Date
of Final Closure.
PermitID M: unique id number used for permit
LocationID
M: id number used in location table to identify the facility or
environmental interest subject to this permit. This number is
assigned and is only needed if permit relates to an existing site.
Permit_Name M: Common Name used for this permit
Orig_PermitIssueDate M: Date when first permit issued.
PermitIssueDate M: Date MOST recent permit issued.
PermitExpDate M: Date when current permit expires.
PermitStatus
M: Active=Accepting/handling waste; Inactive=Not accepting
waste; Proposed=Application in-house for NEW permit;
Expired=Past Expiration date but not officially closed; Post-
Closure=Not taking waste but monitoring; Closed=Not accepting
waste and 'official' closure letter sent; Post-Closure
Complete=Not taking waste and monitoring complete;
County=Non-facility within a county
Rule
M: block of rules governing site e.g. .1600, .0500, .1100, .0800,
etc..0300
EnvMonitoring
M: environmental monitoring required, yes is required or no is not
required.No
PrimaryWaste_Type
M: primary waste type handled under this permit: MSW, CD,
Indus, Tire, LCID, Medical, YW, Septage, HHW, WG
PrimaryOperation_Type
M: primary operation when dealing with waste: LF, Trans,
LandAp, TP, Compost, MatRecovery, Incin, Hauler,
WasteToEnergy, Authorization, Notification, Collection, Detention TP
Owner_Name M: name of owner as appears on the permit.Anderson Aggregates, LLC
Operator_Name M: name of operator/facility manager.Anderson Aggregates, LLC
North Carolina Department of Environmenal QualityDivision of Waste ManagementSolid Waste Section
INVOICE
Invoice #:SW018-0062
Date:8/3/2018
Payment Options:
Division of Waste ManagementSolid Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646phone: [phone] fax: [phone]email: [e-mail]
To:Chris Anderson, OwnerAnderson Aggregates, LLC872 Main Church RoadMocksville, NC 27028
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: Anderson Aggregates, LLC (Proposed)872 Main Church RoadMocksville, NC 27028New Application for Permit (New Facility) received on 8/3/2018
$50.00
$50.00Total Amount Due
9/2/2018Date 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