NR 169.19(2)(e)(e) A cost detail worksheet form which lists and identifies each eligible response action cost for which the applicant seeks reimbursement from the department, indicates whether the response action cost was for an immediate action, interim remedial action, site investigation or remedial action, and allocates cost to one of the following categories: NR 169.19 NoteNote: Forms are available at no charge from the remediation and redevelopment program in any department regional or central office or by contacting the department at (608) 266-2111.
NR 169.19 NoteNote: Section 292.65 (8) (j), Stats., provides that if any person applies for reimbursement of an ineligible cost, the department may deduct 50% of the amount of that cost from that person’s eligible reimbursement claim. An owner or operator who is not certain whether a cost is eligible for reimbursement under this chapter may contact the department for a preliminary opinion under s. NR 169.19 (1). NR 169.19(2)(f)(f) Invoices or other information documenting and cross referencing each of the costs listed under par. (e) and identifying the nature of the materials or services provided, the amount charged for the materials or services, the identity of the provider, and the dates on which the materials or services were provided NR 169.19(2)(g)(g) Canceled checks or other information documenting that the applicant has paid all of the costs under par. (e), and cross referenced to the statement provided under par. (e). NR 169.19(2)(h)(h) For each cost listed under par. (e), a copy of the accepted bid proposal as well as a cumulative listing of all change orders to the original bid proposal approved to date. NR 169.19(2)(i)(i) A spreadsheet that identifies and cross references each cost in par. (e) with the documentation under pars. (f) and (g) supporting that cost. NR 169.19(2)(j)(j) A substitute W–9 tax form completed by the owner or operator applying for reimbursement. NR 169.19 NoteNote: Reimbursement paid to an owner or operator under this chapter may be reported as taxable income received by that person.
NR 169.19 NoteNote: Contact the Department of Natural Resources, Bureau for Remediation and Redevelopment, P.O. Box 7921, Madison, WI 53707, for free application materials, including illustrative examples and the forms required under this section.
NR 169.19(2)(L)(L) A statement indicating whether the owner or operator has had past discharges at the facility for which a closure has been granted by the department. NR 169.19(2)(m)(m) A record of investigation results and data interpretation. NR 169.19(2)(n)(n) Contracts for eligible costs incurred because of the discharge and records of the contract negotiations. NR 169.19(3)(a)(a) Each reimbursement application shall include all eligible response action costs paid after the date an applicant’s last application was submitted and before or on the date the current application is submitted. NR 169.19(3)(b)(b) An owner or operator may not apply for reimbursement of eligible response action costs paid before the date of a prior reimbursement application to the department, unless those costs were not eligible for reimbursement under this chapter at the time of the prior application. NR 169.19(4)(a)(a) An owner or operator shall submit applications for immediate and interim actions as specified in s. NR 169.11. NR 169.19(4)(b)(b) An owner or operator may submit an application for reimbursement of site investigation costs when a complete ch. NR 716 site investigation report is submitted to and approved by the department. NR 169.19(4)(c)(c) An owner or operator who incurs costs for a ch. NR 716 site investigation may submit a request for reimbursement prior to completing the site investigation report. The minimum reimbursement request shall be $15,000 and only one reimbursement request may be submitted within any fiscal year. No more than 3 reimbursement requests, each accompanied by a summary of work completed through the date of the last invoice may be submitted prior to submittal of the site investigation report. A final reimbursement request may be submitted upon department approval of the site investigation report.