Follow the steps to complete the application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the type of permit requested: New or Renewal. Clearly mark your choice in the designated section.
3. In the reference information section, provide your applicant information. Enter your full legal name, company name, and complete address including city, state, and zip code. Include your telephone number and email address.
4. Next, fill in the property owner information. If applicable, provide the name, mailing address, phone number or email of the property owner.
5. Provide facility information. This includes the facility's common name, permit number (if applicable), street address, and geographic details (latitude and longitude). Fill in the tax lot number and the mailing address of the facility, alongside the operator's name, telephone number, and email address.
6. List the delivery sites. You need to provide the name, mailing address, and contact information for all locations where waste tires will be delivered.
7. Proceed to the fee schedule section. Indicate the applicable fees by marking whether it is a permit fee or an annual compliance fee. Calculate the total fee based on the number of vehicles involved.
8. Sign and date the application. Ensure that you certify the accuracy of the information provided by including your printed name and title.
9. Review the list of required attachments. Ensure all necessary documents are gathered, including land use compatibility statements and written recommendations, as applicable.
10. Save your changes, then download, print, or share the completed form as needed. Remember to retain a copy for your records.

Complete your application online to ensure proper compliance with waste tire regulations.