Waste Management Program fact sheet
Division of Environmental Quality Director: Ed Galbraith
PUB2268

Final/Quarterly Report
Use an X to indicate if the report is the final report or the quarter covered by the report. Note: Projects can last up to three years and have 12 quarters.

Reporting Period
Use an X to indicate the reporting period by calendar date covered by this report.

Solid Waste Management District
Fill in the official name of the Solid Waste Management District. The Missouri Department of Natural Resources recommends the official name of the District appear on each document submitted.

District Operations/Plan Implementation/Subgrant
Indicate if this report is for district operations, plan implementation, or a subgrant (city/county.) If this report is for a subgrant, please fill in the official name of the subgrantee.

Project Information
Project Number

Fill in the number assigned to the project.

Project Name
Fill in the name assigned to the project.

Project Start Date
Fill in the calendar start date of the project based on the executed Financial Assistance Agreement.

End Date
Fill in the calendar end date of the project. If the end date of the project has been extended, please fill in the amended end date (i.e., This is the date on which the financial assistance agreement expires).

Subgrant Projects Only
Question 1. Is the District submitting an amended, board approved FAA with budget adjustments for this quarter? This is a reminder to include as an attachment the amended FAA and budget adjustment documents. Please place an X in the box that applies to this project. If you complete the Yes box and we do not receive a copy, we will contact you to obtain a copy for our file.

Question 2. Is the District submitting a budget amendment for this quarter? This is a reminder to include as an attachment the amended budget document. Please place an X in the box that applies to this project. If you complete the Yes box and we do not receive a copy, we will contact you to obtain a copy for our file.

Question 3. Please provide an estimated cumulative total for all tons of material to be diverted by this project, if applicable, regardless of the type of material. Space is also provided to allow the District to identify by type of material an estimate of cumulative tons diverted. Information for Question 3 would be obtained from the original grant application or any amendment(s).

Question 4. Please provide information regarding jobs created/retained or individuals attending training or educational events as a result of this project. Space is also provided to identify any other measurable outcomes specific to this project that cannot be shown elsewhere within the report. Note: Questions 1 through 4 should be left blank if this is not a subgrant report.

5. Indicate the diversion achieved for this quarter in the chart below.
In the Tonnage columns located to the right of the column identifying the type of waste diverted, fill in the number of tons diverted during the reporting quarter. Note: The amount of waste being diverted must be reported in tons.

6. Quarterly or Final Report
If this is a quarterly report and the project is moving forward as detailed in the project application and timeline approved by the Solid Waste Management Program, please mark Section A with an X the Yes box. If the project has experienced delays due to weather or other unforeseen circumstances, please mark with an X the No box and complete Section B explaining any problems or other circumstances encountered by the project delaying implementation or requiring modifications to the project or project timeline.

7. Final Report or Use as an Addendum to the Quarterly Report
If this is a final report and the project was successful in meeting its stated goals, please mark Section A with an X in the Yes box. If the project did not meet its stated goals, please mark with an X the No box and explain in Section B why the stated project goals were not met. Otherwise please detail in Section B, the success of the project in relation to its goals, original or amended work plan, and time table. Additional pages may be attached, as needed. Of specific interest to others considering a similar project will be information comparing accomplishments of the project to the goals established and reasons why or why not goals were met, exceeded, or could not be met.

After carefully completing the form, the responsible district official who prepared the document is responsible for signing and dating the bottom of the form.


Nothing in this document may be used to implement any enforcement action or levy any penalty unless promulgated by rule under chapter 536 or authorized by statute.


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