3423-COMPOST--FY16-17

Compost 2017 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. Please attach results of monthly temperature monitoring for the period of July 1, 2016 thru June 30, 2017.
4. For Type II, III, and IV facilities, attach results of tests (Waste Analysis with metals, foreign matter and pathogens) as required in Table 3 of
Rule 15A NCAC 13B .1408 for the period of July 1, 2016 thru June 30, 2017. Current Rules state that "Compost shall be analyzed at
intervals of every 20,000 tons of compost produced or every six months, whichever comes first."
5. What type and quantity of waste was composted by your facility?
Materials COMPOSTED Check X if Received Tons RECEIVED Tons COMPOSTED
Unusable Tons
DISPOSED
Yard Waste
Clean Wood
Sawdust
Wooden Pallets
Food Waste
Animal Waste
Sludge and Biosolids
Grease Trap Waste
Animal Mortalities
Sheetrock
Commingled
(Describe)
Other
(Describe)
Other
(Describe)
Other
(Describe)
TOTAL
Compost State of North Carolina
Department of Environmental Quality
Division of Waste Management
COMPOST
Facility Annual Report
For the period of July 1, 2016-June 30, 2017
According to G.S. 130A-309.09D(b), completed forms must be returned by August 1, 2017 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.
2. Did your facility stop receiving waste during this past Fiscal Year? Yes No
If so, please report the date this occurred:
3423-COMPOST
Forum 52 Yard Waste Facility 3423-COMPOST
180 North Star Drive
Rural Hall
North Carolina 27045
Forsyth
PO Box 2511
Winston-Salem
North Carolina 27102
Wayne Turner & Stevie Dulin
[phone] [phone]
[e-mail]
Stevie Dulin
[phone] [phone]
[e-mail]
30.00
1,138.38
2,963.9
City Yard Cart 1,274.08
Leaves 3,067.59 3,067.59
8,443.95 3,067.59
Compost 2017 Page 2
6. What type and quantity of compost was produced and removed from your facility?
Type
Tons
CREATED
Tons USED
On Site
Tons SOLD
to Public
Tons GIVEN
to Public
Tons
STOCKPILED
Tons
DISPOSED
Other
Mulch
Grade A Compost
Grade B Compost
Other
Other
TOTAL
7. Indicate waste received at this compost facility during the period of July 1, 2016, through June 30, 2017. Indicate tonnage received by
COUNTY of waste origin. 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 send your completed report to:
3423-COMPOST
Davie Co.
4,102.28 4.42 617 3,480.86
City Yard Cart 1,274.08 1,274.08
Leaves 3,067.59 3,067.59
8,443.95 3,072.01 617 4,754.94
Forsyth County 530.34 436.51 545.72 427.01 298.45 265.39 166.98 437.68 472.09 581.58 652.70 561.91 5,376.36
Forsyth County (Leaves) 10.44 1,139.06 1,795.70 23.01 64.10 35.28 3,067.59
8,443.95
Stevie Dulin Digitally signed by Stevie Dulin DN: cn=Stevie Dulin, o=City of Winston-Salem, ou=City Government, email=[e-mail], c=US Date: 2017.07.13 16:59:08 -04'00'Jul 13, 2017
Stevie Dulin
[phone] [e-mail]
Solid Waste Administration Supervisor
Susan Heim
450 W Hanes Mill Road Suite 300
Winston-Salem, NC 27105
Tele: 336.776.9672 Email: [e-mail]
2/1/2017 Row 1 Row 2 Row 3 Row 4 Row 5 Row 6 Row 7 Row 8
North 131 133 136 132 137 138 137 142
North 136 131 132 137 140 142 141 138
North 132 136 139 142 146 133 142 139
North 136 140 141 141 138 139 138 145
South 132 133 134 136 139 146 137 142
South 133 134 136 137 144 141 145 136
South 140 137 136 138 139 137 138 143
South 133 135 137 143 143 142 141 142
Avg Day 134.125 134.875 136.375 138.25 140.75 139.75 139.875 140.875
2/2/2017 Row 1 Row 2 Row 3 Row 4 Row 5 Row 6 Row 7 Row 8
North 134 141 142 136 142 140 143 138
North 136 136 138 139 140 141 138 139
North 132 135 139 138 139 144 140 144
North 134 141 141 139 141 138 140 146
South 131 140 143 136 146 138 140 137
South 140 134 137 135 138 143 136 142
South 132 133 143 142 139 140 143 143
South 139 140 143 144 143 141 139 140
Avg Day 134.75 137.5 140.75 138.625 141 140.625 139.875 141.125
2/3/2017 Row 1 Row 2 Row 3 Row 4 Row 5 Row 6 Row 7 Row 8
North 132 139 140 137 143 144 139 143
North 133 137 138 143 141 141 137 141
North 141 136 135 142 138 147 143 137
North 133 138 143 138 143 140 143 143
South 136 142 140 136 143 146 141 138
South 136 135 137 144 138 142 139 141
South 139 136 141 144 138 143 140 142
South 132 142 140 143 142 142 141 146
Avg Day 135.25 138.125 139.25 140.875 140.75 143.125 140.375 141.375
Row 9 Average for 2/1‐2/3/17
137 Row 1 Row 2 Row 3 Row 4 Row 5 Row 6 Row 7
141 134.125 134.875 136.375 138.25 140.75 139.75 139.875
137 134.75 137.5 140.75 138.625 141 140.625 139.875
140 135.25 138.125 139.25 140.875 140.75 143.125 140.375
143 134.7083 136.8333 138.7917 139.25 140.8333 141.1667 140.0417
140
136
140
139.25
Row 9
143
140
138
142
140
145
140
143
141.375
Row 9
138
136
138
142
142
141
139
140
139.5
130
132
134
136
138
140
142
123456789
Row 8 Row 9
140.875 139.25
141.125 141.375
141.375 139.5
141.125 140.0417