3426-LCID-2020 Union Cross Land Development LCID SWE022-0036 PARF & Invoice 03-31-2022

PERMIT APPLICATION REVIEW FORM
Review Requested by:Ming Chao
Date Requested: 3/30/2022
Facility Name and Permit ID Union Cross Land Development LCID
Applicant (Owner) Name Tanner Boyles
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 5YR 10YR
(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 N/A
Permit Fee N/A
Date Application Received 3/30/2022
Contact Name, Title & Phone # Tanner Boyles, Owner 336-669-7808
Email Address [e-mail]
Company Union Cross Land Development
911 Address 7301 Watkins Ford Rd. Kernersville, NC
Mailing Address 7301 Watkins Ford Rd.
City/State/Zip Kernersville, NC 27284
Parent Company N/A
Known Subsidiaries N/A
Other known names business
has operated under
N/A
Known Counties of Operation Forsyth
Does the applicant have a past
or current solid waste permit?
Yes No Unknown
Facility Type: LCID Permit #: 34-26
Did the permit applicant submit
Financial Assurance cost
estimates?
Yes No Not Needed
Other notes CQA for Phase 3 construction