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Solid Waste Disposal Area License Application Forms & Instructions

Contact:  Wanda Williams 517-335-4034
Agency: Environmental Quality


Operating License Application and Instructions

Operating License Administrative Completeness Checklist (PDF)

Operating License Administrative Completeness Checklist (Word)

Closure/Post-Closure Financial Assurance Forms

Financial Assurance Cost Estimate Calculator (Excel)

Trust Agreement

Escrow Agreement

Surety Bond for a Landfill

Surety Bond for non-landfill disposal areas

Letter of Credit

Certificate of Insurance

Certificate of Deposit Acceptance Form

Inflation Adjustment Factor of 1.577 for Existing and New Type II Landfills for July 1, 2009,  through June 30, 2010. (Updated July 1, 2009). 

Landfill owner/operators will utilize Form B for adjusting closure costs. On Form B of the application for an operating license, Line 18 - insert the inflation factor of 328, Line 19 - insert the base year inflation factor index of 208, and on Line 20 - insert the inflation factor of 1.577. (Application for an Operating License link)

Landfill owner/operators will utilize Form C of the Application for an operating license - Postclosure Cost Estimate for adjusting postclosure costs to account for inflation.  On Form C, Line 20 - insert the inflation factor of 328, Line 21 - insert the base year inflation factor index of 208, and on Line 22 - insert the inflation factor 1.577. (Application for an Operating License link)

Perpetual Care Fund Forms

        PCF Trust Agreement

        PCF Escrow Agreement

        Succession Agreement for Trust

        Succession Agreement for Escrow

       Termination Agreement for Trust

       Termination Agreement for Escrow


Combined Solid Waste Landfill Waste Receipt Report

PLEASE NOTE: This form shall be used by all landfill types to determine Perpetual Care Fund deposits; solid waste surcharge payments; and waste receipt data as required by Part 115, Solid Waste Management, of the Natural Resources and Environmental Protection Act, 1994 PA 451, as amended.  Please save a copy of this form to an appropriate location on your computer to use for the entire fiscal year (October 1 through September 30).  For more information Ms. Christina Miller, Solid Waste Management, Waste and Hazardous Materials Division, DEQ at 517-373-4741.

Perpetual Care Fund Maximum Amount for July 1, 2009, - June 30, 2010, for Solid Waste Landfills is $1,805,000 and for certain Type III landfills, the PCF maximum is $902,500.  Once a facility has reached the PCF maximum no further deposits are necessary through June 30, 2010.  (Updated July 1, 2009).

Restrictive Covenant Forms

Declaration of Restrictive Covenant Without Encumbrances

Declaration of Restrictive Covenant With Encumbrances

 

 

 

 

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