Solid Waste Management Program
Forms and Permits
The department has changed all fill-in forms from Word format to PDF fill-in. You will be able to save and reuse these PDF forms. However, you will need Adobe Acrobat Reader 7 or higher to save the PDF fill-in form.
Forms
- 2013 Playground Scrap Tire Surface Material Grant Application, Form--MO 780-2143
- 2013 Playground Scrap Tire Material Grants Application Instructions, PUB2425
- 2013 Non-Playground Scrap Tire Surface Material Grant Application, Form--MO 780-2144
- 2013 Non-Playground Scrap Tire Material Grants Application Instructions, PUB2426
- Active Sanitary Landfill Inspection Checklist, Form--MO 780-0354 (07/11)
- Application for Solid Waste Disposal Area or Processing Facility Construction Permit, Form--MO 780-0393 (07/11)
- Application for Scrap Tire Beneficial Use Approval, Form -- MO 780-2042 (03/09)
- Certificate of Acknowledgement, Form--MO 780-1271 (03/09)
- Certificate of Insurance for Closure Application, Form--MO 780-1268 (03/09)
- Change of Address Form for the Districts
Contract of Obligation, Form--MO 780-1263 (03/09) - Closure and Post-Closure Cost Worksheet, Form--MO 780-1882 (07/11)
- Corporate Guarantee, Form--MO 780-1270 (03/09)
- Demolition Landfill Solid Waste Tonnage Fee Report, Form -- MO 780-1368 (10/08)
- Disaster Recovery Scrap Tire Surface Material Grant Application, Form--MO 780-2145
- Disaster Recovery Scrap Tire Surface Material Grant Instructions--PUB2427
- Easement, Notice and Covenant Running with Land (06/12)
- Financial Guarantee Bond, Form--MO 780-1265 (07/11)
- Form A - Active Gas System Worksheet, Form--MO 780-1881 (01/10)
- Form B - Passive Gas System Worksheet, Form--MO 780-1880 (01/10)
- General Information on Solid Waste permits
- How to Report Illegal Dumping
- Infectious Waste Processing Facility Fee Report, Form -- MO 780-1905 (10/08)
- Irrevocable Escrow Agreement, Form--MO 780-1264 (03/09)
- Irrevocable Standby Letter of Credit, Form--MO 780-1267 (03/09)
- Irrevocable Trust Agreement, Form--MO 780-1272 (03/09)
- Letter from Chief Financial Officer, Form--MO 780-1269 (03/09)
- Non-Profit Scrap Tire Cleanup and Disposal Application, Form--MO 780-1997 (07/08)
- Non-Profit Group Scrap Tire Cost Reimbursement, Fact Sheet--PUB2277 (01/13)
- Officer/Management Employee Summary Sheet, Form -- MO 780-1042 (10/00)
- Performance Bond, Form--MO 780-1266 (07/11)
- Recycled Content Newsprint Usage Exemption, Form--MO 780-1453 (01/08)
- Recycled Content Newsprint Usage Statement, Form--MO 780-1455 (01/08)
- Resolution - Attachment A, Form--MO 780-2039 (03/09)
- Sanitary Landfill Solid Waste Tonnage Fee Report, Form -- MO 780-1367 (10/08)
- Scrap Tire End-User Registration Form--MO 780-1594 (10/08)
- Scrap Tire Processing Facility Operations Records Form--MO 780-1037 (03/09)
- Scrap Tire Processing Facility Permit Application, Form--MO 780-1597 (07/11)
- Scrap Tire Monthly Summary Tracking Form - Collection Center--MO 780-1596 (11/08)
- Scrap Tire Tracking Form--MO 780-1593 (107/11)
- Scrap Tire Monthly Summary Tracking Form - Hauler--MO 780-1595 (11/08)
- Schedule A Form, Form--MO 780-2043 (03/09)
- Sheltered Workshop Recycling Form--MO 780-2150 (09/11) and Instructions
- Solid Waste Technician Certification Class Enrollment Form--MO 780-2000 (07/08)
- Special Waste Disposal Request Form--MO 780-1166 (05/12)
- Table 1 - Cover Systems Construction and Repair Costs, Form--MO 780-1879 (04/04)
- Transfer Station Solid Waste Tonnage Fee Report, Form -- MO 780-1369 (10/08)
- Violation History Disclosure Statement and Summary Sheet, Form -- MO 780-1250 (10/00)
District Grant Forms
- District Grant Application and Funding Request Form, Form--MO 780-2165 and Instructions (03/12)
- District Grant Subgrantee Profile and Plan Implementation Form, Form--M0 780-1991 and Instructions (05/12)
- Fiscal Year District Operation Grant Profile and Budget Form, form--MO 780-1992 and Instructions (07/11)
- Solid Waste Management District Annual Report, Form--MO 780-1989 and Instructions (05/12)
- Solid Waste Management District Status Report, Form--MO 780-1993 and Instructions (07/11)
District Grant Worksheets
- District Grant Application and Funding Request Form, Form--MO 780-2165 and Instructions (03/12)
- Solid Waste Management District Aggregate Rankings Worksheet XLS
- Solid Waste Management District Aggregate Rankings Worksheet Instructions, Fact Sheet--PUB2272 (07/08)
- Solid Waste Management Annual District Carryover Worksheet XLS
- Solid Waste Management Annual District Carryover Worksheet Instructions, Fact Sheet--PUB2269 (06/11)
- Solid Waste Management Program District Grant Invoice Worksheet XLS
- Solid Waste Management Program District Grant Invoice Worksheet Instructions, Fact Sheet--PUB2270 (07/08)
- Solid Waste Management Program Quarterly Financial Summary Worksheet XLS
