Industrial Material Recycling Facility Initial Registration and Operations Plan

Instructions: Complete all sections of the form. This form is required for all recycling facilities subject to Section 8 of the regulations pertaining to Solid Waste Sites and Facilities 6 ccr 1007-2, part 1 and §30-20-102(5) c.r.s.

If you have questions regarding this form, please contact Jace Driver at jace.driver@state.co.us.

Facility location and mailing information

Facility name *

Business/ Corporate name (if different than facility name) *

Facility street address *

City or town *

Zip code *

County *

State

Is the mailing address different from above? *

Yes

No

Mailing street address *

Mailing city/town *

Mailing zip code *

Mailing county *

Mailing state

Facility owner/operator information

Facility operator name *

Facility operator phone *

Facility operator email *

Confirm email *

Is the facility owner different from above? *

Yes

No

Facility owner name *

Facility owner phone *

Facility owner email *

Confirm email *

Property owner *

Same as facility owner

Same as facility operator

Different from both

Property owner's name *

Property owner's address

City/town

State

Zip code

Telephone

Property owner's email

Confirm email

24 hour facility contact information

Emergency contact name *

Telephone *

Emergency contact email *

Confirm email *

Materials to be imported and recycled

Select the specific types of recyclable materials accepted at the facility. *

Please upload your Operations Plan

Facility description and activities

Provide a physical description of the facility, the recycling operations, and how recyclable materials will be managed. *

Additional information including site maps may be sent as an attachment.

Methods to prevent unauthorized vehicle and illegal dumping

Provide details of security measures used by the facility to prevent unauthorized access and illegal dumping. *

Additional information may be sent as an attachment.

Methods to safely manage the disposal of unwanted wastes

Describe how the operators will prevent receiving unauthorized wastes and properly dispose of unwanted waste. *

Additional information may be sent as an attachment.

Initial material accumulation plan

Provide a plan detailing the maximum quantity of material to be imported and a timeframe for the various materials to be processed and sent offsite for recycling within the first 365 days. *

Additional information may be sent as an attachment.

Closure plan

Provide a plan for closing the facility and ensuring waste is not left onsite. *

Additional information may be sent as an attachment.

Sign and submit

For the purposes of this form, the Colorado Department of Public Health and Environment accepts your typed name and date as an electronic signature equivalent to your valid signature on a paper copy of the form. As such, this electronically completed form bears the same rights and responsibilities as a hand-signed form.

Signature *

Date * +

Email *