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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of solid Waste Na11ageme11t
SOL id Waste Section
SOLID IIASTE IWIAGEIEIIIT FACILITY EVALUATION REPORT
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Type of Facil ity_J_f.)_,._>.._/_1. '-~-i.."""··,..:.··_, ... (~···-Ja..;;_1,,_1 ...... i>_:" ... ·/_1 _;''-/-·/_·· __ Penlit tl--"'1""'::_1 __ l_::_•· __ Colrlty ________________ _
I. Pel'llit Conditions Followed J,, ••. ~··";es ___ No N/A
A. Specific Conclition(s) Violated ________________________ _
II~ ~rational Req..iirments Followed ___ .No
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15A N.C. Amin. Code.138 Section ___ ._l __ ... _-·:~'-... -·_,_: .. ..,_-··""~ •. """:, _____ _
A. Specific Violatlon(s) by l"Ullber and letter.
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III. Other Violations of Rule or Law'--_..,..___,,i"".'.:'-·/_.,r_f_:_,_··-----------------------------
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IV.
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Evaluator•s em.ents_;;;;._r_ ... _.·_-. ___ ..,, .. "'"' _;.._/_~_:·_,(_. _..c_"'".;"'", _..:.c.""·-·~"'":>_i_·· ___ '_-"_· ----"'--'-----";,_-'::...'· ---------------
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'. / I · ,,.,,,s.... \, .J ,· .·J A /I ~l ,,,.. /:,,.,•lio Receivi~ Si!Jlllture'---:' . .,,.>t'-.~-c:·,;,-·-·""···cc!'(_:~;_/_._ . .:..·t.,.. ... _c_ .. _-.. _t_,._ .. _t-.,_/ ________ _
Evalua_tion Date'---~-~f_/·_ .... _/_.t{_.~1_:?_···_·_fr __ ·~_:.~;_:/_' _____ SOlid Waste Section .'i~Jr~I{ <. ;. ; , /_:.'.!, ,,,., ·I, .i'.;):'
v. ContiRJBtion Page Req..iired? ___ Yes
DEHNR 3793· (Part I lliite: Facility Part II canary: Central Office .-c Part III Pink: Regional Office)
Sol id Waste Section (Review 7/94)
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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Divisim of Sol id Waste Ma11ageme111t
Sol id Waste Sectim
m.ID UASTE IWIAGEMEIIT FACILITY EVALUATION REPCRT
Type of Facil ity_,=.1=~~'-)_<'-;t";'-'··;_,.·1_:)_,_.,,,/_,.. =-·~'--?='-'-~"''·~·;_/._,?_',_.,_<_·· ·_·· --Permit • ___ ·-_!._:_·:_.----Ccult)' (\).~ -/i:!r.J(~ ,,-:;_
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Nane of Faci t ity ...... i_l..1_f_r'-f_,._{.:..;?t:....~n.:e;·.:~....; .. ?r'--1 ____ ,-··,.,.--..;;.:··.:..,;_._,i"'/.,"'-:~:'.:....• -· -!~1 -"-'""_.;-'"" .. ..,.;..,' ."':.~;;;;."'_'~-~,....;{-'--' ·:....: ------Location ___ .,:_:~;_r_·:::_''.. _r_.~:_·i~_l.,..~~-·:.,> ________ _
I. Pel'llit Ccncfitims Followed /.--· ·yes -.-. --___ No II/A
A. Specific Condition(s) Violated'------------------------------------
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II. Operatimal R~irements Followed ./, ....... · Yes llo ---
15A N.C. Adllin. Code 138 Sectim ---~5 .... :·_· c_· ·_; ~S'-, .. ,_,·--------
A. Specific Violation(s) bynmier and letter .
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III. ~~~~~msof~e~~ __ /_~_,_j_(_~_!_:-------------------------'-'--~--
IV. Evaluat~•s Cclnlents _______________________________________ _
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t---11o···Receivi111 Si!Jlllture / 1'.~:'f!J J .. i,.h_;..,J/.-/i °'"' I-'
Evaluatim Date _ __.{ __ ~_-_·_--~:,_">_;:'_-_· ,'-)..,.''"'_;'_i,,, ______ Sol id Waste Section ,::;;~{./l(t:,,.i ,.,,t:.5' :~:,;~'.}-'.i~:t7·1.
DEHIIR 3793 (Part I lltite: Facility Part II canary: Central Office·<:p~r\:Yi1 Pink: Regimal Office)
v. ContinJation Page Re(Jlired? ___ Yes
Sol id Waste Section (Review 7/94)
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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Solid llaste Na11age111e111t
Sol id llaste Section
SOLID UASTE IWIAGEIEIIT FACILITY EVALUATION REPCRT -1,
Date of Last Evaluation,...__._/.;..f_/_.: __ !..a:'"°''-.!"'-__ -_·_:?_,,t ... f_· __
I. Penlit Conditions Followed NIA
A. Specific Condition(s) Violated,..._ _______________________________ _
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II. Operational RecJJi.--nts Followed ___ lo
15A N.C. Amin. Code 138 Section ___ ,_(_)_S_"-_O_" ... r .... ""_' · _____ _
A. Specific Violation(s) by rumer and letter.
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III. Other Violations of Rule or Law,..._..,../-'t,.""/""'/~""r_._"-·-----------------------------
E l /· •... (.1( ~-.. ,. .. or! va uator•s eon.ents.;..a..<:;;;···;,.,· "".J""·., .. t::,.._..;;=-_.,r..., .. ,...,..,,n,,._ ______________________________ _
V. Contimation Page RecJJired'l __ Yes
,...:<'. .. '") / .;;:,•.: i~ Evaluation Date .• .;, i:;,,· (.,., -/7
DEHNR 3193 (Part I lllite:
Sol id Waste Section (Review 7/94)
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Plnpose: G.S. lJOA-294 requires that an evaluation program be established for the
operation of solid waste management facilities on a statewide basis. 'Ihe
Solid Waste Management Act am Solid Waste Management Rules codified at
15A NCAC 13B list requirenents which must be followed by solid waste
facilities.
Instructiais:
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Dispositicn:
Solid Waste Section personnel shall complete the evaluation fom each
time they conduct official evaluations. '!he fom shall be signed by
the person(s) receiving the report.
Part I White: facility ocpy
Part II carm:y: Raleigh central office file ocpy
Part m Pink: Regicmal office file ocpy
'!his fom may be retained in accordance with the Record Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Deparbnent of Environment, Health am Natural Resources.