Form 61a200(Q) - Supplemental Report Of Operations For Contained And Residential Landfills

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61A200(Q) (11-07)
Q
SUPPLEMENTAL REPORT OF OPERATIONS
Commonwealth of Kentucky
FOR CONTAINED AND RESIDENTIAL LANDFILLS
DEPARTMENT OF REVENUE
Name of Company/Landfill ___________________________________________________________________________
Permit Number ________________________________
County Location _______________________________
Year of Beginning Operation _____________________
December 31, 2007, Total Acres Owned and Leased ____________
Residential __________
Contained _________
December 31, 2007, Total Permitted Acreage _________________
Residential __________
Contained _________
Cubic Yards
Tons
Total Permitted Air Space Capacity
As of December 31, 2007
Total Expandable Fill Air Space Capacity
As of December 31, 2007
Actual 2005 Waste Intake (12 Months)
For Year Ending December 31, 2005
Actual 2006 Waste Intake (12 Months)
For Year Ending December 31, 2006
Actual 2007 Waste Intake (12 Months)
For Year Ending December 31, 2007
Projected 2008 Waste Intake (12 Months)
For Year Ending December 31, 2008
Total Gross Income
Total Expenses
(Excluding Interest and Income Tax Expense)
2004 Gross Income
$ ___________________________
$ ___________________________
2005 Gross Income
$ ___________________________
$ ___________________________
2006 Gross Income
$ ___________________________
$ ___________________________
2007 Gross Income
$ ___________________________
$ ___________________________
Projected 2008 Gross Income
$ ___________________________
$ ___________________________
NOTE: The reported total gross income is before host fees. Factor up the gross income for intracompany discounting.
December 31, 2007, Posted Gate Rates
Cubic Yards
Ton
Solid Waste
$ _______________________
$ _______________________
Industrial Waste
$ _______________________
$ _______________________
Contaminated Soil
$ _______________________
$ _______________________
Asbestos
$ _______________________
$ _______________________
Other
$ _______________________
$ _______________________
Total Bonding Dollar Amount Posted with the Division of Waste Management, Department of Natural Resources:
$ _____________________ as of December 31, 2007

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