application for operator - wv department of 操作员wv部门应用

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1、APPLICATIONFOROPERATORASSIGNMENTORREASSIGNMENT1.Apermittee/ownerwhowishestoassignorreassigntheoperationofthesolidwastefacilitythroughanagreement,contract,orotherlegalinstrument,toanotherpartybutretainthepermitmustrequestandreceivepriorwrittenapprovalutilizingformsprescribedbytheS

2、ecretary.Pleaseattachacompletedcopyoftheproposedoperator’sbackgroundinvestigationdisclosurestatement(s)asrequiredundersubsection3.14ofthisrule.TheproposedoperatormayreceivethisformbyrequesttotheWVDEP.Thisapplicationwillnotbeissueduntiltheproposedoperatorhassuccessfullycompletedth

3、ebackgroundinvestigation.2.CurrentPermittee/Ownerinformation:Name:___________________________________________Address:___________________________________________________________________________________________________________________________________________________________________

4、_________TelephoneNumber:_______________________________________3.PermitInformation:PermitNumber:___________________________________Dateofexpiration:________________________________________Location:County__________________________________________District__________________________

5、________________NearestPostOffice_________________________________(City)4.Ifthepermitteeisapplyingtoreassigntheoperationofthefacilitytoanotheroperator,pleasecompletethefollowingfortheproposedoperator:Name:___________________________________________Address:________________________

6、____________________________________________________________________________________________________________________________________________________TelephoneNumber:_______________________________________(Pleaseattachcopiesofthelegalinstrumentsthathas,orwill,terminatethepermittee’

7、sagreementorcontractwiththecurrentoperator.)5.Ifthepermitteeisapplyingtoassigntheoperationofthefacilitytoanoperatorforthefirsttime,pleasecompletethefollowingfortheproposedoperator:Name:___________________________________________Address:____________________________________________

8、________________________________________