City State Zip Telephone Number 1. and Quantities of All SW Managed by the Facility Unit Type STATUS (MUST USE ONE OF THE FOLLOWING: Type(s) Air Curtain Destructor, Autoclave, Compost Unit Name Facility, C&D Debris Landfill, Incinerator, # (as named by the facility and Landfarm, Landfill , Processing Transfer Station, TYPE TYPE TYPE TYPE TYPE ) referenced in permit Operating Refuse-Derived Fuel, Resource Recovery/Recycling, Separation Facility, I II I-A II-A III Shredder/Compactor Baler, Surface Impoundment, Woodwaste Landfill) 1 2 3 4 5 6 7 8 9 0 2. Facility-Wide Solid Waste Management Did the facility generate solid waste? A. Yes If complete Attachment 1, the types and quantities, in wet tons, of solid waste generated, including waste “yes,” generated but sent off-site for disposal. No B. Did the facility process solid waste? Yes If complete Attachment 2, the and quantities, in wet tons, of solid waste processed, including waste “yes,” generated on-site and off-site, indicating percentage of each. For waste generated off-site, indicate whether the waste was generated in-state or out-of-state. No C. Did the facility dispose solid waste in a permitted unit? Yes If complete Attachment 3 with the types and quantities, in wet tons, of solid waste disposed, including waste “yes,” generated on-site and off-site, indicating percentage of each. For waste generated off-site, indicate whether the waste was generated in-state or out-of-state. ALSO COMPLETE ITEM 2.C.1 BELOW. No 1. Did any permitted landfill receive construction and demolition debris (C&D) for disposal? Yes If the & Demolition Debris” portion of Attachment 3 must be completed. “yes,” “Construction No
City State Zip Telephone Number 1. and Quantities of All SW Managed by the Facility # Unit Name (as named by the facility and referenced in permit ) Type(s) Unit Type (MUST USE ONE OF THE FOLLOWING: Air Curtain Destructor, Autoclave, Compost Facility, C&D Debris Landfill, Incinerator, Landfarm, Landfill , Processing Transfer Station, Refuse-Derived Fuel, Resource Recovery/Recycling, Separation Facility, Shredder/Compactor Baler, Surface Impoundment, Woodwaste Landfill) STATUS TYPE I TYPE II TYPE I-A TYPE II-A TYPE III Operating 1 2 3 4 5 6 7 8 9 0 2. Facility-Wide Solid Waste Management A. Did the facility generate solid waste? Yes If “yes,” complete Attachment 1, the types and quantities, in wet tons, of solid waste generated, including waste generated but sent off-site for disposal. No B. Did the facility process solid waste? Yes If “yes,” complete Attachment 2, the and quantities, in wet tons, of solid waste processed, including waste generated on-site and off-site, indicating percentage of each. For waste generated off-site, indicate whether the waste was generated in-state or out-of-state. No C. Did the facility dispose solid waste in a permitted unit? Yes If “yes,” complete Attachment 3 with the types and quantities, in wet tons, of solid waste disposed, including waste generated on-site and off-site, indicating percentage of each. For waste generated off-site, indicate whether the waste was generated in-state or out-of-state. ALSO COMPLETE ITEM 2.C.1 BELOW. No 1. Did any permitted landfill receive construction and demolition debris (C&D) for disposal? Yes If “yes,” the “Construction & Demolition Debris” portion of Attachment 3 must be completed. No
CoC%20form%20-%202016.docx