DNR Form 542-8088 "Waste Tire Processing Facility Annual Permit Renewal Fee Form" - Iowa

What Is DNR Form 542-8088?

This is a legal form that was released by the Iowa Department of Natural Resources - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Iowa Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DNR Form 542-8088 by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.

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Download DNR Form 542-8088 "Waste Tire Processing Facility Annual Permit Renewal Fee Form" - Iowa

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IOWA DEPARTMENT OF NATURAL RESOURCES
Waste Tire Processing Facility
ANNUAL PERMIT
RENEWAL FEE FORM
▼CASHIERS USE ONLY ▼
The applicant shall attach the annual permit fee of $850 with this form, and shall remit the
0098-542-TIRE-0630
annual fee of $850 for each subsequent year that the permittee operates this facility, on or
INTERNAL SOURCE: 1220
st
st
by July 1
of subsequent years. The permittee shall pay the fee due annually, each July 1
,
Facility Name
unless the permittee properly closes the facility and discontinues operations, or in the
Permit #
event the department revokes the permittee’s authority to operate a waste tire processing
facility.
***Checks shall be in the amount of $850.00, and shall be made payable and remitted to:
Iowa Department of Natural Resources
Land Quality Bureau
Attn: Becky Jolly
th
502 E 9
St
Des Moines, IA 50319-0034
For Questions Please Contact Mel Pins at 515-729-4616 or Mel.Pins@dnr.iowa.gov.
DNR Permit #:
Facility Name:
Facility Address:
City:
State:
Zip:
Contact Name:
Contact Phone #:
Contact Email:
03/2021 cmc
WASTE TIRE PROCESSING FACILITY RENEWAL FEE FORM
DNR Form 542-8088
IAC 567 Chapter 117. Iowa Code Chapters 455B and 455D
.
IOWA DEPARTMENT OF NATURAL RESOURCES
Waste Tire Processing Facility
ANNUAL PERMIT
RENEWAL FEE FORM
▼CASHIERS USE ONLY ▼
The applicant shall attach the annual permit fee of $850 with this form, and shall remit the
0098-542-TIRE-0630
annual fee of $850 for each subsequent year that the permittee operates this facility, on or
INTERNAL SOURCE: 1220
st
st
by July 1
of subsequent years. The permittee shall pay the fee due annually, each July 1
,
Facility Name
unless the permittee properly closes the facility and discontinues operations, or in the
Permit #
event the department revokes the permittee’s authority to operate a waste tire processing
facility.
***Checks shall be in the amount of $850.00, and shall be made payable and remitted to:
Iowa Department of Natural Resources
Land Quality Bureau
Attn: Becky Jolly
th
502 E 9
St
Des Moines, IA 50319-0034
For Questions Please Contact Mel Pins at 515-729-4616 or Mel.Pins@dnr.iowa.gov.
DNR Permit #:
Facility Name:
Facility Address:
City:
State:
Zip:
Contact Name:
Contact Phone #:
Contact Email:
03/2021 cmc
WASTE TIRE PROCESSING FACILITY RENEWAL FEE FORM
DNR Form 542-8088
IAC 567 Chapter 117. Iowa Code Chapters 455B and 455D
.