"Application for Tire Recycling/Storage Facility Permit" - New Mexico

Application for Tire Recycling/Storage Facility Permit is a legal document that was released by the New Mexico Environment Department - a government authority operating within New Mexico.

Form Details:

  • Released on December 21, 2018;
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Download "Application for Tire Recycling/Storage Facility Permit" - New Mexico

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NEW MEXICO
ENVIRONMENT DEPARTMENT
Solid Waste Bureau
1190 Saint Francis Drive, Room N-2150
P.O. Box 5469
Santa Fe, New Mexico 87502-5469
Telephone: (505) 827-0197 Facsimile: (505) 827-2902
www.env.nm.gov/swb
APPLICATION FOR TIRE RECYCLING/STORAGE FACILITY PERMIT
In accordance with the New Mexico Recycling, Illegal Dumping and Scrap Tire Management Rule (20.9.20 NMAC), any person
seeking a permit for a tire recycling facility or scrap tire storage facility to process or temporarily store scrap tires, including scrap
tire bales, shall first obtain a permit. The proposed facility must comply with the requirements of 20.9.20.36 and 20.9.20.37 NMAC.
To obtain the permit, complete the form below, including all attachments. Assistance and information may be obtained by
contacting the Solid Waste Bureau’s Tire Program Coordinator at (505) 827-0559.
I.
ATTACHMENTS: PROVIDE THE FOLLOWING INFORMATION ON SEPARATE
PAGES, AND ATTACH THEM TO THIS FORM:
A.
A detailed narrative description of the proposed facility’s operations, including the method
and manner of storage and any processing, including the baling of scrap tires.
B.
A site layout plan of the proposed facility, drawn to scale and in compliance with the
requirements of 20.9.20.36 and 20.9.20.37 NMAC. The plan shall include the following information:
(1)
site/facility name;
(2)
labels of all features shown on the map;
(3)
north arrow;
(4)
map scale;
(5)
all structures and buildings that are or will be constructed at the facility, including
those used in collection, storage or processing operations;
(6)
location of equipment;
(7)
property boundaries;
(8)
water sources, arroyos, wetlands, floodplains, waterways or ditches and other
topographic features;
(9)
wells;
(10)
fences;
(11)
easements and power lines;
(12)
all access routes and internal roads for residential, commercial and emergency use;
(13)
loading and unloading areas;
(14)
the location of areas used for the collection of scrap tires, processing of scrap tires,
used tires, tire derived products, and residuals from processing; and
(15)
the location and width of fire lanes.
C.
A copy of the deed or other legal description of the property indicating property ownership.
D.
Zoning of the site, and the zoning of all adjacent properties.
NEW MEXICO
ENVIRONMENT DEPARTMENT
Solid Waste Bureau
1190 Saint Francis Drive, Room N-2150
P.O. Box 5469
Santa Fe, New Mexico 87502-5469
Telephone: (505) 827-0197 Facsimile: (505) 827-2902
www.env.nm.gov/swb
APPLICATION FOR TIRE RECYCLING/STORAGE FACILITY PERMIT
In accordance with the New Mexico Recycling, Illegal Dumping and Scrap Tire Management Rule (20.9.20 NMAC), any person
seeking a permit for a tire recycling facility or scrap tire storage facility to process or temporarily store scrap tires, including scrap
tire bales, shall first obtain a permit. The proposed facility must comply with the requirements of 20.9.20.36 and 20.9.20.37 NMAC.
To obtain the permit, complete the form below, including all attachments. Assistance and information may be obtained by
contacting the Solid Waste Bureau’s Tire Program Coordinator at (505) 827-0559.
I.
ATTACHMENTS: PROVIDE THE FOLLOWING INFORMATION ON SEPARATE
PAGES, AND ATTACH THEM TO THIS FORM:
A.
A detailed narrative description of the proposed facility’s operations, including the method
and manner of storage and any processing, including the baling of scrap tires.
B.
A site layout plan of the proposed facility, drawn to scale and in compliance with the
requirements of 20.9.20.36 and 20.9.20.37 NMAC. The plan shall include the following information:
(1)
site/facility name;
(2)
labels of all features shown on the map;
(3)
north arrow;
(4)
map scale;
(5)
all structures and buildings that are or will be constructed at the facility, including
those used in collection, storage or processing operations;
(6)
location of equipment;
(7)
property boundaries;
(8)
water sources, arroyos, wetlands, floodplains, waterways or ditches and other
topographic features;
(9)
wells;
(10)
fences;
(11)
easements and power lines;
(12)
all access routes and internal roads for residential, commercial and emergency use;
(13)
loading and unloading areas;
(14)
the location of areas used for the collection of scrap tires, processing of scrap tires,
used tires, tire derived products, and residuals from processing; and
(15)
the location and width of fire lanes.
C.
A copy of the deed or other legal description of the property indicating property ownership.
D.
Zoning of the site, and the zoning of all adjacent properties.
E.
A notarized affidavit, signed by a public official and the applicant, certifying that the
proposed site complies with the applicable regulations of all local governing bodies having jurisdiction over
the proposed facility, including planning, zoning, building, code enforcement and drainage departments.
F.
A notarized affidavit, signed by the property owner and the applicant, approving the use of
the scrap tires on the property, shall be submitted as part of the permit application if the property owner is
different from the applicant.
G.
A list and description of the equipment to be used for handling, processing, recycling or
the removal and disposal of unused scrap tires.
H.
The plans for the transportation of scrap and processed tires to and from the site.
I.
A description of the methods to be employed to prevent, control or contain a tire fire,
including a description of the facility’s water source and capacity.
J.
A description of the method(s) to be employed to monitor and control disease vectors.
K.
A description of the method(s) to be used to remove residuals from the facility.
L.
Closure plans pursuant to 20.9.20.51 NMAC and 20.9.20.52 NMAC.
M.
An emergency contingency plan in compliance with 20.9.20.47 NMAC.
II.
GENERAL INFORMATION:
A.
FACILITY INFORMATION:
Facility Name
Mailing Address
City, State, Zip
Telephone Number
E-Mail Address
B.
FACILITY OWNER INFORMATION:
Name
Mailing Address
City, State, Zip
Telephone Number
E-Mail Address
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C.
FACILITY OPERATOR INFORMATION:
Name
Mailing Address
City, State, Zip
Telephone Number
E- Mail Address
D.
PROPERTY OWNER INFORMATION:
Name
Mailing Address
City, State, Zip
Telephone Number
E-Mail Address
III.
FACILITY LOCATION:
A.
Latitude and Longitude:
B.
Physical Address (if different from the facility mailing address):
IV.
TOTAL ACREAGE OF FACILITY SITE:
V.
OPERATIONS:
A.
Anticipated Start Date:
B.
Hours and Days of Operation:
C.
The Max. Number of Scrap Tires to be Processed in One Year:
D.
The Max. Number of Scrap Tires to be Processed in One Month:
E.
The Max. Number of Unprocessed Scrap Tires on Site at Any One Time:
F.
The Max. Number of Processed Scrap Tires on Site at Any One Time:
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VI.
FOR FACILITIES THAT STORE 20,000 OR MORE SCRAP TIRES AT ANY ONE TIME
OR PROCESS 200,000 SCRAP TIRES OR MORE PER YEAR, THE FOLLOWING ADDITIONAL
ATTACHMENTS ARE REQUIRED:
A.
An operation and maintenance manual that addresses all of the operating requirements.
B.
Proposed financial assurance to meet the requirements of 20.9.20.57 – 20.9.20.59 NMAC.
VII.
CERTIFICATION:
THE UNDERSIGNED ATTESTS THAT THE INFORMATION PROVIDED UPON THIS
REGISTRATION FORM, INCLUDING ALL ATTACHMENTS, IS TRUE AND CORRECT.
SIGNATURE
DATE
RETURN THIS FORM and the REQUIRED ATTACHMENTS TO:
William (“Bill”) W. Myers
Tire Program Coordinator
NMED Solid Waste Bureau
1190 St. Francis Drive, Room N-2150
P.O. Box 5469
Santa Fe, New Mexico 87502-5469
Application for Tire Recycling/Storage Facility Permit – Revised 12/21/2018
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