"Solid Waste & Recycling Facility License and Registration Application or Renewal Form" - Rhode Island

Solid Waste & Recycling Facility License and Registration Application or Renewal Form is a legal document that was released by the Rhode Island Department of Environmental Management - a government authority operating within Rhode Island.

Form Details:

  • Released on May 27, 2018;
  • The latest edition currently provided by the Rhode Island Department of Environmental Management;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Environmental Management.

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RI D
E
M
EPARTMENT OF
NVIRONMENTAL
ANAGEMENT
SOLID WASTE & RECYCLING FACILITY
1
LICENSE AND REGISTRATION APPLICATION
OR RENEWAL
FORM
STEP 1
F
TAB
. P
F
ILL IN THE FORM BY USING THE
KEY TO ADVANCE TO THE NEXT ENTRY
LEASE SAVE THIS FILE WITH YOUR
ACILITY
N
. E
: M
2018. F
AME AND YEAR OF SUBMITTAL AS THE DOCUMENT NAME
XAMPLE
Y FACILITY
OR HELP PLEASE CONTACT THE
401-222-2797.
OFFICE OF WASTE MANAGEMENT AT
N
: T
OTE
HOSE APPLYING FOR TRANSPORTER PERMITS SHOULD NOT USE THIS FORM BUT SUBMIT FORMS SHOWN ON THE
T
:
RANSPORTER PERMIT PAGE
Date of Application or Renewal:
Click or tap here to enter text.
Facility Name:
Click or tap here to enter text.
Facility Site Address:
Click or tap here to enter text.
A
(
)
PPLICANT
S
Name(s):
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
F
O
ACILITY
PERATOR
Name:
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
F
S
P
O
(
)
ACILITY
ITE
ROPERTY
WNER
S
Name(s):
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
Digital Copy of Application (email or enclosed):
Click or tap here to enter text.
RI D
E
M
EPARTMENT OF
NVIRONMENTAL
ANAGEMENT
SOLID WASTE & RECYCLING FACILITY
1
LICENSE AND REGISTRATION APPLICATION
OR RENEWAL
FORM
STEP 1
F
TAB
. P
F
ILL IN THE FORM BY USING THE
KEY TO ADVANCE TO THE NEXT ENTRY
LEASE SAVE THIS FILE WITH YOUR
ACILITY
N
. E
: M
2018. F
AME AND YEAR OF SUBMITTAL AS THE DOCUMENT NAME
XAMPLE
Y FACILITY
OR HELP PLEASE CONTACT THE
401-222-2797.
OFFICE OF WASTE MANAGEMENT AT
N
: T
OTE
HOSE APPLYING FOR TRANSPORTER PERMITS SHOULD NOT USE THIS FORM BUT SUBMIT FORMS SHOWN ON THE
T
:
RANSPORTER PERMIT PAGE
Date of Application or Renewal:
Click or tap here to enter text.
Facility Name:
Click or tap here to enter text.
Facility Site Address:
Click or tap here to enter text.
A
(
)
PPLICANT
S
Name(s):
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
F
O
ACILITY
PERATOR
Name:
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
F
S
P
O
(
)
ACILITY
ITE
ROPERTY
WNER
S
Name(s):
Telephone:
Click or tap here to enter text.
Click or tap here to enter text.
Email Address:
Click or tap here to enter text.
Mailing Address:
Click or tap here to enter text.
Digital Copy of Application (email or enclosed):
Click or tap here to enter text.
STEP 2
1. Applicants for a new License or Registration to operate a Waste Management Facility shall complete the
Business Concern Disclosure Statement found at:
http://www.dem.ri.gov/programs/benviron/waste/pdf/hwbusdisc.pdf
2.
APPLICATION AND RENEWAL FEES ARE TO BE PAID BY CHECK OR MONEY ORDER MADE PAYABLE TO:
R.I. GENERAL TREASURER
Type of Application or Renewal: Check one box: ☒
New
Renewal
Renewal
Period
FACILITY LICENSE TYPE
Application Fee
Renewal Fee
(years)
Medical Waste Facilities [Account 3615998.01.422000 Cost Ctr 3234 17-12-834]
$15,000
Medical Waste Treatment Facility
$7,500
3
$10,000
Medical Waste Transfer Station
$3,000
1
$20,000
Medical Waste Incinerator
$15,000
3
$20,000
$10,000
Medical Waste Incinerator
3
Solid Waste Facilities [Account 3765104.03.461038 Cost Ctr 3476 17-18-211]
$100,000
$15,000
Lined Sanitary Landfill
3
$100,000
$15,000
Resource Recovery Facility/Incinerator
3
$20,000
$10,000
Petroleum Contaminated Soil
3
Prohibited
$3,000
Unlined Sanitary Landfill
3
$10,000
$3,000
Transfer Station/Collection Station
3
$10,000
$3,000
Mixed Solid Waste Composting
3
$10,000
$3,000
Construction and Demolition Debris
3
$10,000
$3,000
Anaerobic Digestion
3
$50
$25
Tire Storage and Recycling
1
$3,000
$3,000
3
Large Scale Putrescible Waste Composting
$0
$0
NA
Medium Scale Putrescible Waste Composting
$0
$0
3
Large Scale Leaf and Yard Waste Composting
$0
$0
NA
Medium Scale Leaf and Yard Waste Composting
Contact
Contact
Contact
Other Solid Waste Management Facility
DEM
DEM
DEM
Hazardous Waste Facilities [Account 3765104.03.461038 Cost Ctr 3476 17-18-211]
Hazardous Waste Treatment, Storage, Disposal
$25,000
Facility
$10,000
5
$2000
$500
1
72 Hour Temporary Hazardous Waste Storage
Revised May 27, 2018
Page 2 of 3
STEP 2
PRINT THIS APPLICATION FORM AND ATTACH IT TO YOUR PAYMENT AND SUPPORTING DOCUMENTS
(E
: F
O
).
XAMPLE
ACILITY
PERATING PLAN
STEP 3
PLEASE DELIVER THE SUBMITTAL PACKAGE CONSISTING OF:
1. 1 copy of this application form from step 2.
2. 2 hard copies of Application and supporting documents
3. A digital copy of the application or printout of email transmission of digital copy to RIDEM
4. Check or money order to the RI General treasurer
5. Business Concern Disclosure Statement (New Facility Applications Only)
6. Copy of notification to Municipality of the proposed activity (New Facility Applications Only)
To:
Mark M. Dennen, Supervising Environmental Scientist
RIDEM/Office of Waste Management
235 PROMENADE STREET
PROVIDENCE, RI 02908
Mark.dennen@dem.ri.gov
FOR DEPARTMENT USE ONLY:
Fee Amount Received: $__________
Date Received:_________________
Check #: __________________
____________
Receipt Account :
Processed by: ______________
Revised May 27, 2018
Page 3 of 3
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