67D_Haugen_LCID_AFR14-15

LCID State of North Carolina
Department of Environment and Natural Resources
Division of Waste Management
LAND CLEARING &INERT DEBRIS
LANDFILL
Facility Annual Report
For the period of July 1,2014-June 30,2015
According to (G.S.130A-309.09D(b»completed forms must be returned by August 1,2015 and a copy of this report must be sent to the
County Manager of each 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:Haugen Landfill Permit:67D-LCID
Physical Address Mailing Address
Street 1:3062 Burgaw Hwy.Street 1:287 Wagon Wheel Lane
Street 2:Street 2:
City:Jacksonville County:Onslow City:Richlands
State:North Carolina Zip:28540 State:North Carolina Zip:28574
Primary Facility Contact Person Billing Contact Person .0
Name:Mark Haugen Name:Same
Phone:[phone] Fax:[phone] Phone:Fax:
Email:[e-mail] Email:
1.Tipping Fee:$50.00 per Tandem dumptruck
Tipping Fee:$75.00 per Tractor-trailer
Tipping Fee:$0.75 per Cubic yard (waste dirt)
o tons2.Estimate the amount of waste taken in an average week at this facility?60 ~cubic yards----------------------------------
3.How many weeks did you operate this year?16
4.What are the hours/days of operation for this facility?As needed by our company.----------------------------------------------------------------------
5.What is the acreage of the footprint of the waste on site as of June 30?3.0 Acre(s)
6.Did your facility stop receiving waste during this past Fiscal Year?
If so,please report the date this occurred:
DYes ~No
REMINDER:According to (G.S.130A-309.09D(b»,this
report must be sent to the Regional Environmental Senior Ray Williams
Specialist for your area and a copy of this report must be 943 Washington Square Mall
sent to the County Manager of each county from which Washington,NC 27889
waste was received.phone:[phone] email:[e-mail]
CERTIFICATION:I certify that the information provided is an accurate representation of the activity at this facility.
Signature:~»~Date:_Ju_I_2_9_,_2_0_15 _
Please return your completed report to:
Name:Mark Haugen Title:Pres.
Phone Number:[phone] Email:[e-mail]
67D-LCID Page 1LCID2015
NC DENR
Division of ,Waste Management -Solid Waste Section Risk Assessment Form
Facility Name:Haugen Landfill Permit:67D-LCID
Address:3062 Burgaw Hwy.
City:Jacksonville Zip:28540State:North Carolina
Person completing Assessment:Mark Haugen Date:Jul 29,2015----------------------------------------------
Phone Number:[phone] Fax:[phone] Email:[e-mail]
Instructions:
Please indicate either Yes or No for each Receptor and Post Closure Maintenance question.Then please
determine the distance or distances for each Receptor from the Edge of Waste (using range finders and/or GIS
maps)and type that information into the form.Please attach additional information including GIS maps,lists of
potable well locations,etc.
Receptors
1.Are there Residential Dwellings Within 1,500 feet of the Edge of Waste?
If Yes,how many?-------------------What are the three closest distances from the Edge of Waste?
DYes IX!No
Feet Feet
DYes IZI No
Feet Feet
DYes IZINo
Feet Feet
DYes IZINo
Feet Feet
Feet
2.Are there Potable Wells Within 1,500 feet of the Edge of Waste?
If Yes,how many?-------------------What are the three closest distances from the Edge of Waste?Feet
3.Are there Community/Municipal Wells Within 1,500 feet of the Edge of Waste?
If Yes,how many?_
What are the three closest distances from the Edge of Waste?Feet
4.Are there Surface Water Bodies Within 1,500 feet of the Edge of Waste?
If Yes,how many?-------------------What are the three closest distances from the Edge of Waste?Feet
Please list the names of the water bodies:
5.Is Public Water Available Within 1,500 feet of the Edge of Waste?
If Yes,how many of the Residential Dwellings noted above are connected?---------------------
DYes IZI No
Corrective Measures
6.Is there an active methane extraction system (blower,flare,etc.)?
7.Is there a passive methane extraction system (trench,vents in cap,flare,etc.)?
DYes
DYes
DYes
IZI No
/XI No
IZI No8.Is there groundwater remediation taking place on site?
If Yes,what is the specific remedial technology used?_
Comments
67D-tCID P~e2LCID2015