Laserfiche WebLink
MJNNESOTA WASTE MANAGEMENT BOARD <br />WASTE TIRE FACILITY PERMIT APPLICATION <br /> <br />INSTRUCTIONS: PRINT IN INK OR TYPE. SUBMIT A <br />COMPLETED APPLICATION TO THE MINNESOTA WASTE <br />MANAGEMENT BOARD, THE SOLID WASTE OFFICER OF <br />THE COUNTY WHERE THE FACILITY IS LOCATED OR WILL BE <br />LOCATED, AND RETAIN ONE COPY FOR YOUR RECORDS. <br /> <br />For Office Use Only <br />Date Received <br />Complete <br />Incomplete <br />issue - <br />Deny <br />Permit Number <br /> <br /> SECTIONI. GENEKALFACILITYINFORMAT;ON <br />Include all applicable information, indicate any information that does not apply and explain. <br /> <br />1) Facility Information <br /> <br /> Facility Name Anoka LanQfill 'lire Processinq Facilit--~ <br /> <br /> Address 14730 Sunfish Lake Blvd. <br /> <br /> The facility is located in T 32N 0 R 25W <br /> <br /> in City of Ramsey Township of Anoka <br /> <br />2) Check the appropriate line. <br />The application pertains to: 3) <br /> a proposed new facility <br /> ,~.; existing unpermitted facility <br /> a permitted facility for renewal <br /> <br /> Telephone ( 612 ) 421 <br />City Anoka State MN <br /> , Section <br /> <br />County. <br /> <br />The type of facility is: <br /> Transfer <br /> Stor5g~, <br /> × Processing <br /> <br />~Zip <br /> <br /> 22 <br /> <br />054O <br /> <br />55303 <br /> <br />Facility Owners and Operators Information: <br />Include all owners and operators of the facility <br /> <br />Owners Name Waste Management of MN, Inc. <br /> <br />Address 14730 Sunfish Lake Blvd., Anoka, MN <br /> <br /> Telephone( 612 ) 421 - 0540 <br />55303 <br /> <br />ldentify Owner as__ <br /> Other, explain <br /> <br />IndividUal x Business <br /> <br />__ Partnership Public Entity. <br /> <br />Owners Name <br />Address <br /> <br />N/A <br /> <br />Telept~one ( ) <br /> <br />Identify Owner as__ Individual.~ <br /> Otl~er, explain <br /> <br />Business~ Partnership. Public Entity. <br /> <br />Operators Name <br />Address <br /> <br />Same as Owner <br /> <br />Telephone( <br /> <br />Identify Operator as__ Individual~ <br /> Other, explain <br /> <br />Business~ Partnership. Public Entity. <br /> <br />Operators Name <br />Address <br /> <br />Telephone[ ) <br /> <br />Identify Operator as Individual__ <br /> <br /> Other, explain <br />Preparer of Application: <br /> <br />Name Foth & Van Dyke <br /> <br />Business__ Partnership, Public Entity, <br /> <br />Address 2737 S. Ridae <br /> <br />and Associates Inc. Telephone( 414 <br /> <br />Road Green B~¥j. ~isconsin 54304 <br /> <br />) 497 <br /> <br />. 2500 <br /> <br /> <br />