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Agencies A-Z Online Services

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  1. Home
  2. Environmental Protection
  3. Land Quality
  4. Waste Planning & Programs
  5. Solid Waste

Facility Financial Assurance

On this page...

  • Report Forms and Guidelines
  • Sample Documents
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Report Forms and Guidelines

  • Municipal Solid Waste Landfill FA Report Form (542-8090)
  • Construction and Demolition Landfill FA Report Form (542-8090CND)   
  • Industrial Monofill FA Report Form (542-8090ILF)
  • Coal Combustion Monofill FA Report Form (542-8090CCR)
  • Adjustments of Cost Estimates for Inflation  
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Sample Documents

  • Proof of Establishment of Accounts   
  • Private Landfill Audit Affidavit   
  • Trust Fund Sample   
  • Surety Bond Sample
  • Standby Trust Agreement Sample    
  • Irrevocable Standby Letter of Credit Sample
  • Insurance Sample
  • Corporate Financial Test Sample   
  • Local Government Financial Test Sample   
  • Corporate Guarantee Sample   
  • Local Government Guarantee Sample   
  • Local Government Dedicated Fund Sample
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Mary Klemesrud

Email Address
Mary.Klemesrud@dnr.iowa.gov
Phone(s)
Office
515-802-8835

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  • Solid Waste
    • Comprehensive Planning
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    • Facility Financial Assurance
    • Operator Certification
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    • Solid Waste EMS Program
    • Special Waste Authorization

Department of Natural Resources

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Iowa DNR Customer Service

6200 Park Avenue
Suite 200
Des Moines, IA 50321

Phone

515-725-8200

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