In an era focused on environmental sustainability and proper waste management, the Alabama Department of Environmental Management (ADEM) plays a crucial role through initiatives like the implementation of the ADEM 541 form. This essential document, the Scrap Tire Site Registration Form, underscores the state's commitment to overseeing and regulating scrap tire sites containing more than 100 scrap tires. The form is intricately designed to gather comprehensive data starting from the property owners' names and addresses, through the intricate details of the scrap tire site's location, estimated number of tires, and the area they occupy. Moreover, it seeks to identify the individuals responsible for the placement of scrap tires on the site, highlighting accountability and enforcement of environmental standards. This thorough approach not only aids in the environmental management of scrap tires—a notorious waste management challenge—but also in strategizing recycling and disposal initiatives. The submission of the form, which can be done electronically, marks a critical step in formal registration with ADEM’s Solid Waste Branch, opening channels for regulatory oversight and support. By dissecting the contents and instructions of the ADEM 541 form, we delve into the procedural actions taken by Alabama to mitigate the environmental impact of scrap tires, showcasing a blend of regulatory requirements and environmental stewardship.
| Question | Answer |
|---|---|
| Form Name | Adem Form 541 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names |
Alabama Department of Environmental Management
Scrap Tire Site Registration
Form for use in notification of scrap tire sites which contain greater than 100 scrap tires.
Section 1: Names of Property Owners. List all owners of the property. Use additional sheets as necessary.
Name:
Address:
Telephone:
Name:
Address:
Telephone:
Section 2: Location of the Site and Estimated Number of Scrap Tires. Give the address and location description of the scrap tire site. Give a best estimate of the number of scrap tires and the area of the site.
Address:
County:
GPS Coordinates: Latitude __________________________ Longitude __________________________________
Location: |
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¼, |
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¼, |
Section |
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Township |
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Range |
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and |
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¼, |
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¼, |
Section |
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Township |
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Range |
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Estimated number of tires: |
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Estimated area of sites: |
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acres |
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Section 3: Responsible Party for Placement of Scrap Tires. List the person(s) responsible for placement of scrap tires on this property if known.
Name:
Address:
Telephone:
Name:
Address:
Telephone:
Section 4: Name of Person Submitting Form.
Signature:
Printed Name: |
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Telephone: ________________ |
ADEM Form 541 01/10
INSTRUCTIONS
Scrap Tire Site Registration
Section 1: Complete the name and address of all landowners of the property on which scrap tires are present. List all landowners of record; include additional sheets as needed to show all landowners.
Section 2: Give the location of the property where the scrap tire site is located, and the location of the site by section, township and range and/or GPS coordinates. Register one property per form. Estimate the total number of tires that are on the property, and the area of land occupied by the scrap tires.
Section 3: Name the responsible parties who placed the scrap tires on the property. Indicate “UNKNOWN” if the persons responsible for placement of scrap tires are unknown to the property owner.
Section 4: Print the name of the person signing and submitting this form. Submit the form to:
ADEM
Solid Waste Branch
(mailing) |
(parcel delivery) |
PO Box 301463 |
1400 Coliseum Blvd. |
Montgomery, AL |
Montgomery, AL |
An electronic version of this registration may be submitted to ADEM at TireMail@adem.state.al.us. Contact ADEM at
Regulations in ADEM Admin. Code 335 may be found on the ADEM web site at: www.adem.state.al.us/Regulations. Scrap tire regulations are in Division 4.
ADEM Form 541 01/10