NR 670.011(3)(3) Changes to authorization. If an authorization under sub. (2) is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying sub. (2) shall be submitted to the department prior to or together with any reports, information or applications to be signed by an authorized representative.

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision according to a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

NR 670.012(1)(1) According to s. NR 660.02, any information submitted to the department pursuant to chs. NR 660 to 670 may be claimed as confidential by the submitter. Any claim shall be asserted at the time of submission in the manner prescribed on the application form or instructions or, in the case of other submissions, by stamping the words “confidential business information” on each page containing the information. If no claim is made at the time of submission, the department may make the information available to the public without further notice. If a claim is asserted, the information will be treated according to the procedures in s. NR 660.02.

NR 670.012(2)(2) Claims of confidentiality for the name and address of any license applicant or licensee will be denied.

NR 670.013NR 670.013 Contents of part A of the license application. Part A of the license application shall include all of the following information:

NR 670.013(1)(1) The activities conducted by the applicant which require it to obtain a license.

NR 670.013(2)(2) Name, mailing address and location, including latitude and longitude of the facility for which the application is submitted.

NR 670.013(3)(3) Up to 4 SIC codes which best reflect the principal products or services provided by the facility.

NR 670.013(4)(4) The operator’s name, address, telephone number, ownership status and status as federal, state, private, public or other entity.

NR 670.013(5)(5) The name, address and phone number of the owner of the facility.

NR 670.013(6)(6) Whether the facility is located on Indian lands.

NR 670.013(7)(7) An indication of whether the facility is new or existing and whether it is a first or revised application.

NR 670.013(8)(8) For existing facilities, all of the following:

NR 670.013(8)(a)(a) A scale drawing of the facility showing the location of all past, present and future treatment, storage and disposal areas.

NR 670.013(8)(b)(b) Photographs of the facility clearly delineating all existing structures; existing treatment, storage and disposal areas; and sites of future treatment, storage and disposal areas.

NR 670.013(9)(9) A description of the processes to be used for treating, storing and disposing of hazardous waste, and the design capacity of these items.

NR 670.013(10)(10) A specification of the hazardous wastes listed or designated under ch. NR 661 to be treated, stored or disposed of at the facility, an estimate of the quantity of wastes to be treated, stored or disposed annually, and a general description of the processes to be used for the wastes.

NR 670.013(11)(11) A listing of all permits, licenses or construction approvals received or applied for under any applicable federal or state regulations.

NR 670.013(12)(12) A topographic map (or other map if a topographic map is unavailable) extending one mile beyond the property boundaries of the source, depicting the facility and each of its intake and discharge structures; each of its hazardous waste treatment, storage or disposal facilities; each well where fluids from the facility are injected underground; and those wells, springs, other surface water bodies, and drinking water wells listed in public records or otherwise known to the applicant within ¼ mile of the facility property boundary.

NR 670.013(13)(13) A brief description of the nature of the business.

NR 670.013(14)(14) For hazardous debris, a description of the debris categories and contaminant categories to be treated, stored or disposed of at the facility.