Form MO780-0393 "Application for Solid Waste Disposal Area or Processing Facility Construction Permit" - Missouri

What Is Form MO780-0393?

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

Form Details:

  • Released on July 1, 2011;
  • The latest edition provided by the Missouri 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 Form MO780-0393 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-0393 "Application for Solid Waste Disposal Area or Processing Facility Construction Permit" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
SOLID WASTE MANAGEMENT PROGRAM
APPLICATION FOR SOLID WASTE DISPOSAL AREA OR PROCESSING FACILITY
CONSTRUCTION PERMIT
NAME OF DISPOSAL AREA OR PROCESSING FACILITY TO APPEAR ON PERMIT
GENERAL LEGAL DESCRIPTION __________ 1/4 __________ 1/4 __________ 1/4 __________ , SECTION ________ TOWNSHIP ________ RANGE ________
LATITUDE _______________________________ LONGITUDE _______________________________ COUNTY _______________________________
DISPOSAL AREA
PROCESSING FACILITY
CHECK TYPE OF
SANITARY LANDFILL
INCINERATOR
TRANSFER STATION
DISPOSAL AREA
DEMOLITION LANDFILL
COMPOST PLANT
RESOURCE RECOVERY FAC.
OR PROCESSING
SPECIAL WASTE LANDFILL (INDICATE TYPE BELOW)
INFECTIOUS WASTE PROCESSIGN FACILITY (INDICATE TYPE
FACILITY PROPOSED
UTILITY WASTE LANDFILL
BELOW)
OTHER (SPECIFY BELOW)
OTHER (SPECIFY BELOW)
BRIEF DESCRIPTION OF FACILITY AND OPERATION:
SIZE
PROPOSED OPERATING HOURS
CAPACITY (TON/DAY)
OPERATING LIFE
TYPE OF WASTE ACCEPTED
DESCRIPTION OF PHYSICAL LOCATION (DIRECTIONS AND ADDRESS)
REGISTERED ENGINEER OR CONSULTING ENGINEERING FIRM SUBMITTING PLANS
(Name of Engineer or Consulting Engineering Firm)
NAME
COMPANY
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
THE PERMIT WILL BE ISSUED TO THE “PERSON(S)” DESIGNATED BELOW AS THE “OWNER” AND THE “OPERATOR.” “Person” is defined by 260.200, RSMo to
mean; individual, partnership, corporation, association, institution, city, county, other political subdivision, authority, state agency or institution, or federal agency or
institution.
OPERATOR
(“Person” principally responsible for the day to day operation and management of disposal area or facility.)
OPERATOR NAME
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
OWNER
(“Person” which appears on general warranty deed as property landowner.)
OWNER NAME
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
If granted this permit, we the undersigned, agree to abide by state and federal laws, and the rules, orders and decisions of the Missouri Department of Natural Resources.
We understand that in the event of any false or fraudulent information in the application, plans and data, or of failure to construct the area or facility in a proper and legal
manner, the permit may be revoked after due notice from the Missouri Department of Natural Resources. We understand the permit is issued jointly to the owner and
operator, as designated above.
SIGNATURE OF OPERATOR (OR AUTHORIZED REPRESENTATIVE)
PRINT NAME AND TITLE OF THE INDIVIDUAL WHO SIGNED ABOVE FOR THE OPERATOR
SIGNATURE OF OWNER (OR AUTHORIZED REPRESENTATIVE)
PRINT NAME AND TITLE OF THE INDIVIDUAL WHO SIGNED ABOVE FOR THE OWNER
MO 780-0393 (07-11)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
SOLID WASTE MANAGEMENT PROGRAM
APPLICATION FOR SOLID WASTE DISPOSAL AREA OR PROCESSING FACILITY
CONSTRUCTION PERMIT
NAME OF DISPOSAL AREA OR PROCESSING FACILITY TO APPEAR ON PERMIT
GENERAL LEGAL DESCRIPTION __________ 1/4 __________ 1/4 __________ 1/4 __________ , SECTION ________ TOWNSHIP ________ RANGE ________
LATITUDE _______________________________ LONGITUDE _______________________________ COUNTY _______________________________
DISPOSAL AREA
PROCESSING FACILITY
CHECK TYPE OF
SANITARY LANDFILL
INCINERATOR
TRANSFER STATION
DISPOSAL AREA
DEMOLITION LANDFILL
COMPOST PLANT
RESOURCE RECOVERY FAC.
OR PROCESSING
SPECIAL WASTE LANDFILL (INDICATE TYPE BELOW)
INFECTIOUS WASTE PROCESSIGN FACILITY (INDICATE TYPE
FACILITY PROPOSED
UTILITY WASTE LANDFILL
BELOW)
OTHER (SPECIFY BELOW)
OTHER (SPECIFY BELOW)
BRIEF DESCRIPTION OF FACILITY AND OPERATION:
SIZE
PROPOSED OPERATING HOURS
CAPACITY (TON/DAY)
OPERATING LIFE
TYPE OF WASTE ACCEPTED
DESCRIPTION OF PHYSICAL LOCATION (DIRECTIONS AND ADDRESS)
REGISTERED ENGINEER OR CONSULTING ENGINEERING FIRM SUBMITTING PLANS
(Name of Engineer or Consulting Engineering Firm)
NAME
COMPANY
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
THE PERMIT WILL BE ISSUED TO THE “PERSON(S)” DESIGNATED BELOW AS THE “OWNER” AND THE “OPERATOR.” “Person” is defined by 260.200, RSMo to
mean; individual, partnership, corporation, association, institution, city, county, other political subdivision, authority, state agency or institution, or federal agency or
institution.
OPERATOR
(“Person” principally responsible for the day to day operation and management of disposal area or facility.)
OPERATOR NAME
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
OWNER
(“Person” which appears on general warranty deed as property landowner.)
OWNER NAME
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
If granted this permit, we the undersigned, agree to abide by state and federal laws, and the rules, orders and decisions of the Missouri Department of Natural Resources.
We understand that in the event of any false or fraudulent information in the application, plans and data, or of failure to construct the area or facility in a proper and legal
manner, the permit may be revoked after due notice from the Missouri Department of Natural Resources. We understand the permit is issued jointly to the owner and
operator, as designated above.
SIGNATURE OF OPERATOR (OR AUTHORIZED REPRESENTATIVE)
PRINT NAME AND TITLE OF THE INDIVIDUAL WHO SIGNED ABOVE FOR THE OPERATOR
SIGNATURE OF OWNER (OR AUTHORIZED REPRESENTATIVE)
PRINT NAME AND TITLE OF THE INDIVIDUAL WHO SIGNED ABOVE FOR THE OWNER
MO 780-0393 (07-11)