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HomeMy WebLinkAbout4410-COMPOST--FY16-17Compost 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: 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: