6204-MSWLF-1995 UWHARRIE ENV REG LANDFILL SW023-0072 INVOICE PARF & INVOICE 6-15-23

SW023-0072
P0700
PERMIT APPLICATION REVIEW FORM
Review Requested by:
Ming Chao
06/05/2023
Date Application Received:
Location ID (if known)
Permit ID
6204-MSWLF-1995
Permit Name
(aka Permit Applicant Name)
Uwharrie Env. Reg. Landfill
Facility Type
MSWLF
Physical Street Address
500 Landfill Rd
City, State, Zip, County
Mount Gilead, NC 27306, Montgomery County
Description of Permit Request
❑ (1)a. New — New Facility
[This is the action the applicant is
❑ (1)b. New — Expand Facility Boundary
requesting in accordance with
❑ (1)c. New — Expand Waste Boundary
NCGS 130A-295.8(b)]
❑ (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
Contact Name, Title
Mr. Joseph Reynolds, Operation Manager
Phone #
[phone]
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Email Address
[e-mail]
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Company
Republic Services of North Carolina, LLC
Facility Contact Street
500 Landfill Rd
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City, State, Zip Code
Mount Gilead, NC 27306, Montgomery County
Contact Name, Title
Ms. Sharon Pigford, Billing Supervisor
Phone #
910-606-3213
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Email Address
[e-mail]
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Company
Republic Services of North Carolina, LLC
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Facility Contact Street
500 Landfill Rd
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City, State, Zip Code
Mount Gilead, NC 27306, Montgomery County
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Other notes
Cell 15A North CQA & PTO
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.

North Carolina Department of Environmental Quality
Division of Waste Management INVOICE
CAROL Solid Waste Section
NORTH CnROLINq
thHrorvmnldOMa�l'
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
phone: [phone]
To: Sharon Pigford, Billing Supr
Republic Services of North Carolina, LLC
500 Landfill Rd
Mount Gilead, NC 27306
Invoice Date: June 15, 2023
Invoice #: SW023-0072
DESCRIPTION AMOUNT DUE
Facility -Application: $0.00
REPUBLIC SERVICES OF NC LLC (6204-MSWLF-1995) 10
500 Landfill Road
Mount Gilead, NC 27306
3A MODIFICATION CHANGE TO APPROVED PLANS
3B MODIFICATION SUBSEQUENT PERMIT TO OPERATE
Total Amount Due
Pavment Oations:
Date Due: July 15, 2023
E-check - Available online at https://deq.nc.gov/swpay
Requires bank account and routing information. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 alonq with the invoice number.
Credit Card - Available online at https://deq.nc.gov/swpay
Accepts MasterCard, Visa, and Discover cards. You will need to use the zip code in the description box and the invoice number
shown on this invoice to access your account. If a zip code is not listed, use the code: 99999 along with the invoice number.
*Convenience Fee of 2.65% added to amount invoiced.
Paper check - Make checks payable to N.C. Division of Waste Management, Solid Waste Section, include Permit Number and invoice number on
check. If you are paying by electronic transfer, include the invoice number with your electronic transfer. Please return a copy of this
invoice with your payment.
Mail paper checks to:
N.C. Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
[G.S. 25-3-506: A $25.00 processing fee will be charged on all returned checks.]
Explanation of Invoice Amount is Based on Facility's Current Permit Application:
Pursuant to North Carolina General Statute 130A-295.8 you are required to pay fee(s) based on your solid waste management activities. The fee(s) shall
be used to support the solid waste management program. An application is deemed incomplete until all fees are received.
Solid Waste Contacts:
Billing process:
Theresa Williams [phone] - Payments, e-Payments
Sherri Stanley [phone] - Fee Amounts
Regulations and Technical Assistance:
Sherri Stanley [phone] - Landfills, Transfer Stations, Compost Facilities
Perry Sugg [phone] - Land Application Sites
More information available on the web:
North Carolina Department of Environmental Quality (DEQ) - http://deq.nc.gov/
North Carolina Solid Waste Program - http://deq.nc.gov/about/divisions/waste-management/solid-waste-section
NC DEQ:WM Solid Waste Invoice Form 1-2023