Landfills are required under s. NR 506.17 (5), Wis. Adm. Code, to notify the Wisconsin Department of Natural Resources, in writing, within a specified time period when a leachate release or fire occur. Completing this form will fulfill the notification requirements. The associated information will be relayed to the assigned DNR solid waste engineer, who will follow up, if warranted. We encourage landfills to reach out directly to their assigned DNR solid waste engineer with questions or when these events significantly affect operations.

Personally identifiable information found on this form is not intended to be used for any other purpose. The Department of Natural Resources (DNR) may provide this information to requesters as required by Wisconsin's Public Records Law (ss.19.31-19.39, Wis. Stats.).

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* What is the facility’s DNR-assigned FID?

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* Enter your first name.

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* Enter your last name.

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* What type of event do you need to notify the DNR about? (check one)

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