18E_ROSCANS_2000

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. NC DEPARTMENT OF ENVIRONMENT, . HEALTH AND ·NATURAL RESOURCES
Divisim of .sol id waste Nauag.-: ,t
.sol id uaste Sectim
SOLID UAslE IWIAGEIEIIT. FACILl.'f' EVALUAT.ION REPORT . ~ ,, . ·rb" ,4 ,. /
rwe of Faility/) b;w· l~~·;f/'. Peniit ii /'g-/!t. • Cou1q,__;,;;;C;....P_'·-,~--'';;.._,~1=.·------
Name of Fa:ility · 11,.ff/H~, ;)$fl'-'(),.. t~;;;;/' Locatim ____ -9'<:,__~_ ... _(-"''3. ..... f ..... L _____ ........
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Date of a..ast Evaluatim /-Q!-0 Q,
... Perllit Con:litions FollCllled -·-·_No NIA
A. Specific Cmditian(s) Violated.~:----'--:--------,---,-------'---.,....,..-..;__ _____ ....,... ___ _ I ~, .
;{) 0 V ,'· G (t;;J;.':t/ 0 It S",,
n. operational RecJ,1irements FollCllled . ~~ ___ lo
15A ti.I:. Adlin. Code 1311 Sectim • ~ OS-0~
A-Specific. Violatian(s) by IUlber and letter.
A.lo It• '(j (~~//ch S-
Ill. ~~V~~~of~~M~~~~·~-~·~~~--·~-·----~-------------'-------~-
l1 / 4!" • I~ .. .,.,./!' r //
JV.: EWh.atM1S em-r,ts. ___ .... 1,,~A"".A,;O"'" . .::;.;1_,,f'-'-J.,----f:l,...~~ .... , ...... ='-·_.1/ .... ·=-ee.._(_; //--'·,,~• -------------~--..;___.;.. __
v. contiru1tim Page RecJ,!ired'l __ Yes
Ewluatim Date (./;_.t.':J--OD
DE .. 3795 (Part I lllite: Facility
Sol id waste Sectim (Review 7/94)
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Pm:pose: G.S. 130A-294 requires that an evaluation program be established for the
of solid ivaste :mar..agerrerrt .L"'"::;ilities on a statewide basis. '!he
Solid Waste Management Act and Solid Waste Management Rules cxxilfied at
15A NCAC 13B list requirements which must be followed by solid waste
facilities.
:rnst:ruct:icms: Solid Waste Section personnel shall conplete the evaluation fonn each
time they conduct official evaluations. '!he fonn shall be signed by
the person ( s) receiving the report.
D:ist::ributian:: Part I White: facilicy copy
Part TI Omacy: Raleigh central office file copy
Part Ill Pink: Regional office file copy
Dispos:'t1.:til!'.ID: T.nis form may be retained in accordance with the Record Retention and
Disposition Schedule of the Solid Waste Section, Solid Waste Management
Division of the Department of Environment, Health and Natural Resources.
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NC DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
Division of Sol id waste Mal,agene.,t
Sol id waste Section
SOLID IIASTE NANAGENEIIT FACILITY EVALUATION REPORT { "' } /
,f''>t;, , . / j' /' (1~:-~~.. ,·,·,·.·.'..·.·.}.,.:,.·· .. · ··,.' .. ' .... ·· ..... ,,.· .. ,'~.·.,:1' .. ';',t,:.:.', .. / •.. Type of Facility_._..l_.,,'-J_,;:•.._)f __ t_:(,_.,_ .. _~""1 .. -<;,._.i'. ... ·t.,J ... _:" ... ':;,_:_,. ___ ·;_·· ___ Pel"llit # __ ;;_) _____ Coulty __ ._:,,_ .. _·_-_ .. __ :.,~---------
Date of Last Evaluation'--__ ·_;_'{_l_._··_'~_1 .... >;_·1_' __ _
I. Permit Conditions Followed 1>··',,...y; ___ llo II/A
A. Specific Condition(s) Violated'--------------------------
.,/. -,... . ,,~ f 3. •,.·>~ ;' .• ,; .. ,,
II. Operational Rl!CJ,lirements Followed ___ llo
15A N.C. Adilin. Code 138 Section __ ,_(_)_.')_ .. ,_ .. _t:._)_5_-~_· ______ _
A. Specific Violation(s) by . ....t>er and letter.
III. ~~~~~ions~Me~~~_U_' __ /_~_4_f ______________________________ _
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IV. Eva luat~ • s Calments '· .. ./! (,; ) ' : ,:. ;:, ... /0;,,/ / ----,---+------'-----------------------------
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v. ;.,,,,,,,·;o Receivi~ Si111Bture /:· '>,{/ft ct tL (,,;'
-~.~· ~.7,_...._.......,._..::;_ _ ___:o~,~/--------
Evaluation Date ____ /_1_·~_.,·._·~~_:i_/_1 ··_ .. _,_...:v __ ;_t_)t_.,:_'(_)_. ____ Sol id waste Section'--... ~~ .. :~;'-:i'"':~'.''-f> ... :z ... :, ...... '"",;,,;..·'--'· __ .,,..'~,_.\,__1 ..;;···::::'"•a...:"-) ._.r,,;;...;;,.:;.)..,.;;~,~.,,_>_1 -----
Part II canary: Central Office=:::P.-rt 1 .. 11 Pink: Regi~l Office)
Continuation Page Rl!CJ,lired? ___ Yes
DEHIIR 3793 (Part I lllite: Facility
Sol id waste Section (Review 7/94)
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