DNR Form 542-0017 "Dry Manure Stockpile Inspection Statement Form" - Iowa

What Is DNR Form 542-0017?

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 January 1, 2014;
  • 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 542-0017 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 542-0017 "Dry Manure Stockpile Inspection Statement Form" - Iowa

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IOWA DEPARTMENT OF NATURAL RESOURCES
ENVIRONMENTAL SERVICES DIVISION
Field Office #1
Field Office #2
Field Office #3
Field Office #4
Field Office #5
Field Office #6
th
909 W Main St Ste 4
2300 15
St SW
1900 N Grand Ave
1401 Sunnyside Ln
7900 Hickam Rd Ste 200
1023 W Madison
Manchester, IA 52057
Mason City, IA 50401
Spencer, IA 51301
Atlantic, IA 50022
Windsor Heights, IA 50324
Washington, IA 52353
(563) 927-2640
(641) 424-4073
(712) 262-4177
(712) 243-1934
(515) 725-0268
(319) 653-2135
Instructions: Inspect each stockpile monthly. Submit stockpile statement forms to the appropriate regional
th
DNR field office each month. The form must be received by the 15
of the month following the inspection for
as long as the stockpile exists.
Dry Manure Stockpile Inspection Statement Form
Facility ID #:
Facility County:
Month:
Year:
Name of the facility manure is originating from:
Address of facility:
Owner / Primary Contact of facility:
Phone Number:
Location of stockpile:
(¼ ¼)
(¼)
Section
(Tier and
(Township)
(County)
Range)
Dates manure was hauled to stockpile:
Approximate size:
Total precipitation during the previous month:
Please describe conditions at the stockpile:
Is precipitation-induced runoff draining away from the stockpile and if so, what actions are being taken to prevent the
runoff?
Anticipated date of removal:
Signature of Inspector:
06/2014 cmc
DNR Form 542-0017
IOWA DEPARTMENT OF NATURAL RESOURCES
ENVIRONMENTAL SERVICES DIVISION
Field Office #1
Field Office #2
Field Office #3
Field Office #4
Field Office #5
Field Office #6
th
909 W Main St Ste 4
2300 15
St SW
1900 N Grand Ave
1401 Sunnyside Ln
7900 Hickam Rd Ste 200
1023 W Madison
Manchester, IA 52057
Mason City, IA 50401
Spencer, IA 51301
Atlantic, IA 50022
Windsor Heights, IA 50324
Washington, IA 52353
(563) 927-2640
(641) 424-4073
(712) 262-4177
(712) 243-1934
(515) 725-0268
(319) 653-2135
Instructions: Inspect each stockpile monthly. Submit stockpile statement forms to the appropriate regional
th
DNR field office each month. The form must be received by the 15
of the month following the inspection for
as long as the stockpile exists.
Dry Manure Stockpile Inspection Statement Form
Facility ID #:
Facility County:
Month:
Year:
Name of the facility manure is originating from:
Address of facility:
Owner / Primary Contact of facility:
Phone Number:
Location of stockpile:
(¼ ¼)
(¼)
Section
(Tier and
(Township)
(County)
Range)
Dates manure was hauled to stockpile:
Approximate size:
Total precipitation during the previous month:
Please describe conditions at the stockpile:
Is precipitation-induced runoff draining away from the stockpile and if so, what actions are being taken to prevent the
runoff?
Anticipated date of removal:
Signature of Inspector:
06/2014 cmc
DNR Form 542-0017