Get N Ebr A Sk A D Epa R T M En T Tel: (402)471-4239 Of En V I Ro N M En T A L Q U A L I T Y Reserved

Filling out the Nebraska Department of Environmental Quality Reserved form is a crucial step for individuals seeking construction and operating permits. This guide provides clear, step-by-step instructions to assist you in completing the application accurately.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In the legal name of applicant section, provide the full legal name of the permittee, such as the name of a sole proprietor, partnership, limited liability company, corporation, or government entity.
3. For the name of the animal feeding operation (AFO), enter the name which may differ from the legal name of the applicant.
4. Fill in the AFO location by entering the appropriate details for quarter, section, township, range, and county.
5. Select the type of business by checking the appropriate box for sole proprietor, corporation, partnership, limited liability company, or government entity.
6. In Section I, provide the names, titles, addresses, phone numbers, and email addresses (if desired) of the applicant and any authorized representatives.
7. In Section II, list all animal feeding operations owned or operated by the applicant in the past five years, providing the legal location for each.
8. In Section III, document any livestock waste discharges that were not in compliance with permit conditions, including the operation name and location.
9. In Section IV, list any criminal convictions related to environmental laws for any individuals listed in Section I, including names and dates.
10. In the certification section, ensure that the authorized representative provides their printed name, signature, and the date of signature.
11. After completing all sections, review the form for accuracy. Users can then save changes, download, print, or share the completed form as necessary.

Complete your application online today for a smoother verification process.