3005-COMPOST-2014 Gallins Family Farm SW020-0081 PARF & Invoice 6-25-2020

PERMIT APPLICATION REVIEW FORM
Review Requested by:Donna Wilson
Date Application Received:6-23-2020
Location ID (if known)
Permit ID 3005-COMPOST-2014
Permit Name
(aka Permit Applicant Name)Gallins Family Farm
Facility Type compost
Physical Street Address 222 Rocky Dale Lane
City, State, Zip, County Mocksville NC 27028, Davie
Description of Permit Request (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 LOS
(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
Permit Fee $0.00
Facility ContactMailing AddressContact Name, Title Peter Gallins
Phone # [phone]
Email Address [e-mail]
Company Gallins Family Farm
Facility Contact Street 222 Rocky Dale Lane
City, State, Zip Code Mocksville NC 27028
Billing ContactMailing AddressContact Name, Title Scarlett Parish
Phone # [phone]
Email Address [e-mail]
Company Gallins Family Farm
Facility Contact Street 222 Rocky Dale Lane
City, State, Zip Code Mocksville NC 27028
Other notes Permit renewal, 10 years
Permit Name – This is the name on the permit
Facility Contact Address – May not be the facility address.
For Facility and Billing Contact check Annual Facility Report and latest inspection on Laserfiche.