Operating License Application and InstructionsOperating License Administrative Completeness Checklist (Word)
Closure/Post-Closure Financial Assurance Forms
Financial Assurance Cost Estimate Calculator (Excel)
FINANCIAL MECHANISMS:
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
Government Financial Test Form
Local Government Guarantee Form
PERPETUAL CARE FUND FORMS:
PCF Trust Agreement
PCF Escrow Agreement
PCF Succession Agreement for Trust
PCF Succession Agreement for Escrow
PCF Termination Agreement for Trust
PCF Termination Agreement for Escrow
Combined Solid Waste Landfill Waste Receipt Report
PLEASE NOTE: The above link takes you to the Annual Reports page. Scroll down to the bottom of the page for the form.
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, 2011, - June 30, 2012, for Solid Waste Landfills is $1,962,000 and for certain Type III landfills, the PCF maximum is $981,000 Once a facility has reached the PCF maximum no further deposits are necessary through June 30, 2012. (Updated June 10, 2011).
Restrictive Covenant Forms
Declaration of Restrictive Covenant Without Encumbrances
Declaration of Restrictive Covenant With Encumbrances
Inflation Adjustment Factor of 1.697 for Existing and New Type II Landfills for July 1, 2011, through June 30, 2012. (Updated June 10, 2011).
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 353, Line 19 - insert the base year inflation factor index of 208, and on Line 20 - insert the inflation factor of 1.697. (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 353, Line 21 - insert the base year inflation factor index of 208, and on Line 22 - insert the inflation factor 1.697. (Application for an Operating License link)
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