Wisconsin Solid Waste Land Disposal Site Affidavit Form 4400-067

The mobile form includes fields to document items such as solid waste land disposal site location, name, address, legal description and captures a signature for the affidavit. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your Brownfield cleanup records. You can also use the App Builder to personalize and customize this mobile form. The app should be completed, signed and submitted by the owner of the described land. That application is made to the State of Wisconsin Department of Natural Resources pursuant to subchapter III of chapter 289, Wis. Stats., for authorization to construct and operate a solid waste land disposal facility on the above-described land; that section 289.31(3), Wis. Stats., and section NR 500.06(4), Wis. Adm. Code, requires that, prior to licensing, a notation of the existence of a solid waste land disposal site be recorded in the office of the register of deeds in each county in which a portion of the site is located. That this affidavit is given for the purpose of indicating the existence of a solid waste land disposal facility on the described property.