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KDHE Home - Environment - Bureau of Waste Management

Bureau of Waste Management
1000 SW Jackson, Suite 320, Topeka, Kansas 66612-1366

Voice 785-296-1600
Fax 785-296-1592

Solid Waste Landfill and Mausoleum Forms

NOTE:  Forms listed below with ** can be filled out online using the free Adobe Acrobat Reader®, then printed and mailed.  The free Reader will not allow you to save your filled-in forms electronically.

Landfill and Mausoleum Approval and Permit Applications
SWLF200 - Landfill Permit Application - new or modification (.pdf)
This form also requires these forms: (hide)
  • Chief Financial Officer's Letter -
    SW1290 - From Local Government
SWLF205 - Permit Application for Mausoleum Construction (.pdf)
This form also requires these forms: (hide)
  • DS130-Restrictive Covenant
  • SW1230-Trust Agreement
SWLF210 - Permit Transfer Application for Solid Waste Facility (.pdf)
SWLF215 - Request for Location Demonstration Information Regarding Distance from the Nearest Intake Point of a Public Surface Water Supply System (Supplement to Landfill Permit Application) (.pdf)
SWLF255 - Plot Plan Checklist(.pdf)
SWLF260 - Solid Waste Facility Permitting Process Checklist(.pdf)
SWLF265 - Solid Waste Permit Application Review Process Flow Chart (.pdf)
Landfill Closure Cost Estimating Worksheets
**SWLF530-Closure Cost Estimate Worksheet for Industrial Landfill (.pdf)
**SWLF535 - Post Closure Cost Estimate Worksheet for Industrial Landfill (.pdf)
SWLF540 - Closure Cost Estimate Worksheet for Waste Tire Monofill (.pdf)
SWLF545 - Closure, Postclosure, and Estimated Life Worksheets for MSW Landfills (.pdf)
SWLF550 - Closure, Postclosure, and Estimated Life Worksheets for Small Arid Landfills (.pdf)
SWLF555 - Closure Cost Estimate Worksheet for Construction Demolition Landfill (.pdf)
Generator Liquid Waste Profile Sheet
SW650a - Generator Liquid Waste Profile Sheet
Disposal of Solid Waste Without a Permit
SWLF220 - Application for Pre-Selection of an Emergency Livestock Disposal Site (.pdf)
     Trench Sizing Worksheet for Pre-Selected Livestock Disposal Sites (Excel - template)
     SWLF225x - Trench Sizing Worksheet for Pre-Selected Livestock Disposal Sites (Excel - blank)
     SWLF225 - Trench Sizing Worksheet for Pre-Selected Livestock Disposal Sites (PDF - blank)
SWLF230 - Disposal of Solid Waste at a Site Where the Waste Has Been Accumulated or Illegally Dumped (.pdf)
SWLF235 - Disposal of Demolition Waste Generated On-Site (.pdf)
SWLF240 - Disposal of Solid Waste Resulting from a Transportation Accident (.pdf)
SWLF245 - Disposal of Whole Unprocessed Livestock Carcasses (.pdf)
SWLF250 - Disposal of Solid Waste Resulting from Natural Disasters (without a permit) (.pdf)
SWP915 - Storage and/or Transfer of Solid Waste Resulting from a Natural Disaster (without a permit) (.pdf)
Disclosure Statements
DS105 - Public Entity Disclosure Statement (.pdf)
Business Concern Disclosure Statement -
     DS110 - Business Concern Disclosure Statement Form 1 - For Permit to Construct, Alter, or Operate Solid Waste Disposal Area or Solid Waste Procesing Facility(.pdf)
     DS115 - Business Concern Disclosure Statement Form II - For Permit to Construct, Alter, or Operate Solid Waste Disposal Area or Solid Waste Processing Facility (.pdf)
Guidance for Completing the Business Concern Disclosure Statement -
     DS120 - Guidance for Completing the Business Concern Disclosure Statement Form I - For Solid Waste Permit Applicants (.pdf)
     DS125 - Guidance for Completing the Business Concern Disclosure Statement Form II - For Solid Waste Permit Applicants (.pdf)
Solid Waste Bond and Letter of Credit Forms
DS130 - Restrictive Covenant for Authorized Disposal Site (.pdf)
***DS135 - Restrictive Covenant (.pdf)
SW1230 - Trust Agreement (.pdf)
Financial Guarantee Bond -
     SW1240 - For Closure and Post-Closure (.pdf)
     SW1245 - Corrective Action (.pdf)
Performance Guarantee Bond -
     SW1250 - For Closure and Post-Closure (.pdf)
     SW1255 - For Corrective Action (.pdf)
     SW1260 - Irrevocable Letter of Credit (.pdf)
Chief Financial Officer's Letter -
     SW1270 - From Corporate Owner or Operator (.pdf)
     SW1275 - From Corporate Guarantor (.pdf)
     SW1290 - From Local Government (.pdf)
Corporate Guarantee -
     SW1280 - For Closure, Post-Closure or Corrective Action (.pdf)
     SW1285 - For Third Party Liability (.pdf)
     SW1400 - Certificate of Insurance for Closure, Post-Closure or Corrective Action (.pdf)
Other -
     SW1490 - (Simplified) Permit Bond for Cleanup and Closure (.pdf)
     SW1500 - (Simplified) Irrevocable Letter of Credit (.pdf)
Local Government Guarantee
     SW1300 - Local Government Guarantee for Closure, Post-Closure or Corrective Action (.pdf)