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HomeMy WebLinkAbout2008 3rd Quarter Admin Fee . t, v y: FRANKLIN COUNTY TREASURER CASH DEPOSIT SLIP a* RECEIPT NUMBER DATE m 0 ": RECEIVED FROM EXPLANATION , 1 1,.\C's \"0 - "„ ADDITIONAL EXPLANATION c,, f'. .1• ati:. c ., J 4 f ( ‘' . .,,-1()(X) 1 I ()la'6k I ®. 1 I 1 ■■ 4 I I I ■® I I I ., I I I 0:1111:E1 I I I I ®IIt TOTAL ®.rj' RECD BY ^. „ FRANKLIN C::::- MTV TRE'iLl:,.,''' Court House Chambersburg, PA 17201 'Customer's - , Customer's Order No. Date /?(‘5 2L__ Name Name / i",Lik? („t I)("i\ Address SOLD BY CASH C 0 0 CHARGE ON MDSE PAID OUT ACCT RETD. OUAN. DESCRIPTION PRICE AMOUNT TAX TOTAL V ii,),7, , 1),56 8 1.7 :, Recnd by 1 L,...-) , i , All claims and returned goods MUST e ccompanied by this bill. GS-201-2 PRINTED IN Li SA. OrlankCY&W *071gg • ••.$4,,,,lv.74,- '1,,,x, vl`..1,74'' . . ,k,...:44......-,'It.,,•,'" •,. N'.0.c.A. V• ';'..,•• . . •', . .. ' . ' ''--:.' .'' ' . . .. . . , .. ...„4., ,,,,:kx.,,,",,„,„,,, .,,,„\.,, ,,,,,,,,„n,fh„„„,,, „,,,,s,„.,,,„c..„,„,,,.,„,,, , , . , ,, , .., , , r.,... ,"*""\"miiiiok".•0„7.•'''% ",''' -,7:;t4f.411,74"47'f14".'''4 '''.','.,-..„. ' -'‘"''' '''t',,,',.., ,..,...4„,0,F 4� ... • w5 ,� + , A ( za Ana,t CO H : "' cp cd Q 'iI ' I A vl co 2.H a o Z.W - l�ca 1O- Ltl! C o U,•--, 1A3:ui�'C"�� am r.f..-o-PI Un'm�t tf)c N =1 N E O Q O c 0' +: O7 O Q -•'•I O O F,-) Q o H W 8 rn O N p a .a .5 m sOJ O 7 PG .J 0 C21 0 co •H O W g«7 dnU F Oz o z z v N :5 'o o(0 p c0' A• ■>,: C W V‹ '' V O Brt r?-1 k, ''w ',`� V M In 1/4a p z oA.. 0 c4 _L51 October 17, 2008 Mr. Phil Tarquino Franklin County Planning Director 157 Lincoln Way East Chambersburg, PA 17201 RE: Franklin County Fees 3rd Quarter 2008 Dear Mr. Tarquino: The total amount of waste for the 3rd quarter of 2008 totaled 126,412.3. Chambersburg Waste Paper is no longer paying the county fees to our facility, effective November 20, 2006. A total amount of 10,382.4 tons have been subtracted due to the tonnage for CWP. Enclosed is the check payable to Franklin County for $29,007.48 for the 3rd Quarter of 2008. This fee is based upon a total of 116,029.9 tons at $0.25 per ton. If you have any questions regarding these fees, please contact me at 717-709-1700. Thank you, • onald Hallock District Manager IESI Blue Ridge Landfill P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland. PR 1725U-0399 717-264-2285-Fax PriiIrci on fzlCItii I'.IpLI ;v C -C C -0 z z z 4 4 "i 7 F r i d C7 (7 > C- rh O m rn 7 C z 0 0 o 0 0. H C H C -i z C7 (w Y n C z x C� r ° x (� - rrn c4 .<< z3 w Ci C _ O CO Crr1 ci z (-) 2 C C� O H Z y H -0 z - ° 2 o z ° rt o 4 d H 4 4 c z O C7 z ... W th _ - N VD CA A -A W CA N n A O �A 00 O O W O� O O o 00 O 0 O �A ,-p CA O it 00 O W O i.+ O - O 1-+ O O O J Y o O CA W ■-■ 00 N 01 O H O W O 10 O - r" H '1 0 O cn W Co.) n g J co co O O o co O O W co N A W O 00 C 0 O O O O O O O O NO O A A (A ! 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O CI r+ N -1 N O ON -1 A N 0, A O, H co A N vO C/1 N N A --1 VD \O 00 A �1 O b - A - N VD 01 O 00 N -1 A - -4 W N N 00 ■ O O W co A 00 OT VD A N CI1 > O + N CIQ W Q\ 01 O\ O W `-+ A 00 :D N 7-1 VD ■D N .CT i' O N W N CA *a 00 N W 0 OT N 0 CA N \O A Cn 00 ..- b 0 0 C o s r c '17 N 0, — Q0 =; n C7 z r cA z d r" l 7 o> O b CM n `° o0c o 0 � n ¢. o Cr z N N • N V1 V1 �O O �Q cro A y y � 5 r • 0 ra °r y x 0 0 n r �• 7' CD Cl) O co •• 11 ° '' Tit C O o °O /ro z ,b CI C C" ,"i ct• 0 0 w w w 00 00 00 N N N H W W W p O, O.■ 04, v, b 0 (D Q O 0 O O N OPQ O O O 2560-FM-LRWM0188 Rev.8/2002 COMMONWEALTH Please type or Print in Ink DEPARTMENT O NVIRONMENTAL PROTECTION BUREAU OF LAND RECYCUNG 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. Qtr: 0 January-March 0 April-June ® July-September ❑ October-December 2 0 0 8 3. Facility Name IESI BLUE RIDGE LANDFILL CORP. Year 4. Facility Mailing Address 0 BOX 399 SCOTLAND, PA 172543 5. Host Municipality r_RFFNF ® Township ❑ City ❑ Borough 6.County FRANKLIN 7. Facility Contact NameDbi LD HALLOCK 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= Line Municipal 2,000 Pounds No. Month Waste Residual Waste Demolition/ 1 1 38 980.2 1 328. 6 �� �� Constovctlo Ash Asbestos TOTAL 2 2 707.4 0.0 0.0 342.3 4 '11.6 4 Total 0: ,1 . . . o 0. 1 ' o : . L41K11'�'� 5 Non•rocessible Waste Resource•Recovee Facilities •Pis Residue or ADC OLan , . IIIWIIIIIIIIIIIIII 6 Net Waste ons Landfills ons 7 Fee Calculation , $2.00/Ton 126 4 2. r 8 Discount for Timel Pa ment 1%Discount if •aid before the Due Date $2.00 x Line 6 $252 824.60 9 Pena for Late •a ment 5% Penal for each month or •art of month late 0.05 x li e17 x x Line 7 Mos. $2 508.25 10 Credit from Previous Ove •a ment attach documentation 0 11 Net Fee Due Pa ment MUST be enclosed with re•• to avoid • na for late •a ment. $ 0 $250 296.35 C. Environmental Stewardship Fee Computation(landfills only;check payable to Environmental Stewardship Fund) 126.412.3 Tons(from Line 4 TOTAL)x$0.25/ton $ - _31,03_nR due. D. Disposal Fee Computation(landfills only;check payable to Environmental Stewardship Fund) i 96„Al 9 3 Tons(from Line 4 TOTAL), minus _ n VO5m RRF used as ADC,minus Tons hazardous waste converted to nonhazaprdoussxl$4 00/tcrei ,649.20 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 submitting false information. �Lune of Authorized Representative(Print) gnaturo of Representative l 0 0 o Date 7"---- p m , O O rn ti7 O G d x a m o < x ° xf 0 a z k rri cn .<cf, z ° v c x CD 0 8 3 n GO co a r•+ N ?. �O ►r 04 I•+ hr ON VI Im+ 00 Fi O 0 A 0 N N W os O O O v O W O L. `44 e 0D �+ O CPI J 00 ►+ to p J O O f!1 C CC 4 Q. pN 00 O - CO {M NC N O 00 O J 0 w O O !y 0 S �7 a s � - �0 - V .. oo N a S o OO O O 0 O O O O P O LA P w O W y tJ 90 O 0 CO O w C" 41 0 Ni 00 O OM S i ...1:0 O C Ra o A or tri tf o p 0 0 0 0 0 o O p o ...3 0 0 0 o dy °o Oo N O 00 O O O O O O O N O O O O C0 i7 0o h� al 2 CIO r' D a O co P O o 0 0 0 o OCp 0 0 0 0 0 0 0 rn N 00 00 O 00 00 00 00 O 00 0 00 00 00 00 O C#. C O o Co n O cd A r X CO W O X000 O O J J O N Os 0P0 O v O A 3 .-. 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ON O •-> :O W O� W N 00 O CJ �1 00 VI VI VI r9" O ag - Na W VI a O -O A u 0.0 VI A W Co 000 ■ • 2560-FMI�LRWMO168W Rev.12J99 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. 1 0 0 9 3 4 2. Page _l_ of 3. Month Year 2 0 0 8 4. Number of Days of Operation 2 7 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 Code or State Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 01 1 2,053.6 33.3 0.0 0.0 294,8 0.0 0.0 2,381.7 2 II 5 0.0 0.0 0.0 0.0 0.0 0.0 323.2 323.2 3 [2J 1 1,173.5 3.0 0.0 0.0 677.9 0.0 0.0 1,854.4 4 DJ C 0.0 ° 8.8 0.0 0.0 0.0 0.0 0.0 8.8 2J 8 6,507.1 !.1,135.2 707.4 0.0 1,668.4 0.0 1.5 ;10,019.6 5 6 21 9 0.0 0.0 0.0 0.0 6.2 0.0 0.0 6.2 • M D 648.8 148.3 0.0 0.0 282.6 , 0.0 0.0 1.059.7 7 8 0.0 0.0 0.0 0.0 0.0 0.0 15.9 15.9 NI J 63.9 0.0 0.0 0.0 1,477.1 0.0 0.0 1,541.0 9 10 28,112.2 0.0 0.0 0.0 27.5 28,139.7 5 0.0 0.0 11 111 172.9 0.0 _ 0.0 0.0 0.0 0.0 0.0 172.9 107.7 0.0 0.0 0.0 0.0 0.0 0.0 107.7 12 [510 MONTHLY TOTAL 13 TOTAL 38,839.7 1,328.6 _ 707.4 0.0 4,414.5 0.0 340.6 45,630.8 IL A 2 Rev.12/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCUNG AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General information 1. Permit No. 11 I 0 OI 9 13 14 I 2. Page 2 of 2 3. Month 7 Year 1 2 10 J 0 "I8 4. Number of Days of Operation 2 7 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 Code or State Abbrev Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL W{ V 140.5 0.0 0.0 0.0 108.5 0.0 1.7 250.7 • 2 6 17 0.0 0.0 0.0 0.0 20.1 0.0 0.0 20.1 3 4 5 , { 6 7 10 11 I 12 I • MONTHLY TOTAL 13 TOTAL 38,980.2 1,328.6 707.4 0.0 .4,543.1 0.0 342.3 45,901.6 25 COMMONWEALTH 60-FM'LRWM01681N Rev.12/99 EALTH 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. l id 01 01 9 l 3 k 1 2. Page 1 of 2 3. Month 8 Year I 2 I 0 I 01 8 1 4. Number of Days of Operation j 2 16 l 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 Abbrev. Sewage Processed Demolition/ H Out of State Municipal ' Residual Sludge Infectious Construction Ash Asbestos TOTAL OI 1 1,833.8 22.1 0.0 0.0 292.9 1 0.0 0.0 2,148.8 2 = 0.0 0.0 0.0 0.0. 0.0 0.0 143.2 143.2 - ' 3 1.211 ' 1,001.8 25.9 0.0 0.0 667.6 0.0 0.0 1,695.3 1 4 DI C Ov0 6.1 0.0 0.0 0.0 0.0 0.0 6.1 5 21 8 5,634.1 1,011.7 600.5 0.0 1,264.9 6.13 0.0 8,511.2 6 PIN 635.3 156.4 0.0 0.0 130.1 0.0 0.0 921.8 • 7 41 6 0.0 0.0 0.0 0.0 0.0 0.0 312.4 312.4 8 kid 402.2 0.0 0.0- 0.0 940.2 0.0 0.0 1,342.4 9 = 24,142.1 0.0 0.0 0.0 21.7 0.0 0.0 24,163.8 10 4I 8 64.6 0.0 0.0 0.0 0.0 0.0 0.0 64.6 15101 89.1 0.0 0.0 0.0 0.0 0.0 0.0 89.1 12 MA I . 8.8 0.0 0.0 0.0 12.8 0.0 0.0 21.6 MONTHLY TOTAL 13 TOTAL 33,811.8 1,222.2 600.5 0.0 3,330.2 0.0 455.6 39,420:3 L .. . 1 2 Rev.12159 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCUNG AND WASTE MANAGEMENT • Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. I 1 I 0 1 1 9 1 3 14 I 2. Page 2 of 2 0 . 3. Month 8 Year 1 2 10 I 8 I 4. Number of Days of Operation I 2 16 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 E Code or State Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge nfectious Construction Ash Asbestos TOTAL Li= 245.6 0.0 0.0 0.0 86.2 0.0 0.0 331.8 161 7I 0.0 0.0 0.0 0.0 59.4 2 0.0 0.0 59.4 . 3 I I I - 4 I I 5111 6 I I 1 7III 8111 III 10 I I I • 11 I I I 1211 I . 13 TOTAL 34,057.4 1,222.2 600.5 0.0 3,475.8 0.0 455.6 39M 811.5oTAL 2560 -FM Rev.12/99 Please Type or Print in Ink COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENWRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT 7 Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information . 1. Permit No. 111 0 0 aim 9 2• Page 1 1 of 3. Month Year 111 0 0 8 4. Number of Days of Operation © 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Penri from which you received waste and one line for each state from which you received waste. Continue on add lion l sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be ex ress d in tons rounded to the nearest tenth(0.1),3 Cu.Yd. =1 Ton, 1 Ton=2,000 Pounds. P m PA County E Code or State Jv M of State Munlcl• Processed Demolition/ © Infectious Construction Ash 0 1,837.3 28.6 0.0 Asbestos Asbestos TOTAL 0.0 339.3 0.0 0.0 2,205.2 III Mill 0.0 0.0 II0.0 0.0 . 0.0 0.0 5.9 5.9 II 883.7 14.7 0.0 0.0 366.7 0.0 0.0 1,265.1 ©ill 5,797. . 865.2 571.9 0.0 1,184.7 0.0 0.0 8,418.8 III HID I 686.1 148.5 0.0 0.0 158.2 0:0 4.7 99III NMI 0.0 7.5 0.0 0.0 0.0 0.0 0.0 392.4 392.4 © II! .0 J 380.1 0.0 0.0 . 0.0 1,220 0.0 0.0 1,600.1 IIY 24,898. 0.0 0.0 0.0 Iii 0.0 0.0 0.0 24,898.7 III © 8 23 0.0 0.0 0.0 0.0 0.0 0.0 • 23 10 510 I 393.1 0.0 0.0 0.0 0.0 0.0 0.0 393.1 IW© 238.0 0.0 0.0 0.0 92.6 0.0 8•e 336.2 PI 161 71 . 0.0 0.0 0.0 0.0 163.2 0.0 0.0 163.2 ® TOTAL MONTHLY TOT"L 35 137.0 1 057:0 571.9 0.0 0.0 408.6 40 699.2 V n y m Z. 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Go ovcva v, on 0 0 0000 o coeD 0 000Ccc/o ° 'GTJ • 0 000cnto o o°o A, eeDD Co mo RP CI ti - v. a, S' e' O. o r� C N b be CC r, Cnr1 W eD ~ C N 4 O O 00 O PPP O O O O I> .`Z", wz E• l H O • ∎ w w A C � w H 0 A N A Cs 00A ° z° Ro O 0 p000i o 0 o° °o Po b ° S C c. y°z 0 Is) o y 0 _A Qs 00 vo O N N '0 r~+ r0+ "j 0 040 O N v a CA 00 (9 nxx�ul RECYCLINGFUND RefNbr Invoice Nbr IESI Corporation Invc Date Invoice Amount Amount paid 10/15/2008 000999'466 3rd QTR 2008 10/01/08 250,296.35 250, 35 Disc Net Check Amt 1 0.00 250,296.35 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER THE BACK CONTAINS AN ARTIFICIAL WATERMARK HOLD AT AN ANGI t In flF 8416''''. "2.'['f*<-1 1 4,a, ; P, - . - - z �.� - X1,1 , . , TH,r,),,,,,,, �, tl �: ' 3. `' .,o r , '` . 1 Ii=:-ft11( :I{E .E i f4'` ` �'`',sy�� - '' "`�; , -' r�-�" ` �. ...,�' , 1,'•••''.% t, f,.�`',�,y` ,rte"., , x 1+` j °;r .•4 14:`'-`7.4.e.;:,- -;.:—.41.r.w-"1:111;47H4tr,1:.,,,,,,,,„,;''''',,,$,,Is,:,,,,,"‘„.,>. fill:KJ',11"1 ";',,4,""JSA ,''''1� s.I�✓- ,.:: '+. ,r . � "*.it i ,�. --J- ,er>* a '. ,. 4 .,/' i i ,� � ..,'a' I Y :f;;;,,,.,„.,_::".,;,-,..141:41;11,. i „ 4�. .r „� lk:' '" i jj11 ,,,.'��e a ` l 4?1 't,� 1�.{. /� ?'.{j hTr^'io �,� ii'0 10 1984 16ii' i 1 20 1539x: 80 216804��' - BRRE02 RECYCLING FUND IESI Corporation 10/15/2008 RefNbr Invoice Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 000999466 3rd QTR 2008 10/01/08 250,296.35 250,296.35 250,296.35 61/1///1/ • 010198416 r2560'FM-I-RWM016 Rev.8/2pQ2 Please type or Print 8 in Ink COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. © 009 ©© 2. Qtr: ❑January-March ❑ April-June ® July-September ❑ October-December © 0 0 El 3. Facility Name IESI BLUE RIDGE LANDFILL CORP. • Year 4. Facility Mailing Address PO BOX 399 SCOTLANp, PA 172543 5. Host Municipality ® Township ❑ City ❑ Borough 6.County FRANKLIN 7. Facility Contact NameDV. D`;HALLOCK 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.Y �� Municipal ) d. = 1 Ton, 1 Ton=2,000 Pounds We�be DemolitioN 0� 38 980.2 1 328. .6 -""""''' Constructio imani.07.4 p,0 r� 0.0 TOTAL ©®IU� M , � e � � ® 45 •01.6 Non• �� � 0.0 1 543.6 0 0 � �«�xl��'� rocessible Waste Resource Recove Facilities ; Process Residue or ADCOLandfills, • ons ��~� ■ 0 Net Waste ons Fee Calculation • $2.00/Ton 126 4 2.3 © 0 Discount for Timel Pa ment 1% Discount if 'aid before the Due Date $2.00 x Line 6 $252 824.60 0.01 0 Penal for Late •a ment 5% Penal for each month or .art of month late 0.05 x 7 LMo . 0 8$2 5 .25 10 Credit from Previous Ove •a ment attach documentation x Mos. $ 0 m Net Fee Due Pa ment MUST be enclosed with re..rt to avoid •-nal for late •a ment. $ 0 C. Environmental Stewardship Fee Computation(landfills only;check payable to Environmental $2d0 296.35 Fu d) 126.412 Tons(from Line 4 TOTAL)x$0.25/ton=$ mental Stewardship Fund) _.3L.L03_n� due. D. Disposal Fee Computation (landfills only;check payable to Environmental Stewardship Fund) 12t;jaz a Tons(from Line 4 TOTAL), minus from RRF used as ADC, minus 0 Tons ash and nonprocessible waste O5,649.20 due. Tons hazardous waste converted to nonhazardous x$4.00/ton= This is to certify that I have personally examined and am familiar with the information in this and any attach To the best of my knowledge, information and belief, the submitted information is true, accurate and co aware that there are significant y ed documents. 9 penalties for submitting false information. complete. i am Name of Authorized Representative(Print) C) U �7 jJ 16 to tri ° O %� z r^ O o n G 0 pv r n O 0 a z n o v, -C 0 g 0 cn n %c1 n tri z 5; -,ci .1 2 4 i tv ,_3 0 x [ , end - m O 0 8 n n W N 4 0 00 00 0� - E N 5' 000 A O J ►~.+ 0s A O -1 VOi n e 0 O O O v N N W O So O ;1 O W O W p: N 00 O - W VVi C N 0 0000 0 C O W 0 0 O ti Y.+ 00 vd w o .-. w - .r - -, 0000 0 .PNo 0 0 0 0 0 0 0 oAe o (A o0 w o w d o ^^ '"' L^ w 0\ 0 O 0 0 0 0 0 4i O ;.- 00 O o iW C �' t l CA LA 00 00 O O O O O o O W 0 O, W A O N 7' O 0 r.1 S tiV 0 Z c Re oyeD NJ 0 0 ;J o 0 0 0 0 0 0 0 O : o o a o 0 A 0 0 0 0 0 0 0 C 0 A o 0 0 0 0n A N 0 0 0 0 0 0 0 0 0 N 0 0 0 0 CrJ tr1 '+ b C" o O a .. 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N co VI 0 -4 J A COI .4-4 VY A W C/1 000 .., 2560-FM-LRWMOI58W Rev.12/99 COMMON WEALT�H2OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENTOF-ENV IMENTAL;PROTECTION BUREAU OF LAND RECYCLE 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 .....s_ 3. Month Year 2 0 0 8 4. Number of Days of Operation" 2 7 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,4 Ton=2,000 Pounds.County E Code or State Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge, Construction Ash Asbestos TOTAL 1 (1 I 1 2,053.6 33.3 0.0 0.0 294,8 0.0 0.0 2 381.7 2 11 5 0.0 0.0 0.0 0.0 0.0 0.0 323.2 323.2 3 2I 1 1,173.5 3.0 0.0 0.0 677.9 0.0 0.0 1 854.4 4 DI C 0.0 , 8.8 0.0 0.0 0.0 0.0 0.0 8.8 218 6,507.1 !1,135.2 707.4 0.0 1,668.4 0.0 1.5 "10,019.6 5 , 6 ` 219 0.0 0.0 0.0 0.0 6.2 0.0 0.0 6:2 14 D 648.8 148.3 0.0 0.0 .:062.6 0.0 0.0 1.059.7 7 8 0.0 0.0 0.0 0.0 0.0 0.0 15.9 15.9 I N J 63.9 0.0 0.0 0.0 11,477.1 0.0 0.0 1,541.0 9 10 28,112.2 0.0 0.0 0.0 27.5 0.0 0.0 . 28,139.7 _ 11 172.9 0.0 0.0 0.0 0.0 0.0 0.0 172.9 12 [510 107.7 0.0 0.0 Q.0 0.0 0.0 0.0 107.7 - MONTHLY TOTAL 13 _ TOTAL 38,839.7 1,328.6 707.4 0.0 4,414.5 0.0 340.6 45,630.8 2560 -FM Rev,12/99 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. I 1 I 0 1 01 9 I 3 f 4 J 2. Page 2 of 2 3. Month 7 Year 0 0 — I 2 I I 10 I 4. Number of Days of Operation 12 17 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 c Code or Staff Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual , Sludge Infectious Construction Ash Asbestos TOTAL 1 1 WIV 1 140.5 0.0 0.0 0.0 108.5 0.0 1.7 250.7 2 16 17 I 0.0 0.0 0.0 0.0 20.1 0.0 0.0 20.1 3 I I I ' 4 I 1 1 5111 s 8 I I I g 1 1 1 • 10 • 11 III 12 I - MONTHLY TOTAL 13 TOTAL 38,980.2 1,328.6 707.4 0.0 .14,543.1 0.0 342.3 45,901%6 vn�1�u1 LNV11tt)NMEN'IALSTEWARDSHIP FUN IESI Corporation Ref Nbr Invoice Nbr Invc Date Invoice Amount 10/15/2008 Amount paid Disc Taken Net Check Amt 00099945 3RD gtr2008 LO/O1/08 537,252.28 537, 28 0.00 537,252.28 " ;;. H '� . I ,, , .` A:.,. 010198406 ry`�* r' "" r "'.. .` » ,. w , OLD AT AN ANGLE TO VIE6V it E FACt THIS DOCUMENAS A COREDBA�CKGRO D ON 11/111 BACK,C:.:..., ARTIFIC�IryIgL WATERMARK H � Vii` 3i ,y✓�' ;1 j{ I t -:'-'-'1111',•<',t 1'.!� , p} ` c' `� `-3c, t` '*,. �r'^' ' .. f ,' P(jam '�t 1''f t# ^'' " , ^1„ + , 4 t:fi : ' j b,F `.,, , 11 '"�r ."`'^.,,.i" "" �'`" ',-.. 1 `�,, n,ti<:, `' t 1 r-‹,..� ,. ::.?s i t s� '"fie; F �' `4,, ,,�. "'�.'*."y "`*w`*, ✓ l � ;�4� �t ""+y,n.' '"'a+r ,y�t")?" '�' 1 I,-y/`.'"!1t', e,1 i (7,1E1 -:,,,,-;,. 1,t .c.,.. ,,,,,,: ,,,--,:,tiff-,;„,0.,Ky ,; "ku�j�p, , .fi NtOtifts ,1,14:1.,,,,< `"4 "`,'n_ a r- ,; 1 .., s -;• -'" :„ .... -t'i � t F 3 wa� �"t" m�v°1` 'v,'. z �. '., , = ,� MM ��"' �'� ���,� .�„ "' � �,��„ ,� ��.�`�.f-� ��� i ��" '�f1°:�,"�,.�1. ���� ma lit 4��a_ .d t .,1.i 1110 10 L98406�1' ' l l 20 15 39 : 80 2 L6804u' BRENO1 ENVIRONMENTAL STEWARDSHIP FUN IESI Corporation 10/15/2008 Ref Nbr Invoice Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 000999465 3RD gtr2008 10/01/08 537,252.28 537,252.28 537,252.28 6(.,4 010198406 • 4560-FM-LRWM0160 Rev.5/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT s.' A Act 101, The Municipal Waste Planning, Recycling, and Waste Reduction Act QUARTERLY HOST MUNICIPALITY BENEFIT FEE REPORT A. General information 1. Permit No. 0 0 0 9 III 4 2.❑ January-March ❑ April-June fit July-September ❑ October-December 1 2 10 I 0 18' f 3. Facility Name IESI PA BLUE RIDGE LANDFILL Year 4. Facility Address PO BOX 399 • SCOTLAND, PA 17254 5. Location GREENE ® Township • ❑ Borough O. Ctty - ` (Name of Municipality) • s. 6. County FRANKLIN , 7. Con#act,htame DONALD HALLOCK 8. Contact Title DISTRICT MANAGER 9. Contact Phone No. 717-709-1700 10. Operator Name IESI PA BLUE RIDGE LANDFILL 11. Operator Address PO BOX ,399 SCOTLAND, PA 17254 B. Fee Computation • All weights must be expressed in tons rounded to the nearest 1110 ton. 3 Cu.Yd.=1 Ton,I Ton=2,000 Pounds Line Month Municipal Residual Sewage Processed ' Demolition/ Ash Asbestos TOTAL No. Waste Waste _ Sludge Infectious Construction 1 Mon t1 38,980.2 1,328.6 707.4 0.0 4,543.1 0.0 '42.3 ' 5,901.6 2 Month2 x4,057.4 1,222.2 600.5 0.0 3 , 7 s . r . . ' o ,: . 3 Month3 35_117.0 1.057.0 ,57.19 0.0 3,524.7 0.0 408.6 40,699.2 4 TotatWaste 08,174.6 3,607.8 1,879.8 0.0 11,543.6 0.0 1 ,206.5 l26,412. 5 Fee Calculation @$1.00 Ton $1.85 -($1.00 X TOTAL on Line 4x96 of area) EINN6 6 Preexisting Agreement Credit 0 7 Net Fee '33,862. 6 8 Discount for Timely Payment(1%Discount if paid before the Due Date) • (0.01 x Line 7) $2,338.:3 9 Penalty for Late Payment(5%Penalty for each month or part of month late) (0.05 x Line 7 x Mos.) $ 0 10 Net Fee Due(Payment MUST be enclosed with report to avoid penalty for late payment.) 1.231524.113 C. Certification This is to certify that I have personally examined and am familiar with the information in this and any attached documents. I am aware of the Department of Environmental Protection's requirements for this report. 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 submitting false information. —bQin atij 441.1.0G , .01k / , // Name of Operator Contact atur if Opera , /C•- act Date(mmldd/yy)