"Application for a Variance From the Requirements of the Liquid Waste Disposal and Treatment Regulations" - New Mexico

Application for a Variance From the Requirements of the Liquid Waste Disposal and Treatment Regulations is a legal document that was released by the New Mexico Environment Department - a government authority operating within New Mexico.

Form Details:

  • Released on October 1, 2005;
  • The latest edition currently provided by the New Mexico Environment Department;
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Download "Application for a Variance From the Requirements of the Liquid Waste Disposal and Treatment Regulations" - New Mexico

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State of New Mexico
ENVIRONMENT DEPARTMENT
Field Operations Division
APPLICATION FOR A VARIANCE
NMED
FROM THE REQUIREMENTS OF THE
PERMIT NUMBER:
LIQUID WASTE DISPOSAL and
TREATMENT REGULATIONS
________________________________
____________________________________________________________________________________________________
SYSTEM OWNER’S NAME: Last, First, MI
Home Phone:
Work Phone:
____________________________________________________________________________________________________
MAILING ADDRESS: Street, P.O. Box, City, State, Zip
____________________________________________________________________________________________________
SYSTEM LOCATION: Address
VARIANCE REQUEST:
I hereby apply to the New Mexico Environment Department (NMED) for a variance to the requirement(s) of the Liquid Waste
Disposal and Treatment Regulations (20.7.3 NMAC). I believe that the issuance of a variance to the requirement(s) will not
result in the degradation of any body of water or be a hazard to public health, and that the proposed system will provide
environment and public health protection at least equivalent to the minimum protection required by the section from which I
am requesting a variance.
Section of the Liquid Waste Disposal Regulations from which I am requesting a variance: ___________________
____________________________________________________________________________________________
Justification: _________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
My proposed variance submission date is: __________________________________________________
Requests for information about the requested variance and comments may be submitted to the NMED field office
located: ____________________________________________ Phone: __________________________________
All adjacent property owners, less than 1,000 feet from the liquid waste system, have been notified by:
______ certified mail, _______ door to door, of my intent to apply for this variance.
Attached is:______ copy of the notification letter with certified receipts, __________ signature sheet(s) with a
copy of document provided.
Applicants Signature: __________________________________ Date of Submission: _____________
10/05
State of New Mexico
ENVIRONMENT DEPARTMENT
Field Operations Division
APPLICATION FOR A VARIANCE
NMED
FROM THE REQUIREMENTS OF THE
PERMIT NUMBER:
LIQUID WASTE DISPOSAL and
TREATMENT REGULATIONS
________________________________
____________________________________________________________________________________________________
SYSTEM OWNER’S NAME: Last, First, MI
Home Phone:
Work Phone:
____________________________________________________________________________________________________
MAILING ADDRESS: Street, P.O. Box, City, State, Zip
____________________________________________________________________________________________________
SYSTEM LOCATION: Address
VARIANCE REQUEST:
I hereby apply to the New Mexico Environment Department (NMED) for a variance to the requirement(s) of the Liquid Waste
Disposal and Treatment Regulations (20.7.3 NMAC). I believe that the issuance of a variance to the requirement(s) will not
result in the degradation of any body of water or be a hazard to public health, and that the proposed system will provide
environment and public health protection at least equivalent to the minimum protection required by the section from which I
am requesting a variance.
Section of the Liquid Waste Disposal Regulations from which I am requesting a variance: ___________________
____________________________________________________________________________________________
Justification: _________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
My proposed variance submission date is: __________________________________________________
Requests for information about the requested variance and comments may be submitted to the NMED field office
located: ____________________________________________ Phone: __________________________________
All adjacent property owners, less than 1,000 feet from the liquid waste system, have been notified by:
______ certified mail, _______ door to door, of my intent to apply for this variance.
Attached is:______ copy of the notification letter with certified receipts, __________ signature sheet(s) with a
copy of document provided.
Applicants Signature: __________________________________ Date of Submission: _____________
10/05
NMED ACTION:
The Department will take action on the variance application after a minimum of ten (10) but no later than twenty
(20) working days following receipt of the completed variance application.
Date completed variance application received: ______________________________________________
The Department has reviewed the request for a variance and it appears that the proposed system will _____ MEET
______ NOT MEET the requirements for granting a variance as specified in Section 405 of the Liquid Waste
Disposal and Treatment Regulations.
The variance hereby: ________ Granted ________ Granted subject to conditions _______ Denied
Conditions:___________________________________________________________________________________
____________________________________________________________________________________________
Reasons:_____________________________________________________________________________________
____________________________________________________________________________________________
Applicable Sections of 20.7.3 NMAC: _____________________________________________________________
The variance will remain effective for the following period of time: ______________________________
NMED Signature: ___________________________________________ Date: _____________________
Date NMED notified:
Applicant _____________________
Person(s) making a written submission
concerning this variance application __________________
The Applicant may request a hearing in accordance with Section 406 of the Liquid Waste Disposal and Treatment
Regulations if dissatisfied with the action taken by the Department. The request must be made in writing within
fifteen (15) working days of notice of the Department’s decision.
10/05
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