Form SFN54097 "Notification for Concrete/Asphalt Recycling Facilities" - North Dakota

What Is Form SFN54097?

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

Form Details:

  • Released on September 1, 2013;
  • The latest edition provided by the North Dakota Department of Health;
  • 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 SFN54097 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health.

ADVERTISEMENT
ADVERTISEMENT

Download Form SFN54097 "Notification for Concrete/Asphalt Recycling Facilities" - North Dakota

969 times
Rate (4.7 / 5) 68 votes
NOTIFICATION FOR CONCRETE/ASPHALT RECYCLING FACILITIES
NORTH DAKOTA DEPARTMENT OF HEALTH
DIVISION OF WASTE MANAGEMENT
Clear Fields
SFN 54097 (9-2013)
Please complete this form for each recycling facility.
Business/Facility Name
Address
City
State
ZIP Code
Contact Person
Telephone Number
Cell Phone Number
Email Address
Fax Number
County
Stockpile Location
1/4 Section
Section
Township
Range
Type of Material Accepted
Concrete Products
Asphalt Products
Mixed Concrete and Asphalt Products
Other (Describe)
Approximate Quantity of Stockpiled Material (tons)
Type of Equipment
Comments
Send to:
North Dakota Department of Health
Division of Waste Management
918 E. Divide Ave., 3rd Floor
Bismarck, ND 58501-1947
www.ndhealth.gov/wm
Telephone: 701-328-5166
Fax: 701-328-5200
Website:
NOTIFICATION FOR CONCRETE/ASPHALT RECYCLING FACILITIES
NORTH DAKOTA DEPARTMENT OF HEALTH
DIVISION OF WASTE MANAGEMENT
Clear Fields
SFN 54097 (9-2013)
Please complete this form for each recycling facility.
Business/Facility Name
Address
City
State
ZIP Code
Contact Person
Telephone Number
Cell Phone Number
Email Address
Fax Number
County
Stockpile Location
1/4 Section
Section
Township
Range
Type of Material Accepted
Concrete Products
Asphalt Products
Mixed Concrete and Asphalt Products
Other (Describe)
Approximate Quantity of Stockpiled Material (tons)
Type of Equipment
Comments
Send to:
North Dakota Department of Health
Division of Waste Management
918 E. Divide Ave., 3rd Floor
Bismarck, ND 58501-1947
www.ndhealth.gov/wm
Telephone: 701-328-5166
Fax: 701-328-5200
Website: