State of North Carolina

Department of Environmental Quality

Division of Waste Management

Distribution of
Electronics Management Funds Questionnaire
November 2015

Please take a few moments to answer the following questions. When complete, please attach this form and required documents
to an e-mail message and send to: electronic_recycling@ncdenr.gov If you have questions regarding fund distribution or
reporting, contact Ethan Brown at (919) 707-8249 or Shawn McKee (919) 707-8284.

Buncombe

1. Name of County or Municipal Government:

2. Finance Director Contact Information - Please provide contact information for your finance director.
Name: Donna Clark
Telephone Number: 828-250-4137

Fax Number:

E-mail Address: Donna.Clark@buncombecounty.org

3. Electronics Recycling Coordinator Contact Information - Please provide contact information for your government electronics recycling
coordinator.

Name: Kristy Smith

Telephone Number: 828-250-5460

Fax Number: 828-250-5478

E-mail Address: kristy.smith@buncombecounty.org

Government Electronics Recycling Website: http://www.buncombecounty.org/Governing/Depts/SolidWaste/Default.aspx
4. Certified Electronics Recycling Vendor as of Jan 1, 2016: Ecycle;powerhouse;pilgrim
The Division of Waste Management (DWM) distributed funds from the Electronics Management Fund to local governments that
have approved Electronics Management Plans. Funds were distributed on or about February 15, 2015. G.S. 130A-309.137(c)
requires that local governments deposit the funds into the separate local budget accounts which were established for the receipt
and expenditures of funds from the Electronics Management Fund. The law also specifies that these funds are to be used only in
support of programs to manage discarded computer equipment, televisions and other electronic devices.
Electronics Management Program Account
5. Complete the table based on
information from your
electronics management
program account for FY 14-15.

Beginning Balance

FY 14-15
0

+ Revenues

19,174.93

- Expenditures

73,241.53

Ending Balance

-54,066.6

6. For the 2016 funds, describe how you intend to spend and utilize the funds.
Funds will be used to support our program to recycle and manage discarded computer equipment, televisions and other
electronic devices.

7. As part of the eligibility requirements, please send copies of the following documents:
1) A copy of the electronics recycler/vendor R2 or e-Steward certificate.
2) Copies of all invoices or weigh sheets showing tonnage of electronics materials received and shipped by the
government program during 2015 including the vendor utilized.
3) If your government did not receive these funds last year, then a copy of the current Electronics Management Plan for
your county/city. If you did receive these funds, then send in a copy of the plan only if it has been updated.
When complete, please attach this form and the required documents to an e-mail message and send to:
electronic_recycling@ncdenr.gov
NC DEQ - Electronics Management Program

Electronics Management Funds Questionnaire (11/15)