Form SFN-8382 "License Application - Scrap Iron Processor" - North Dakota

What Is Form SFN-8382?

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 December 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 printable version of Form SFN-8382 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health.

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Download Form SFN-8382 "License Application - Scrap Iron Processor" - North Dakota

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LICENSE APPLICATION - SCRAP IRON PROCESSOR
NORTH DAKOTA DEPARTMENT OF HEALTH
Class A
Class B
DIVISION OF WASTE MANAGEMENT
Phone: 701-328-5166 $ Fax: 701-328-5200 $ www.ndhealth.gov/wm
License Number:
SFN-8382 (Rev: 12/2013)
Date Received:
READ INSTRUCTIONS AND LICENSE INFORMATION ATTACHED TO THIS FORM:
Date Approved:
Trade/Business Name:
Telephone:
Applicant:
Mailing Address:
City:
State:
Zip Code:
Type of Business:
Partnership
Corporation
Association
Other (Specify)
IF A PARTNERSHIP, CORPORATION, OR ASSOCIATION = LIST OFFICERS OR PARTNERS:
NAME
TITLE
ADDRESS
EQUIPMENT AVAILABLE (TRUCKS, LOADERS, ETC.):
NUMBER OF
MAKE
YEAR
TYPE
OWNER
EMPLOYEES
Part-time:
Full-time:
Total:
TYPE AND SIZE OF REDUCTION EQUIPMENT (IF APPLICABLE):
MAKE
YEAR
TYPE
CAPACITY
OWNER
OTHER OPERATIONAL EQUIPMENT (LOADERS, ENGINE PULLERS, WINCH TRUCKS, ETC.):
MAKE
YEAR
TYPE
OWNER
TRANSPORTATION EQUIPMENT (MUST HAVE PSC OR ICC CARRIER PERMITS):
MAKE
YEAR
TYPE
OWNER
SUBSCRIBED AND SWORN TO BEFORE ME THIS:
I, the undersigned applicant, being duly sworn, depose and say that the
information contained in and attached to this application is, to the best of my
knowledge and belief, true and correct. If licensed, I will comply with all State and
day of
20
.
Federal laws and rules, and the conditions of this application and any license
issued hereunder.
NOTARY PUBLIC
COUNTY, ND
Applicant=s Signature
Inquiries to: ND Dept. of Health, Div. o f Waste Management,
My Commission expires
918 E. Divide Ave. 3rd Floor, Bismarck, ND 58501-1947
LICENSE APPLICATION - SCRAP IRON PROCESSOR
NORTH DAKOTA DEPARTMENT OF HEALTH
Class A
Class B
DIVISION OF WASTE MANAGEMENT
Phone: 701-328-5166 $ Fax: 701-328-5200 $ www.ndhealth.gov/wm
License Number:
SFN-8382 (Rev: 12/2013)
Date Received:
READ INSTRUCTIONS AND LICENSE INFORMATION ATTACHED TO THIS FORM:
Date Approved:
Trade/Business Name:
Telephone:
Applicant:
Mailing Address:
City:
State:
Zip Code:
Type of Business:
Partnership
Corporation
Association
Other (Specify)
IF A PARTNERSHIP, CORPORATION, OR ASSOCIATION = LIST OFFICERS OR PARTNERS:
NAME
TITLE
ADDRESS
EQUIPMENT AVAILABLE (TRUCKS, LOADERS, ETC.):
NUMBER OF
MAKE
YEAR
TYPE
OWNER
EMPLOYEES
Part-time:
Full-time:
Total:
TYPE AND SIZE OF REDUCTION EQUIPMENT (IF APPLICABLE):
MAKE
YEAR
TYPE
CAPACITY
OWNER
OTHER OPERATIONAL EQUIPMENT (LOADERS, ENGINE PULLERS, WINCH TRUCKS, ETC.):
MAKE
YEAR
TYPE
OWNER
TRANSPORTATION EQUIPMENT (MUST HAVE PSC OR ICC CARRIER PERMITS):
MAKE
YEAR
TYPE
OWNER
SUBSCRIBED AND SWORN TO BEFORE ME THIS:
I, the undersigned applicant, being duly sworn, depose and say that the
information contained in and attached to this application is, to the best of my
knowledge and belief, true and correct. If licensed, I will comply with all State and
day of
20
.
Federal laws and rules, and the conditions of this application and any license
issued hereunder.
NOTARY PUBLIC
COUNTY, ND
Applicant=s Signature
Inquiries to: ND Dept. of Health, Div. o f Waste Management,
My Commission expires
918 E. Divide Ave. 3rd Floor, Bismarck, ND 58501-1947