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2003 3rd Quarter
I . FRANKLIN COUNTY TREASURER CASH DEPOSIT SLIP I RECEIPT NUMBER jige� Rail DATE agog©o I (LLfti RECEIVED FROM EXPLANATION , t1r1 _ �/�� 1 i I 110 �f�sIRl1t�t1� � '�i4 I ADDITIONAL EXPLANATION 1 2 000 o =Till] ===i1 aili-EaD , I I, ===ii ===i ELEIDIED , 1 [-_-_:= =1:111 WI , 1 I ===i1 =ill Earnit-1 , I , \ 1=-7-1 E=7:-D Dian= TOTAL ..eMa ©ea /� . I REC'D BY • M O . M N r O C) 0 H O O W • Q p Z 0 U 0 D � Q • to rn Z U � 0 2 to m • us m w '-c • Li 0 W ° Z rn • m • E■ AA c) R O 0. O O U Z a w O W L FRAHMAI COUNTY TREASURER Court House Chambersburg, PA 172.01 Customer's Order Noa," Date 204.° Name /di/ Address SOLD BY C 0 D CHARGE ON MDSE. PAID OUT ACCT RETD GUAN. DESCRIPTION PRICE AMOUNT 1111111111111111111111111- 1111111111111111111■11111111 1111111111111111111umillii 11111 TAX 11111.i.....orr. 111111 TOTAL ffipirpvigi 4R-4 {leo'd by zip claims and returned goods MUS be ac (pan ied by this b0, GS-201 2 PRINTED N U S OfbankCgOW IESI PA Corporation 000013013 REF. NO. INVOICE NO. INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISCOUNT TAKEN NET CHECK AMOUNT 000005411 3RD QTR FEES 9/30/2003 16925.46 16925.46 0.00 16925.46 • THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine,N South PrllenQ.A ME 52-1531112: 000013Q13 IESI:.PA Corporation P.O. Box 399 Scotland, PA 17254 Phone: (717} 709-1700 RATE' CHECK. o. AMOUNT 10/17/2003 013013 ******16925.46 I { PAY 46/10°- Inc 1 Sixteen Thousand Nine Nuhdred Twenty Fzvs and 0 TO THE ORPER FRANKLIN COUNTY • OF 9 � nottraces 11.0000L30L311' 1:0 LL 20LS391: 80 07L 43011' • �' C v v N Tr o r ►n a t A e. r, CO o o c M 0 et r 0.+ N O M N N ° H 0 ... ° O = M ci V] O ° O c o ° ° M aJ O ° ° O O O O p N C '� ^i 4." r = d 0 0 C> = 0 \:0 W 0 © C C C O p 0 0 O O O 0 p O• r --?. N r O N N er O -cr; O 0 M ,,j. O O O , U r 0 M � �l 0 ° N ° ►.j M V Q z ``'' M O O 0 O 0 O o o C O O O W o © © ° ° ° ° 1:' ° ° ° ° © ° ° il� O .. M O, (..) bz O ° r p O r O o 0 0 0 o O C N t ett�a �� c c N c c 0 o O O o 0 0 0 0 :z .-1 ,-+ S CA 'E Z ° O M n CAF o r� ° `° o°o °o o o °o = 0 ° �J•~ `+�• ' = kn ' • 00• Oro O C o O O O O ° N y'--' W 1 r ° 0 N N O M M FW�I U O — N - U Cd rn . Mt sl 4. 1n O� ►n M O o C O N o " H M F C O O O N ° e M N k--V" d' r ,'„i .� UN 0M0 M O, b N r.1 .-4 O= 7 IA Q U W C4 W u. H H o ff H x ¢ � 0 ° o 6 > o ¢ 4 u ¢ W o ¢ x o o 9- 0 c� F •x Q w U d Q z ate > 3 >" U . ........ . __ ncsi October 17, 2003 Mr. Phil Tarquino Franklin County Planning Director Franklin County Planning Commission 157 Lincoln Way East Chambersburg, PA 17201 RE: Franklin County Fees Third Quarter 2003 Dear Mr. Tarquino: Enclosed please find a check payable to Franklin County for$16,925.46 for the Third Quarter 2003. This fee is based on a total of 67,701.8 tons at$0.25 per ton. If you have any questions in regard to this information, please feel free to contact me. Sincerely, L.(1,),40 Scott Werkheiser Compliance Manager Enclosure P.O. Box 399 Scotland, PR 1725c1-0399 IESI Corporation 717-709-1700-Tel 717-264-2285- Fax 2560-FM-LRWM0168 Rev.8/2002 COMMONWEALTH OF PENNSYLVANIA Please type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 11 I 0 0 1 9 13 14 1 2. Qtr: - ❑January-March ❑ April-June ® July-September ❑ October-December 12 I 0 I 0 13 3. Facility Name IESI BLUE RIDGE LANDFILL CORPORATION Year 4. Facility Mailing Address PO BOX 399 Scotland, PA 17254-0399 5. Host Municipality Greene ® Township ❑ City ❑ Borough 6. County Franklin 7. Facility Contact Name Paul Yelinek 8. Phone No. 717-709-1700 B. Recycling Fee Computation (check payable to "Recycling Fund") Express all weights in tons rounded to the nearest ONE-TENTH ton. (1), 3 Cu. Yd. = 1 Ton, 1 Ton =2,000 Pounds Line Municipal Sewage Demolition/ No. Month Waste Residual Waste _ Sludge Processed Construction Ash Asbestos TOTAL 1 1 21,819. 1 1,000.7 552.8 0.0 1,147.7 0.0 59.9 24,580.2 2 2 19,725.4 , 1,025.7 576.3 0.0 965.8 0.0 41.9 22,335. 1 3 3 17,576.3 1,241-3 524.1 0._0 1,408.3 0.0 36.5 20,786.5 4 Total 159,120.8 3,267.7 1,653.2 0.0 5 Nonprocessible Waste (Resource Recovery Facilities); Process Residue 1 or ADC (Landfills)) (Tons) 7 70 0.0 6 Net Waste (Tons) ) 7 Fee Calculation g $2.00/Ton 67,701.8. 8 Discount for Timely Payment(1% Discount if paid before the Due Date) ((0.0 1 x Line 6) $135403.L3.5.4 60 9 Penalty for Late payment (5% Penalty for each month or part of month late) (0.05 x li e17 x Line x Mos.) $ Lam` 04 10 Credit from Previous Overpayment (attach documentation) Mos.) $ 0. 11 Net Fee Due (Payment MUST be enclosed with report to avoid penalty for late payment.) $134.04$ 490 9.56 C. Environmental Stewardship Fee Computation (landfills onl ; c e able to Environmental Stewardship Fund) 67,701.8 Tons (from Line 4 TOTAL) x$0.25/ton = $ �6,'' .p4 due. , D. Disposal Fee Computation (landfills only;check payable to Environmental Stewardship Fund) 67,701 8 Tons (from Line 4 TOTAL), minus 0.0 Tons ash and nonprocessible waste from RRF used as ADC, minus Tons hazardous waste converted to nonhazardous x$4.00/ton = $ 270,807.20 due. This is to certify that I have personally examined and am familiar with the information in this and any attached documents. To the best of my knowledge, information and belief, the submitted information is true, accurate and complete. I am aware that there are significant penalties for su.y'fitting false information.A . Yr -- J I / I0 / tI I0I3 Name of Authorized Representative(Print) Signature of Authi ized Representative Date(mm/dd/yy) rMLRWMO16BW Rev. 12199 Type or Print in Ink COMMONWELTH OF PENNSYLVANIAed Paper PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION 71 BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Fee Report A. General information 1. Permit No. 1 1 1 0 1 0 1 9 1 3 1 4 1 2. Page 1 of 1 3. Month July 2003 4. Number of Days of Operation 27 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth(.1),3 Cu.Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County Code or State Abbrev. Sewage Processed Demolition/ if Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 1 01 937.3 35.2 0.0 0.0 153.3 0.0 0.0 1,125.8 2 21 620.9 219.0 0.0 0.0 77.5 0.0 0.0 917.4 3 22 24.4 0.0 0.0 0.0 36.9 0.0 0.0 61.3 4 28 3,617.4 635.9 552.8 0.0 827.3 0.0 53.6 5,687.0 5 29 0.0 0.0 0.0 0.0 12.2 0.0 0.0 12.2 6 38 MI - 7 50 0.0 0.0 0.0 0.0 8.9 0.0 0.0 , 8.9 8 67 0.0 0.0 0.0 0.0 10.0 0.0 0.0 10.0 1 9 MD 228.6 110.6 0.0 0.0 17.1 0.0 6.3 362.6 10 NY 16,390.5 16,390.5 0.0 0.0 0.0 0.0 0.0 0.Oi 1 11 IllillIllIllIllM 12 I 31 I 0.0 0.0 0.0 0.0 45 0.0 0.0 451 I 1 Monthly Total 13 l TOTAL I 21,819.1 819.1 1.000.7 552.8 0.0_ 1,147.7 0.0 59.9 24,580.2 1 1 2560-FM-LRWM0168W Rev. 12199 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1 0 0 9 3 4 1. Permit No. 2. Page 1 of 1 3. Month • Year 2 0 0 3 4. Number of Days of Operation la- 14 I B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth (0.1), 3 Cu.Yd. = 1 Ton, 1 Ton = 2,000 Pounds. PA County I _e •Code or State :I Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 0.0 0.0 0.0 0.0 1 0 1 I, 947.2 32.5 146.6 1,126.3 2 1 614.4 149.8 10. 1 0.0 75.7 0.0 2.7 852.7 2 2 2 2.6 0.0 0.0 0.0 4.8 0.0 0.0 7.4 3 4 2 8 3,500.3 681.1 566.2 0.0 690.8 0.0 39.2 5,477.6 5 2 9 0.0 0.0 0.0 0.0 7.5 0.0 0.0 7.5 2 3 59.5 59.5 6 0.0 0.0 0.0 0.0 0.0 0.0 6 7 18.6 7 0.0 0.0 0.0 0.0 0.0 0.0 18.6 8 M n 203.1 102.8 0.0 0.0 21.8 0.0 0.0 327.7 9 N Y 14,254.E 0.0 0.0 0.0 0.0 0.0 0.0 14,254.4, 10 VIA 125.5 0.0 0.0 0.0 0.0 0.0 0.0 125.5 W V 77,9 0.0 0.0 0.0 0.0 0.0 0.0 11 • 77.9 12 MONTHLY TOTAL 13 TOTAL 19,725.4 1,025.7 576.3 --- 965.8 0.0-- 41.9 22,335. 1 L 2560-FM-LRWM0168W Rev. 12/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 1 0 0 9 3 4 2. Page 1 of 1 3. Month Sept Year 12 10 I 01 3 4. Number of Days of Operation 2 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth (0.1), 3 Cu.Yd. = 1 Ton, 1 Ton = 2,000 Pounds. PA County c Code or State :7 Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 -0 1 I, 1,056.2 33.9 0.0 0.0 164.8 0.0 0,0 1,254.9 2 1 619. 1 181.0 12.2 0.0 24.2 0.0 0.0 836.5 2 2 2 9.S 0.0 0.0 0.0 17.0 0.0 0.0 26.9 3 2 8 3,876.5 761.9 511.9 0.0 1,155.2 0.0 21.8 6,327.3 4 . 5 2 9 0.0 0.0 0.0 0.0 14.9 0.0 0.0 14.9 6 V A 20.2 0.0 0.0 0.0 0.0 0.0 0.0 20.2 7 6 7 3. 1 0.0 0.0 0.0 14.6 0.0 0.0 17.7 M D 193.8 106.8 0.0 0.0 17.6 0.0 9.6 327.1 8 N Y 11,979.5 0.0 0.0 0.0 0.0 0.0 0.0 11,797.5 9 . 10 2 3 0.0 158.5 0.0 0.0 0.0 0.0 0.0 158.5 11 3 1 0.0 0.0 0.0 0.0 0.0 0.0 5. 1 5. 1 12 • MONTHLY TOTAL 13 TOTAL 17,576.3 1,241.3 524.1 0.0 1,408. E 0.0 36.5 20,786.5 L I