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IC 203 R4 10/16 Indiana Department of Transportation Request for Acceptance of Borrow or Disposal Site Contractor Instructions 1. Complete Part 1 to provide contract and site utilization information.

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How to fill out the 203 R4 online

The 203 R4 form is a critical document for contractors requesting acceptance of borrow or disposal sites in Indiana. This comprehensive guide will walk you through the process of filling out the form online, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to complete the 203 R4 form online.

  1. Click ‘Get Form’ button to access the 203 R4 form and open it in your chosen online editor.
  2. In Part 1, provide the date, contract number, contractor's name, district, and a specific description of the operations planned for the site, including a list of the proposed materials.
  3. Select and complete either Part 2, Part 3, or Part 4, making sure to include all requested information for your chosen section.
  4. In Part 2, if you selected the Solid Waste Site section, provide the name and address of the facility, IDEM operating number, and expiration date, adding any necessary comments.
  5. For Part 3, the Established Site, include the name and address of the site owner, attach a right-of-entry document, and provide an aerial view site plan, storm water management features, and all relevant permits and documentation.
  6. If you are filling out Part 4 for a General Site, ensure to include the name and location of the site, right-of-entry documentation, site plan details, and various other required reports and certifications.
  7. Complete Part 5 by certifying that the proposed site meets all specifications and regulations, providing your signature, title, printed name, and date.
  8. Finally, submit the completed form and any attachments to the Project Engineer/Supervisor a minimum of 14 days before the proposed site operations.
  9. Once all information has been entered and verified, save your changes, and proceed to download, print, or share the form as necessary.

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