Waste Tire Permitting Forms

Waste Tire Documents

Permitting Forms

  1. WT200 - Mobile Waste Tire Processor Permit Application (PDF)
  2. WT201 - Mobile Waste Tire Processor Permit Renewal (PDF)
  3. WT205 - Waste Tire Beneficial Use Application (PDF)
  4. WT210 - Waste Tire Collection Center Permit Application (PDF)
  5. WT211 - Waste Tire Collection Center Permit Renewal (PDF)
  6. WT215 - Waste Tire Processor Facility Permit Application (PDF)
  7. WT216 - Waste Tire Processor Facility Permit Renewal (PDF)
  8. WT220 - Waste Tire Transporter Permit Application (PDF)
  9. WT221 - Waste Tire Transporter Permit Renewal (PDF)
  10. WT222 - Waste Tire Transporter Permit Cancellation Request (PDF)

Disclosure Statements

  1. DS105 - Public Entity Disclosure Statement (PDF)
  2. DS110 -Business Concern Disclosure Statement Form – For Permit to Construct, Alter, or Operate SW Disposal Area or SW Processing Area (PDF)
  3. DS120 - Guidance for Completing the Business Concern Disclosure Statement Form - Solid Waste Permit Applicants (PDF)

Solid Waste Bonds, Letter of Credit Forms & Insurance

  1. INS100 - Certificate of Liability Insurance (PDF)
  2. SW1230 - Trust Agreement (PDF)

Financial Guarantee Bond

  1. SW1240 - Financial Guarantee Bond for Closure and Post-Closure (PDF)
  2. SW1245 - Financial Guarantee Bond for Corrective Action (PDF)

Performance Guarantee Bond

  1. SW1250 - Performance Guarantee Bond for Closure and Post-Closure (PDF)
  2. SW1255 - Performance Guarantee Bond for Corrective Action (PDF)
  3. SW1260 - Irrevocable Letter of Credit (PDF)
  4. SW1500 - Simplified Irrevocable Letter of Credit (PDF)

Chief Financial Officer's Letter

  1. SW1270 - From Corporate Owner or Operator (PDF)
  2. SW1275 - From Corporate Guarantor (PDF)
  3. SW1290 - From Local Government (PDF)

Corporate Guarantee

  1. SW1280 - For Closure, Post-Closure or Corrective Action (PDF)
  2. SW1285 - For Third Party Liability (PDF)
  3. SW1300 - Local Government Guarantee for Closure, Post-Closure or Corrective Action (PDF)
  4. SW1400 - Certificate of Insurance for Closure and Post-Closure or Corrective Action (PDF)
  5. SW1490 - Simplified Bond (PDF)

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