"Solid Waste Management Facility Application Form" - Delaware

"Solid Waste Management Facility Application Form" - Delaware Download Pdf
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Solid Waste Management Facility Application Form is a legal document that was released by the Delaware Department of Natural Resources and Environmental Control - a government authority operating within Delaware.

Form Details:

  • Released on August 5, 2013;
  • The latest edition currently provided by the Delaware Department of Natural Resources and Environmental Control;
  • Ready to use and print;
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  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Natural Resources and Environmental Control.

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Delaware Department of Natural Resources and Environmental Control
Solid & Hazardous Waste Management Section
Solid Waste Management Facility Application
Please type or print all information
1. Facility Permit Information: (if applicable)
A. Permit Number:
B. Date of Expiration:
C. Are you requesting any changes to the conditions required by the current solid waste facility permit?
Yes
No
(If “Yes”, please attach the request and supporting documents.)
2. Facility Information:
Facility Name:
Street:
City:
County:
State:
Zip:
Phone(s):
Fax:
Total Site Area (Acres):
Latitude:
Longitude:
3. Owner Information:
Owner’s Name:
Contact Person:
Title:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email:
4. Operator Information:
Operator’s Name:
Contact Person:
Title:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Revised 8/5/2013
1
Delaware Department of Natural Resources and Environmental Control
Solid & Hazardous Waste Management Section
Solid Waste Management Facility Application
Please type or print all information
1. Facility Permit Information: (if applicable)
A. Permit Number:
B. Date of Expiration:
C. Are you requesting any changes to the conditions required by the current solid waste facility permit?
Yes
No
(If “Yes”, please attach the request and supporting documents.)
2. Facility Information:
Facility Name:
Street:
City:
County:
State:
Zip:
Phone(s):
Fax:
Total Site Area (Acres):
Latitude:
Longitude:
3. Owner Information:
Owner’s Name:
Contact Person:
Title:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email:
4. Operator Information:
Operator’s Name:
Contact Person:
Title:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Revised 8/5/2013
1
5. Type of Facility:
Sanitary Landfill
Industrial Landfill
Transfer Station
Materials Recovery Facility
Thermal Recovery
Other
6. Types of Solid Waste to be Accepted (check all that apply):
Municipal
Industrial
Infectious
Other (specify)
7. Service Area (political jurisdictions and unincorporated area to be served by the facility):
8. Estimated Quantities of Waste Expected to be Handled at the Facility:
A. Average daily tonnage expected during peak season (may be a range):
B. Maximum daily tonnage expected:
tons
C. Average weekly tonnage expected during peak season (may be a range):
D. Maximum weekly tonnage expected:
tons
Note: Maximum daily and weekly tonnages must consider operating hours and days specified in Section 11 of this form.
Analysis required by the Environmental Assessment must consider maximum expected tonnages whenever estimates of waste
handling activity are needed. The Engineering Report required by the DRGSW must indicate the maximum tonnage which the
facility is designed to process (per hour/per day).
9. Disposal Capacity of Proposed Landfill Cells (if applicable):
A. Cell Designation:
B. Cell Acreage:
C. Cell Capacity (years):
D. Cell Capacity (cubic yards):
10. Disposal Capacity Remaining in Existing Landfill (if applicable):
Revised 8/5/2013
2
11. Operating Hours:
A. Daily Operating Hours (include all time periods when waste may be handled):
B. Daily Business Hours (i.e. hours open to the public):
C. Days of Operation:
D. Operating Days Per Year:
12. Applicant Background Information:
If an Environmental Permit Application Background Statement is required by 7 Del. C., Chapter 79, please
complete the Environmental Permit Application Background Statement.
Has an Environmental Permit Application Background Statement been completed and attached?
Yes
No
Is any information in the Environmental Permit Application Background Statement considered by the
applicant to be confidential?
Yes
No
INSTRUCTION: The applicant may claim that some of the information presented in the Environmental Permit
Applicant Background Statement is confidential. An applicant wishing to make such a claim should write,
preferably in red ink, “claimed confidential information” at each point in the response where such
confidentiality is claimed, and provide and explanation of why the release of such information would constitute
an invasion of personal privacy or would seriously affect the applicant’s business or competitive situation. The
confidentiality determination will be subject to the FOIA Regulation, Section 6.
I certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in the application and all attachments and that the information is true, accurate, and complete.
I am aware that there are significant penalties for submitting false information.
Date
Signature of Applicant or Corporate Agent
Name:
Phone:
Title:
Email:
Company:
Address:
Revised 8/5/2013
3
Delaware Department of Natural Resources and Environmental Control Delaware Legal Forms United States Legal Forms

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"Solid Waste Management Facility Application Form" - Delaware Download Pdf
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