The two Eastern Shore counties may try to build new landfill facilities, to replace the ones being forced to close. However, there are great economies of scale in landfill construction and operations. It's inefficient to build small facilities, and it's unlikely that the two counties could afford to borrow the necessary funds for a large high-tech facility. There's just not enough population or industry on the Eastern Shore to make a large facility an attractive investment. Most likely, Accomack and Northampton will establish waste transfer facilities rather than new landfills, after the existing landfills on the Eastern Shore close.
Transfer stations are temporary collection points.
Garbage trucks pick up the waste, and at the transfer station it's moved into large tractor trailers. So my guess may be wrong, and in 2010 Northampton County may be in the landfill business.