CCB0064_SFClosure_20090915

Plumbline Corp. P.A.
700 Washington St
Weldon NC 27890
2525360203
9/15/09
To:
Mary Whaley
DEHNR Office of Solid Waste Management
1646 Mail Service Center
Raleigh NC 27605
Dear Mary Whaley, others
Attached and enclosed are the closure papers for the Henry Long Site. E.B. Grant asked me to
forward them to you. Enclosed is also an erosion control report.
Thank you
Russ Grant Plumbline Corp.
E.B. GRANT P.E.
Professional Engineer 4402
Registered Land Surveyor
NC PLS No. L- 1592

Plumbline Corp.
Engineering and Land Surveying
42 Queens Way
Bath NC 27810
252 923 9495
3/20/09
Section Chief, Solid Waste Division
NCDENR
1646 Mail Service Center
Raleigh NC 27699-1696
REF: Certification of Closure Rule 15A N.C. Administrative Code 13B - 1706
Subject: Coal combustion by-products structural fill site for Arthur's Creek site Hwy 46 Garysburg NC
I hereby certify that all rules of section. 1706 have been met
Sincerely, E.B. Gran Jr P.E.
The Plumbline Corporation, P.A.
C A
o-o as
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SEAL
4402
KF-
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BK:0 PG:0618
Northampton County
North Carolina
Statement of Use of Coal Combustion By Products
Pursuant to 15 A North Carolina Administrative Code 13B.1707, the
undersigned do/does hereby state that zi e. p, r. i a Cubic Yards of coal combustion
by-products have been used at the following locations an the parcel of land more
particularly described below:
0V 0 e.
LEGAL„DESCRIPTION: Deed to Henry Rmm Long @ Henry Russell Grant.
From Henry Bone Long. Deed Book 843 Page 785 Dated June 21, 2004. Also described
in Survey recorded in Plat Book 36 Page 200 Northampton County Register of Deeds
+A, j Name:,
C,.,1 G Vl°ef tl 02 , '%e,�+V li� jyJ,/(r'✓ ig i..� r r4
I F� ?`1"do ce that Henry Borne Long..
personally app ed befo a me . s day and acknowledged. the due execution of the
foregoing inst ent. Witnes my hand and official seal this the 13 Day of
C;1 20oq
Notary Public
FILED
My commission Expires: NORTHAMPTON COUNTY,
i PAULINE E. DELOATCH
REGISTER OF DEEDS
(NOTARIAL
.L ... V OR
FILED Apr i
AT 11:41:22
BOOK 00
STARTPAGE i.
END P�(�t
, do certify that Henry Russell
INSTRUMENT #
personally appeared before me this day and acknowledged the due execution MHT
foregoing instrument. Witness my hand and official seal this the j 3 Day
-�—� --- ---- 20SA
Notary Public
My comma Sion Expires:
(NO VARIAL STAMP OR SEAL)
.. �7'f' Iq.oc)
06'
007,1

Northampton County, NC
Instrument Type: STMT Reoaipt#: 2000-044560
instrument #: 00757 Date: 04/ 7/200011:41:22om
. 1st Grantor: HENRY BOURNE LONG 00927/0618-00618 Pages : 1
1st Grantee: STATEMENT OFUSE OFCOAL COMBUSTION BYPRMDbWjS: 1of1
Description: BOOK 843PAGE 7O5
Description
Qty Unit Cost ---
Extended
Non -Conforming Document
1 2E00
25.00
Grand Total 39.00
Cash '40.00
Balance -1.00

Land Quality Section: 3800 Barrett Drive, Raleigh, NC 27609 [phone]
River County: '�;i"�"'roject: basin:
Person financially responsible : A P
"
rojec
Address: A"Y Vi Aj'?"";�
Case #
I.. Project location:
I Pictures: No: 0 Yes: 01" rints: El Slides: 11 Video: Ell Digital- EY'
2. Weather and soil conditions:
Initial inspection: Yes: El No: El
3. Is site currently under notice of violation? Yes, 0 No:
4. Is the site in compliance with S.P.C.A. and rules? Yes: BeNo: [I If no, check violations below:
S. Violations:
F1 a. No approved plan, G.S. 113A-57 (4) and 15A N.C.A.0 413.0107(c)
❑ g. Inadequate buffer zone, G.S. 113A-57(1)
❑ b. Failure to follow approved plan, G.S. 11 3A-57(5)
E] h. Graded slopes and fills too steep,
❑ c. Failure to submit revised plan, G.S. 113A-54. I (b) and
G.S. 113A-57(2) or 15A N.C.A.C. 4B.0124(d)
15A N.C.A.C. 413.01 18(a)
El i. Unprotected exposed slopes, G.S. 113A-57(2)
E] d, Failure to provide adequate groundcover, G.S. I I 3A-57(3) and
n j. Failure to maintain erosion control measures,
15A N.C.A.C. 413.0 107(b) or 15A N.C.A.C. 413.0 124(c)
15A N.C.A.C. 4B.01 13
El e. Insufficient measures to retain sediment on site, G.S. 113A-57(3)
El k. Other (describe)
E] f. Failure to take all reasonable measures, 15A N.C.A.C. 413.0105
6. Potential NPDES Permit Violation? Yes: ❑ No: Describe:
7. Has sedimentation damage occurred since last inspection? Yes: E] If yes,
where? (check all that apply) No:
Lake/natural watercourse on the tract: r] Lake/natural watercourse off the
tract: n Other property: E]
Description:
Degree of damage: slight: F1 moderate : F1 severe: El
8. Contact made with (name): kn' Title:
Inspection report given: El or sent: to person financially responsible. Date given/sent:
9. Corrective actions needed:
Report by:_-.4' '
Date of inspection:
Time arriving on site: Time leaving site:
cc: