HomeMy WebLinkAboutNCG130108_Application_20220602RECEIVED
FOR AGENCY USE NLY 'i)�i
NCG13� U �) 02 i022
Assigned to:
ARID FRO MRO WARO WIRO WSRO DEMLR-SlormwalerProgram
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG130000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as: the wholesale
trade of non-metal waste and scrap (hereafter referred to as the non-metal waste recycling industry) a Portion of
Standard Industrial Classification Code (SIC) 5093 and like activities deemed by DEMLR to be similar in the process
and/or the exposure of raw materials, products, by-products, or waste materials.
The following activities are specifically excluded from coverage under this General Permit: facilities primarily
engaged in the wholesale trade of metal waste & scrap, iron & steel scrap, and nonferrous metal scrap; facilities
primarily engaged in waste oil recycling; and facilities primarily engaged in automobile wrecking scrap. You can
find information on the DEMLR Stormwater Program at deq.nc. gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Waste Management of Carolinas, INC.
Kyle Mertens
Street address:
City:
State:
Zip Code:
10411 Globe Road
Morrisville
INC
27560
Telephone number:
Email address:
321-403-2544
KMERTENS@WM.COM
Type of Ownership:
-
Government
❑County ❑Federal ❑Municipal ❑State
Non -government
❑+ Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Raleigh Hauling and MRF
Kyle Mertens
Street address:
City:
State:
Zip Code:
10411 Globe Road
Morrisville
NC
27560
Parcel Identification Number (PIN):
County:
0758.04-70-9100-000
Wake
Telephone number:
Email address:
321-403-2544
KMERTENS@WM.COM
4-digit SIC code:
Facility is:
Date operation is to begin or began:
5093
'O New [3Proposed [3Existing
Jan of 2020
Latitude of entrance:
Longitude of entrance:
35 deg 53 min 35.46 sec
78 deg 48 min 13.35 sec
Page 1 of 5
Brief description of the types of industrial activities and products manufactured at this facility:
*< emrv"+m r w.e tarn aa+o� n vm.aw o-man wum mvmm iu,we �r �a a u. wtu w.ae, m�oae`n m mMme �mlala. <mwn. aumws. �w .e.t,�we m eew�'n. wnro o<mm�. wpm maioeum.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
EI N/A
3. Consultant(ifaoDlicable):
Name of consultant:
Consulting firm:
NA
NA
Street address:
City:
State:
Zip Code:
NA
NA
NA _
NA
Telephonenumber:
Email address:
NA
NA
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:-
Name of receiving water:
Classification:
❑ This water is impaired.
001
Brier Creek (27-33-4), C; NSW
❑ Thiswatershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35 Deg 53' 32.91"
78 Deg 48' 18.16"
Brief description of the industrial activities that drain to this outfall:
Impervious Fleet Parking, all industrial activities are conducted indoors
Do Vehicle Maintenance Activities occur in the drainage area of this outfall?
❑ Yes El No
,� - a
If yes, how many gallons of new motor oil areused:each!month�when averaged overtlie'[alendaryear?= ��-��ti
Vehicle Maintenance Activities are conducted:maintenance garage. ^-s-�-�'--t.
- -4
3-4 digit identifier .
.Name of receiving watery "I '}
,Classification:-
f_
❑ This water is impaii 6&SI
} 1 f
❑ This watetshed has a MI)L.
Latitude of outfall: _„� y� �j -.,
Congitude of outfall:
«,;_� _N,�'
Brief descnption,of the industrial activities thatdrain Yo this -outfall—'--
ez
Do Vehicle Maintenance Activities occur in the dPainage'area of:tl ¢ outfall?
F El Yes [I No
If yes, how many gallons of new:motor oil are used each month when ave aged
ove'rthe calendaryear?
t
3-4 digit identifier:
Name. of receiving water:.
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOL
Page 2 of 5
5. Other Facility Conditions (check all that apply and explain accordingly):
O This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCG-080147 (Will be rescinded per DEMLR)
+❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current'Non-Discharge permits:
Solis Waste Permit 92-15(Transfer Station)
I7 This facility uses best management practices or structural stormwater control measures.
. If checked, briefly describe the practices/measuresand show on site diagram:
ditches,straw bails, check damns, stormwater basin
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the,date the SWPPP was implemented: -
June 25, 2021 -
❑ This facility stores hazardous waste in the.100-year floodplain. '
If checked, describe how the area is protected from flooding:
NA
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility-
-if -checked, indicate:-- � �
-
_ .. ?y
s
Kilograms of waste generated each.month: 1
Type(s).of_wa`ste:
M1f •i
How material is store& ` I t
Where material is•stored:
�' .
Number of waste shipments:p`er year: — ' I
Name of transports/disposal vendor:'
l %
Transport/disoosa(vendor EPA ID i t`
Vendor address:
❑ This facility is located on a'Bro'wnfield or Superfuhd site ' ` - : `,,'
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
17 Check for $100 made payable to NCDEQ
El Copy of most recent Annual Report to the NC Secretary of State
O This completed application and any supporting documentation
O A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
El Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5
7. Applicant Certification:
North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
❑+ I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
l The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
❑O 1 will abide by all conditions of the NCG130000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
0 I hereby request coverage under the NCG130000 General Permit.
Printed Name of Applicant: Kyle Mertens
Title: Environmental Protection
Mail the entire package to: DEMLR— Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5
Additional Outfalls
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,. how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
-
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall: -
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:.
Name of receiving water,. ._
Clas"sification:""`-
❑ This water is impaired.
0 This watershed has.a�TMDL
Latitude of outfall: .r^ = r=`'
I
'Longitude of outfall:',
�VA4 .7a'
Brief description_ofthe industrial activities that drain to this o'utfall,.
_..d
Do Vehicle Maintenance Activities occur in the drainage area of thisoutfall? '--.'.•.
❑ No
If how many gallons ofnew,motor oil are used_each-month�when averaged over the
pEYe"s`
calend'aryear?
yes
,gin
i LFr+fi t ii I'.'.I, 4'41171 r,: 1- i",!
d-
3-4 digit identifier:
Name of receiving water:
Classification:' �� .r
---
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged overthe calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
'Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? [--]Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5
Location
436
AtR
WWI
•.r N� fir, ... � ,"-
\ f
`�! 4�F l /�/ �`` `•� \)C ._. ('i•3��,1D�Z�t •Afo "'' L ALEIGH•DURHAM
\`„-•,tiCr �' \ � �/c- ' �' �j� � -/� �� ( �-s'�r�,-'y j.� '�' Raleigh Hauling
7t �.
Stormwater Flow Direction
Data Source: Adapted from Terrain Navigator Pro (Catherine Lake, 1980) 2,000 1,000 0 2,000
Storm Water discharges into Brier Creek, which Is a 303d impaired water.
No TMDL are established In the watershed of Upper Crabtree Creek. Feet
���
anaEcr
SWPPP
RALEIGH HAULING
nine
GENERAL LOCATION
FIGURE
xiS:iw
10411 GLOBE ROAD
MAP
xx001e e.iy w.a
MORRISVILLE, N.C.
VNMn°I°n, NC 36t°6
Cvpnh Uceevm Xe.IcrFnrl,xeM°Yrvkb CdYi
"0'213036.07 e�TE MAY 2013
��AS SHOWN aa`�°Y THW wa:Xm°r MEM
Wake Crass roatts'Lake
` ` • _ o s
\ Sti'a Le -Lake /V m� 'ti
. -• y. 3g COLLINGOgCfa<� (}Lawe'Sp'rrnydu(erT�F�T _ ' - tPet Rest
o c f r Memorial
Park -
-
RAfTGEIG
Gh� /iW2A�P -�. 0 PP\OPCCG� � pPe°PPS
� v 4
i- _ P _ _ •.1. - 1
.. - !li � 4S /l ���TTT r C7'• c GLOBE CENTE� ' � �"-+ , '� ,
t1 -
h 1 DSO
SITE LOCATION
"Raleigh Durham . , at
Intern
�a[ionaL
Airport
_ i z w �• j F J. t�; 0 �.
• Outfall Latitude I Longitude
SOO1 35- 53' 32.91" 78. 48' 18.16'
Receiving Water On 2028303d list? TMDL developed for Parameters of Raleigh -Durham
these waters? Concern International
Brier Creek I Yes No PCBs Airport
NORTH CAROLINA Scale 1:24000
0 1/2 1 MILE
1000 0 1000 2000 3000 FEET
SITE
SOURCE OF MAP IS US TOPO 7.5 MINUTE QUADRANGLE MAP, LOCATION/BOUNDARIES
QUADRANGLE LOCATION SOUTHEAST DURHAM (2019), NORTH CAROLINA: U.S. GEOLOGICAL SURVEY APPROXIMATED
CHECK BY CG - - FIGURE
DRAWN BY JL GENERAL LOCATION MAP
DATE 6/22/2021 A
SCALE AS SHOWN WASTE MANAGEMENT APEX
1
CAD NO. WM2021-01A 10411 GLOBE ROAD / PEX
PRJ NO. WM2021-01 MORRISVILLE, NORTH CAROLINA
FLEGEND
PERTY LINE
CELINEFOOT CONTOUR LINENCRETE AREA
VEL AREAILDINGRAP .RMWATER CATCH BASIN
ILL KITRFICIAL .FLOW DIRECTION
RMWATER PIPING FLOW DIRECTIOI
CENT IMPERVIOUS AREA: 26.2m
e f�
A
IA
IE_RENCES
1. FACILITY CIA
DESIGNED
mmv
REFFAENCE ill£5 yn wv psspevrov . w.
SITE MAP
'STORMWATER
�mrs
SUBMITTED KMC
,.': POLLUTION
PREVENTION PLAN
6/22/2D21
CHECKAPEX
CHECKED:
0 700
WASTE MANAGEMENT OF CAROLINAS, INC.
DATE-
MpRDffO
10611 GLOBE -ROAD
2
MORRISVILLE, NORTH CAROLINA
4127/22, 2:00 PM
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List •View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal Name
Waste Management of Carolinas, Inc.
Prev Legal Name
Bill Schwartz, Inc.
Information
9
Sosld: 0158441
Status: Current -Active O
Date Formed: 4/6/1961
Citizenship: Domestic
Fiscal Month: December
AnnuaL Report Due Date: April 15th
CurrentAnnuaL Report Status:
Registered Agent: CT Corporation System
Addresses
Reg Office Reg Mailing Mailing
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 800 CAPITOL STREET, SUITE 3000
Raleigh, NC 27615-6417 Raleigh, NC 27615-6417 HOUSTON, TX 77002
Principal Office
800 CAPITOL STREET, SUITE 3000
HOUSTON, TX 77002
Officers
Vice President Assistant Treasurer
RANDALL J. BECK JEFF R. BENNETT
800 CAPITOL STREET, SUITE 3000 800 CAPITOL STREET, SUITE 3000
https:/Amw.sosnc.gov/online_services/search/Business_Registration_Results 113
4/27/22, 2:00 PM
North Carolina Secretary of State Search Results
HOUSTON TX 77002
Vice President
THOMAS G. CARROLL
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Assistant Secretary
APRIL FULLER
A" - Y
800 CAPITOL STREET SUITE 3000
HOUSTON TX 77002
Vice President
MARK A. LOCKETT
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002.
Assistant Secretary
ROBERT E. LONGO
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Chief Financial Officer
LESLIE K. NAGY
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Treasurer
DAVID L. REED
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Chairman of the Board
TRACEY A. SHRADER
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
HOUSTON TX 77002
Assistant Secretary
JANNE C. FOSTER
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Vice President
APRIL FULLER
L
800 CAPITOL STREET SUITE 3000
HOUSTON TX 77002
Assistant Treasurer -
MARK A. LOCKETT
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Vice President
LESLIE K. NAGY
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Vice President
DAVID L. REED
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002 ,
President
TRACEY A. SHRADER
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Vice President
BRYAN L. TINDELL
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
I
https:/A~.sosnc.gov/online_services/search/Business_Registration_Results 2/3
4/27/22, 2:00 PM
North Carolina Secretary of State Search Results
Secretary
COURTNEY A. TIPPY
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Chairperson of the Board
COURTNEY A. TIPPY
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Stock
Class: COMMON
Shares: 30000
Par Value 10
Vice President
COURTNEY A. TIPPY
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
Vice President
JAMES A. WILSON
800 CAPITOL STREET, SUITE 3000
HOUSTON TX 77002
htipsJlvivnv.sosnc.govlonline_senriceslsearch/Business_Registration_Results 3/3
Submission Completed Page I of 10
STATE OF NORTH CAROLINA SOLID WASTE
MANAGEMENT
Facility Annual Report for the period of NORTH CAROLINA
July 1, 2020 - June 30, 2021. EArU�talQuarlty
Use this reporting form for Waste Transfer Facilities.
Facility Information
Waste Transfer Facility Information
Transfer Facility Identification" 9215T-
TRANSFER-
1994 : Waste
Management
Of
Raleigh/Durha
m Transfer
Station :
EADSldmconn
ers
Permit Number 9215T-TRANSFER-1994
Permit Name Waste Management Of
Raleigh/Durham Transfer
Station
Contacts
Is the Facility Contact and the Yes
Billing Contact the same person?
Facility Contact Data
SalutationMrst Last TitleTelephone* Email*
Name* Name*
no
Jsers/ddevlin/AnnDnts/t nraUTrmn/?N9f4FRF htm
4/1 n /Mni l
Submission Completed
Mr. TRVIS MCCLIN DISTRI (919) 389-3362 tmcclung@wm.com
Alffik G CT
1 MANAG
ER
Billing Contact Data
SalutatiorArsi Last TitleTelephone* Emaii* -
Name* Name*
r
i Mrs. DEBOR DEVLIN OPS (919) 405-1482 ddevlin@wm.com .-
A SPECIA
l
LIST
i -
Is the Physical and Melling o Yes (� Q No
i Address the same!*
{
I Physical Address .:
Street/RoadCityrrown Zip Code County
10411 GLOBE RD MORRISVILLE - 27560 Wake
{ Facility Operations* Did your facility accept and manage waste during the reporting
period?
I
Q. Yes Q No
Operations
What is the Tipping Feerron?* $. 48.00
Does the. Tip Fee include the (g. Yes Q No
$2/ton Solid Waste Tax?*
O Not Applicable
i Attach Fee Schedule if Needed Any document type may be uploaded here.
1
Leachate Management* How is leachate transported to the waste water treatment facility?
❑ .® .Q ❑
Sewer Pump Truck Not Other
Connection Applicable [Describe]
i
file,;/(/(7.;/fdserWdeviin/Annnata/t.nra Wemn/)N9C;4F.RP.htm
Page 2 of 10
€
1.
Submission Completed Page 3 of 10
Waste Material Type
t
"Waste Material Types -
-
Please1ndicate the types of.wase material managed by this facility... -
Municipal Solid Waste Q Yes
. Q No ..
i Construction and Demolition *,Yes
Q No
Waste
Industrial Waste O Yes
O No
,Land Clearing and Inert' Q Yes -
- Q No
Debris'{LCID] ,
Medical Waste Q Yes
Q No
_.:.
,. Yard Waste ,, - O Yes
Q No,. -
Household Hazardous Waste Q Yes
p No
Waste or Scrap Tires, Q Yes
{
Q No
Other Waste Type Q
i
{
1
1
I
1
t
IgFk hirvlin/AnnllataR.nrnUTrmnnmor1APRP him
stn iir>m t
k
Submission Completed Page 4 of 10
t Types of Processing
Indicate the Types of Processing that occur at this Facility
'Grinding, Composting or
Mulching .
Medical Waste Treatment
I❑ Incineration
El
Recycling/Reuse Collection
(quantify below)
❑ Other
.i
Recycling/Reuse'Collection Data
i' Material Tons
0.00 ..
7
Other Material Tons '
0.00
I
i
. I
1 I
file-Y/r.- T%Prc/dde.vlin/AnnTJata/Tnral/TemnnvQr;dF.RF,htm R%lfl(�Q91
• Submission Completed
Page-5 of 10
Waste Data
L
.. 1
_Waste Data Entry * �.
,.
Wouldyouprefer toManually:Enter_ Data or Upload. a. Spreadsheet?
Q. Manually Enter Waste Disposal'Data
Q Upload Spreadsheet
Waste -Sources from North Carolina
+. Please enter the Waste
Material Received
at this facility during the
period of July 1,
2020,
through.
June
30, 2021.
i
Indicate tonnage received by COUNTY
of waste origin. If waste was received from a transfer station, please indicate
a
theCOUNTYLOCATION OFTHE.TRANSFERSTATION, .
E
'StalDeunty*( Jul
. Aug
Sep
Oct :Nov . Dec
Jan
Feb :
Mar
Apr
May
Jun
Totals
N. Alamance ` 0.00
1.50
0.00
0.00 84.0 0.00
0.00
0.00
0.00
0.00
0.00
0.00
85.50
1.,
C'.
0.
N Chatham 1 A4
7.43
0.00
157 8.19 0.00
0.00
0.00
17.1
34.0
13.8
29.0
114.7
C ..
9
7
1
8
8
N 'Durham 1 26
- 1,35
1,51
_1,64 -1;53 1,.31
1,21'
1,03'
1,60
1.55
1,49
1,66
17,19
C ' - .:. _,9.67
8.90
3.67,
0.70 5.41 7.74
_937
3.94
2.14
0.94
2.84
3.46
..8.78 .
,
;N Johnston 125.
57,3
93.0
90A 531. ,87.7
142.
-93.3
-136.
118.
M.
288.
1,409
C 27
8
6
6. 8 6
11
7
43..
83
01
48
.04
N Franklin 0.00
0.00
0.00
1.83, 0.00 1.18
2.79
-5.77
11.4
1.39
0.00
0.00
24.37
'
C ..
1
l
N Harriett: 0.00
0.00
0.00
0.00 0.00 0.00
0.00
0.00
0.00
1.05
0.00
0.00
1.05 .
C
N Orange 1,85
2,36
2.09
1,96 2,00 1,92
1,69
1,58
2,05
1,73
1,72
2,07
23,07
C 2.58
2.19
2.65
"8.47 0.99 9.63
4.06
,7.14
2.68
4.45
5.48
5.19
5.51
6
N Wake 2,18
2,63.2,14
1,68 1,96 2,48
2,05
1,98
4,17
3,77
3,78
4,30
33,17
t
C 4.32
2.29
2.53
-
' 8.04 6.59 2.81-
9.97
4.79
9.05
3.33
1.02
0.34
5.08
Total NC Sources
Out -of -State Waste
i
Total Waste Received
75,084.11
Did your facility receive waste from Out -of -State sources?
Q Yes'
75,084.11 "
-•filP•lU('•/r1,Pemftlrievlin/Anni)ata/i'n0aUTrmn/9NQAdARPhtm Riihnn91
Submission Completed
Receiving Facility
Page 6 of 10
i
Receiving Facilitylnformatlori
Indicate the Faality[s] that received your facility's waste material;''
Name . Permit No. City State Facility Type Tons
GREAT OAK 7607- RANDLEMA NC, MSW Landfill 69,804187
LANDFILL MSWLF ,N
Submission Completed .
Page 7 of 10
E
Recovered Material Data
i
l
�. Please indicate what other activities occur at this faciGtybelow-
I
❑ Recycling/Reuse Collection ❑ Scrap Tire Collection
l ❑ White Goods Collection . .
❑'Household Hazardous Waste
Collection
❑ Enter Other Activity
1 Recovered Materials Table
i Please list below the quantities of
materials recovered at this facility during FY2020-21.
1
Material
Tons
I
Aluminum Cans
t
0.00
'Cardboard
0.00
Carpet
0;00
Commingled Recyclables
0.00
j
Computer Equipment
U0
Concrete / Rubble /Asphalt
0.00
j Fluorescent Light Bulbs
0.00
Glass
0.00
Gypsum / Drywall Board
0.00
Metal: Steel Cans
0.00
Metal: Other
0.00
Pallets
-
0.00
f
Paper
0.00
Plastic
0.00
j Televisions
0.00
filr.•///f:•R icrrclrlAevlin/Annllata/T.nnal/f'rmn/�NQ(;dFRF htm
,Submission Completed
Page S of 10
i
I Used Oil / Oil Filters
I
0.00 i
I Waste or Scrap Tires'.:
i
0.00'--
I White Goods
0,00
wood
0.00
Specify Other
Recovered Tons (2)
Total Recovered Material, Tons
I
0.00 '
'
F
i
_
. .
_
I
Ii
I
i
I
i
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nral/Tomn/')NQ/7GPRF htm Ri1T/�1191
Submission Completed Page 9 of 10
NC E-50OK Filing Information
i
Exempt Waste DIspdsa1* If your facility is required to. file NC E•500K forms with NC
Department of Revenue, please provide the four quarterly tonnages
.. - this facility reported during the reporting period.
O-Yes O No
t
i
I
t
j
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Submission Completed
Page 10 of 10
Operators / Certification / Submittal
I
I. `Certified Operators* Are SWANA or other certified fop irator[s) employed at your facility?
*Yes Q No
I -
SWANA or Other Certified Operators .
Please enter the following information for all Certified Operators working at your facility:- --
Name Certification Type (7) Expiration Data
DAVIDLAWSON Transfer Station 7/14/2023
Operations Specialist
Certification* 2 CERTIFICATION: I. certify that the information
'provided`is an accurate representation of the activity
at this facility.
REMINDER: According to G.S. 130A-309.09D(b), this report must be
• sent to the County Manager of each county from which waste was
receive9. A copy of this report will be automatically forwarded to the
Regional Enviionmental'Senior Specialist for your county.
I Name* DEBORA DEVLIN
Title* OPERATIONS SPECIALIST
Email * ddevlin@wm.com
Date * 8110/2021
4
f Comments
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