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HomeMy WebLinkAbout4204_HalifaxCounty_IndusLF_AFR14-15Industrial LF 2015 Page 1 Facility Name:Permit: Physical Address Street 1: Street 2: City: State:Zip: County: Mailing Address Street 1: Street 2: City: State:Zip: Primary Facility Contact Person Name: Phone:Fax: Email: Billing Contact Person Name: Phone:Fax: Email: 1.Tipping Fee: $per Ton (Attach a schedule of tipping fees if appropriate.) 3. Indicate types of disposal activity occurring at this facility (Check all that apply). Landfilling of industrial waste (specify waste): Landfilling of construction and demolition waste Landfilling of asbestos Landfilling of ash Landfilling of sludge Landfilling of other waste (specify): IND State of North Carolina Department of Environment and Natural Resources Division of Waste Management According to (G.S. 130A-309.09D(b)) completed forms must be returned by August 1, 2015 and a copy of this report must be sent to the County Manager of each county from which waste was received. If you have questions or require assistance in completing this report, contact your Regional Environmental Senior Specialist. INDUSTRIAL WASTE LANDFILL Facility Annual Report For the period of July 1, 2014-June 30, 2015 4. What other activities occur at this facility? (check all that apply) Scrap Tire Collection White Goods Collection Household Hazardous Waste CollectionRecycling/Reuse Collection If you checked Recycling/Reuse Collection, please indicate the materials accepted: (check all that apply) Paper Wood Concrete/rubble/asphalt Gypsum/drywall Cardboard Glass Aluminum Cans Steel Cans PETE (#1) Plastic HDPE (#2) Plastic Computer Equipment Televisions Fluorescent lightbulbs Used oil/oil filters Other Metal Other Plastic Other (specify) Airspace (Capacity): Questions in this section relate to all cells/units of the facility operated under the current 4-digit permit number regardless of whether the cells/units are closed or are not contiguous at the time of this report. Tonnage questions must be based on scale records and cover the period between the opening date and the date of the last survey unless another time period is approved. Airspace measurements include weekly, intermediate and final cover. 5. Date Facility Last Surveyed: 7. Total Tons Disposed in Airspace Used (tons): 6. Airspace Used (cubic yards): 2. Did your facility stop receiving waste during this past Fiscal Year? Yes No If so, please report the date this occurred: 4204 - INDUS Halifax County Coal Ash Landfill 4204 - INDUS 921 Liles Road Littleton North Carolina 27850 Halifax Halifax County Solid Waste North Carolina Greg Griffin (252) 583-1451 (252) 593-5014 griffing@halifaxnc.com 1.56 coal ash 06/23/2015 726,145 921,750 Industrial LF 2015 Page 2 8. Total waste landfilled at this facility during the period of July 1, 2014, through June 30, 2015. Indicate tonnage received by COUNTY of waste origin. DO NOT include waste diverted for recycling, reuse, mulching, or composting. Please list ALL counties from which you received waste. Please indicate COUNTY and STATE, if received from another state. Received from Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total Grand Total CERTIFICATION: I certify that the information provided is an accurate representation of the activity at this facility. Signature:Date: Name: Phone Number:Email: Title: REMINDER: According to (G.S. 130A-309.09D(b)), this report must be sent to the Regional Environmental Senior Specialist for your area and a copy of this report must be sent to the County Manager of each county from which waste was received. Please return your completed report to: Shawn McKee 1646 Mail Service Center Raleigh, NC 27699-1646 phone: 919.707.8284 email: Shawn.McKee@ncdenr.gov 4204 - INDUS Halifax County 9,563.22 7,427.31 385.47 0 2,347.23 484.76 1,807.11 5,988.37 6,228.57 1,803.92 2,569.6 2,963.99 41,569.55 41,569.55 Greg Griffin Digitally signed by Greg Griffin DN: cn=Greg Griffin, o=Halifax County, ou=Public Utilities, email=griffing@halifaxnc.com, c=US Date: 2015.08.04 09:25:49 -04'00'08/03/2015 Greg Griffin (252) 583-1451 griffing@halifaxnc.com Public Utilities Director Industrial LF 2015 Page 3 Instructions: NC DENR Division of Waste Management - Solid Waste Section Risk Assessment Form Facility Name:Permit: Address: City:State:Zip: Date:Person completing Assessment: Phone Number:Fax:Email: Please indicate either Yes or No for each Receptor and Post Closure Maintenance question. Then please determine the distance or distances for each Receptor from the Edge of Waste (using range finders and/or GIS maps) and type that information into the form. Please attach additional information including GIS maps, lists of potable well locations, etc. Receptors 1. Are there Residential Dwellings Within 1,500 feet of the Edge of Waste?Yes No If Yes, how many? What are the three closest distances from the Edge of Waste?Feet Feet Feet 2. Are there Potable Wells Within 1,500 feet of the Edge of Waste?Yes No If Yes, how many? What are the three closest distances from the Edge of Waste?Feet Feet Feet 3. Are there Community/Municipal Wells Within 1,500 feet of the Edge of Waste?Yes No If Yes, how many? What are the three closest distances from the Edge of Waste?Feet Feet Feet 4. Are there Surface Water Bodies Within 1,500 feet of the Edge of Waste?Yes No If Yes, how many? What are the three closest distances from the Edge of Waste?Feet Feet Feet Please list the names of the water bodies: 5. Is Public Water Available Within 1,500 feet of the Edge of Waste?Yes No If Yes, how many of the Residential Dwellings noted above are connected? Corrective Measures 6. Is there an active methane extraction system (blower, flare, etc.)?Yes No 7. Is there a passive methane extraction system (trench, vents in cap, flare, etc.)?Yes No 8. Is there groundwater remediation taking place on site?Yes No If Yes, what is the specific remedial technology used? Comments 4204 - INDUS Halifax County Coal Ash Landfill 4204 - INDUS 921 Liles Road Littleton North Carolina 27850 08/03/2015Greg Griffin (252) 583-1451 (252) 593-5014 griffing@halifaxnc.com 2 400 400 2