34AA-LCID- Piney Hill Acres LCID Landfill SW020-0031 PARF & Invoice 3-17-20

PERMIT APPLICATION REVIEW FORM
Review Requested by: Ming Chao
Date Requested: 3/16/2020
Facility Name and Permit ID Piney Hill Acres LCID Landfill, 34AA-LCID-
Applicant (Owner) Name David Lee Lawson, LLC
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 LOS 5YR
(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 340 ton/yr
Permit Fee NA
Date Application Received 3/16/2020
Contact Name, Title & Phone # David Lawson, Owner & Operator, 336-996-6474
Email Address [e-mail]
Company David Lee Lawson LLC
911 Address 2081 Piney Grove Road, Kernersville, NC 27284
Mailing Address 2081 Piney Grove Road
City/State/Zip Kernersville, NC 27284
Parent Company Unknown
Known Subsidiaries unknown
Other known names business
has operated under
NA
Known Counties of Operation Forsyth
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: MSWLF Permit #: 34AA
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes
SW020-0031
P0533
North Carolina Department of Environmenal Quality
Division of Waste Management
Solid Waste Section
INVOICE
Invoice #:SW020-0031
Date:3/17/2020
Payment Options:
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone] fax: [phone]
email: [e-mail]
To:David Lawson, Owner
Piney Hill Acres LCID Landfill
2081 Piney Grove Rd.
Kernersville, NC 27284
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/sw
North Carolina Electronics Management Program - http://portal.ncdenr.org/web/sw/electronics
E-check -Available online at http://go.ncdenr.gov/swpay
Requires 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/swpay
Accepts 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 Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Description Amount Due
Facility-Application:
Piney Hill Acres LCID Landfill (34AA-LCID-)
2081 Piney Grove Road
Kernersville, NC 27284
Permit Amendment Application (Amendment- Five-Year Renewal) received on 3/16/2020
$0.00
$0.00Total Amount Due
4/16/2020Date 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