Form Deq-Eurr - Virginia Waste Tire Program End User Reimbursement Application (Page 2 of 2) in pdf

Form Deq-Eurr - Virginia Waste Tire Program End User Reimbursement Application Page 2

Page 2

END USER REIMBURSEMENT APPLICATION

VIRGINIA WASTE TIRE PROGRAM -

(FORM DEQ-EURR – May 2016 revised)

Beneficial Use documentation provided by applicant:

Civil engineering:

Specify exact usage of waste tire material at the site. __________________________________

______________________________________________________________________________________________

Out of State Applicants:

Please provide regulatory and permitting requirements that allow the use of waste tires for specified civil

engineering projects?____________________________________________________________________

Are those regulations equivalent to those of Virginia Solid Waste Management (9VAC 20-81)?_________

_____________________________________________________________________________________

Is your site location permitted to use waste tire material for the specified civil engineering use? (If so,

please attach permit documentation showing allowed use).______________________________________

Are there any permit changes/modifications/restrictions that limit this use for the time period listed on page

one of this application (Yes/No): If yes, provide details:

___________________________________________________________________

Tire-Derived Fuel:

Specify the use of the energy derived from the burning of processed waste tire material.

Examples may include steam for process heating, co-generation of energy for use on-site, or generation of energy for

sale to electrical utilities.

_______________________________________________________________________________________________

Product manufacture: Specify the product manufactured from the processed waste tire material. Examples may

include bollards, consumer goods (office, home), rubber mulch, equipment components (wheels, bumper guards),

bumper blocks, pavers, athletic fields soil amendments, or horse arena soil amendments.

Pyrolysis:

Specify pyrolysis process and the products derived from the pyrolysis procedure.

Form Deq-Eurr - Virginia Waste Tire Program End User Reimbursement Application Page 2