DEP Form 62-709.901(3) "Application for Registration and Annual Report for a Yard Trash Transfer Station or a Solid Waste Organics Recycling Facility" - Florida

What Is DEP Form 62-709.901(3)?

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

Form Details:

  • Released on February 15, 2010;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • 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 DEP Form 62-709.901(3) by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Form 62-709.901(3) "Application for Registration and Annual Report for a Yard Trash Transfer Station or a Solid Waste Organics Recycling Facility" - Florida

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DEP Form # 62-709.901(3)
Appl for Reg. and Ann Rep for a YT Trans
Form Title Station or SW Organic Recycling Facility
Effective Date
February 15, 2010
DEP Facility ID No.
(Filled in by DEP)
DEP WACS ID No:
(Filled in by DEP)
This form is adopted by reference in subsection 62-
709.901(3), F.A.C.
Application for Registration and Annual Report for a Yard Trash Transfer Station or a Solid Waste Organics Recycling Facility
PART A - GENERAL INFORMATION
1. Type of Application:
New
Renewal (due July 1)
Annual report only for facility operating under permit:
2. Type of Facility: Yard trash recycling
Manure blending
Yard trash transfer station
Vegetative, animal byproducts or manure composting
3. Type of Waste Processed: Yard trash
Manure
Animal byproducts
Pre-consumer Vegetative
Vegetative (could/did come into contact with animal products or byproducts or end user)
4. Facility Name:
5. Registrant Name (or Permittee if annual report only):
6. Federal Employer Identification Number:
7. Mailing Address:
City
State
Zip
Street Mailing Address (if different):
City
State
Zip
8. Facility Location - Street Address or Property Number:
City
County
9. Contact Person:
Telephone:
PART B - ADDITIONAL INFORMATION REQUIRED FOR REGISTRATION APPLICATION
10. Records required by Rule 62-709.320, F.A.C., will be kept at the facility?
Yes
No
If no, please indicate where these records will be kept and made available upon Department request to review the records:
11 . Does the registrant own the facility site?
Yes
No
If you answered no, please attach evidence that the facility owner or operator has permission from the landowner to
operate a yard trash transfer station or a solid waste organics recycling facility at this site.
12. Has the organic recycling facility begun operations?
Yes
No
If this facility was operating in the previous calendar year, the annual report in Part C must be completed.
13. Include a check or money order for the $35.00 registration fee made payable to the Florida Department of Environmental
Protection.
I affirm that I have read Rules 62-709.320, 62-709.330 and 62-709.350, F.A.C., and shall comply with the requirements
specified in those rules. I also affirm that the information provided in the application is true, accurate, and correct to the best of my
knowledge. I have attached all documents and/or authorizations that are required.
Print Name and Title of Registrant or Authorized Agent
Signature
Date
Email address (if available):
Page 1 of 2
DEP Form # 62-709.901(3)
Appl for Reg. and Ann Rep for a YT Trans
Form Title Station or SW Organic Recycling Facility
Effective Date
February 15, 2010
DEP Facility ID No.
(Filled in by DEP)
DEP WACS ID No:
(Filled in by DEP)
This form is adopted by reference in subsection 62-
709.901(3), F.A.C.
Application for Registration and Annual Report for a Yard Trash Transfer Station or a Solid Waste Organics Recycling Facility
PART A - GENERAL INFORMATION
1. Type of Application:
New
Renewal (due July 1)
Annual report only for facility operating under permit:
2. Type of Facility: Yard trash recycling
Manure blending
Yard trash transfer station
Vegetative, animal byproducts or manure composting
3. Type of Waste Processed: Yard trash
Manure
Animal byproducts
Pre-consumer Vegetative
Vegetative (could/did come into contact with animal products or byproducts or end user)
4. Facility Name:
5. Registrant Name (or Permittee if annual report only):
6. Federal Employer Identification Number:
7. Mailing Address:
City
State
Zip
Street Mailing Address (if different):
City
State
Zip
8. Facility Location - Street Address or Property Number:
City
County
9. Contact Person:
Telephone:
PART B - ADDITIONAL INFORMATION REQUIRED FOR REGISTRATION APPLICATION
10. Records required by Rule 62-709.320, F.A.C., will be kept at the facility?
Yes
No
If no, please indicate where these records will be kept and made available upon Department request to review the records:
11 . Does the registrant own the facility site?
Yes
No
If you answered no, please attach evidence that the facility owner or operator has permission from the landowner to
operate a yard trash transfer station or a solid waste organics recycling facility at this site.
12. Has the organic recycling facility begun operations?
Yes
No
If this facility was operating in the previous calendar year, the annual report in Part C must be completed.
13. Include a check or money order for the $35.00 registration fee made payable to the Florida Department of Environmental
Protection.
I affirm that I have read Rules 62-709.320, 62-709.330 and 62-709.350, F.A.C., and shall comply with the requirements
specified in those rules. I also affirm that the information provided in the application is true, accurate, and correct to the best of my
knowledge. I have attached all documents and/or authorizations that are required.
Print Name and Title of Registrant or Authorized Agent
Signature
Date
Email address (if available):
Page 1 of 2
PART C - ANNUAL REPORT
14. Calendar Year (January 1 through December 31) Covered by this Report:
15. Values used in this report are in (SELECT ONE):
Tons
Cubic Yards
16. For Existing Facilities that have not reported this information in the past, Amount of
a.
Unprocessed Material On Site at Beginning of Report Year:
b.
Processed Material On Site at Beginning of Report Year (total):
17. Total Quantity of Material Received During Report Year:
18. Total Quantity of Material Lost Due to Processing (e.g. grinding, drying,
shrinkage, fires, etc.) During Report Year:
19. Total Quantity of Material Removed from Site for:
a.
Use (e.g., landfill cover, fuel, mulch, compost, etc.):
b.
Disposal:
c.
Other (transfer stations)
20. Total Quantity On Site at End of Report Year of:
a.
Unprocessed Material:
b.
Processed Material:
Note that the total sum of items 16 a and b plus 17 must equal to sum of items 18, plus 19 a, b and c, plus 20 a and b.
Total of items 16 and 17
Total of Items 18, 19 and 20
I affirm that the information provided in the annual report is true, accurate, and correct to the best of my knowledge.
Print Name and Title of Registrant/Permittee or
Signature
Date
Authorized Agent
Email address (if available):
PART D - MAILING INSTRUCTIONS
Remember to include the $35.00 fee if this is also a registration application. Mail completed form to:
Department of Environmental Protection
Solid Waste Section, MS 4565
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
DEP Form # 62-709.9
(3)
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