Dh 4012 application-2026

1. Click ‘Get Form’ to open the dh 4012 application in the editor.
2. Begin by filling out the 'General Information' section. Enter your business name, certificate of authorization number, owner(s) name, and contact details including phone number and mailing address.
3. In the 'Septage Disposal Services' section, specify the number of vehicles to be permitted and provide their identification numbers along with truck gallonage capacity.
4. Detail your disposal methods by indicating whether you will use a wastewater treatment plant, land application site, or sanitary landfill. Ensure to check if these sites are approved.
5. For 'Temporary System Services', indicate if backup service is available and provide relevant details about your service capabilities.
6. Complete the sections for 'Septage Treatment & Disposal Facilities' and 'Septic Tank Manufacturing Facilities' as applicable, ensuring all required information is accurately filled in.

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