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In South Carolina, managing waste tire transportation and disposal requires compliance with specific regulatory measures, as exemplified by the DHEC 2711 form. This document, known formally as the South Carolina Waste Tire Hauler Registration Form, serves as a crucial tool for both new and existing haulers seeking registration or renewal for the legal transport of waste tires. Its comprehensive structure mandates the provision of detailed information, including but not limited to the business and owner's name, contact details, and proof of a valid driver's license. Critical to the registration process is the accurate listing of tire pick-up and disposal points, insisting on the transparency and accountability of enrolled haulers. Significantly, the form acts as a sworn affirmation of the veracity of the submitted information, underlining the legal implications of discrepancies. This includes potential penalties such as fines and imprisonment for providing false information. An annual renewal, supported by an accompanying report detailing the year's activities, emphasizes the ongoing responsibility of waste tire haulers to maintain compliance. The importance of this form lies not only in facilitating efficient waste tire management but also in underscoring the legal and environmental accountability inherent in the hauling business. As such, completing the DHEC 2711 form is not merely a bureaucratic necessity but a critical step in contributing to South Carolina's environmental sustainability efforts.

Document Example

South Carolina Waste Tire Hauler Registration Form

1. Please check one: (___) New (___) Renewal - include Waste Tire Hauler ID number if this is a renewal WTH- __________ .

2.Business Name: _____________________________________________ Owners Name: _______________________________________________

3.Address: ___________________________________________________ City, State, Zip: _______________________________________________

4.Mailing Address: ____________________________________________ City, State, Zip: _______________________________________________

5.

County: ____________________ E-mail address: _____________ Telephone Number: (____) - ____- ______ Fax Number: (____) - ____- ______

6.

Proof of Valid Drivers License State: _______ Number: _______________________________

TIRE PICK-UP

For this section, please list contact information of all your customers, including (name of owner, business name, address, and phone.) Please note - the information contained in this section must be accurate and complete for your registration to be accepted. Attach additional sheets if necessary.

Business name___________________________ Address_________________________________________ City, State, Zip_________________________

Phone # __________________ Owner________________________ Contact Name_______________________ Contact Phone #____________________

Business name___________________________ Address_________________________________________ City, State, Zip_________________________

Phone # __________________ Owner________________________ Contact Name______________________ Contact Phone #_____________________

Business name___________________________ Address_________________________________________ City, State, Zip_________________________

Phone # __________________ Owner________________________ Contact Name______________________ Contact Phone #_____________________

Business name___________________________ Address_________________________________________ City, State, Zip_________________________

Phone # __________________ Owner________________________ Contact Name______________________ Contact Phone #_____________________

Business name___________________________ Address_________________________________________ City, State, Zip_________________________

Phone # __________________ Owner________________________ Contact Name______________________ Contact Phone #_____________________

SCDHEC - BLWM, Division of Compliance and Enforcement, 2600 Bull Street, Columbia, SC 29201

DHEC 2711 (01/2011)

SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

 

Business Name: _________________________ Permit #: __________________________

TIRE DISPOSAL

For this section, please list the contact information for all the DHEC PERMITED FACILITIES where tires will be disposed. Include (name of Facility, name of the Operator, Facility address, and phone number and contact information). Please note - the information contained in this section must be accurate and complete for your registration to be accepted. Attach additional sheets if necessary.

Facility______________________________ Address____________________________________________ City, State, Zip__________________________

Phone # __________________ Operator_______________________ Contact Name_________________________ Contact Phone #__________________

Facility______________________________ Address____________________________________________ City, State, Zip__________________________

Phone # __________________ Operator_______________________ Contact Name_________________________ Contact Phone #__________________

Facility______________________________ Address____________________________________________ City, State, Zip__________________________

Phone # __________________ Operator_______________________ Contact Name_________________________ Contact Phone #__________________

Facility______________________________ Address____________________________________________ City, State, Zip__________________________

Phone # __________________ Operator_______________________ Contact Name_________________________ Contact Phone #__________________

I hereby certify (or declare) that all information submitted in conjunction with this registration is true to the best of my knowledge. I am aware that there are significant penalties for submitting false information, including the possibility fines and imprisonment. I certify that I am authorized to sign official documents

for this applicant.

Signature: __________________________________________________ Date ___________________________

Print Name and Title __________________________________________

This registration form will only be processed if it is filled out completely. All future changes to any of this information will require this form to be updated by contacting the Department immediately. Renewal applications must be accompanied by the annual report. All renewal applications must be received annually, prior to March 1st. Main- tain a copy for your records. Submit the original form to the address below. For any questions or to notify the Department of any changes, call (803) 896-4137.

SCDHEC - BLWM, Division of Compliance and Enforcement, 2600 Bull Street, Columbia, SC 29201

DHEC 2711 (01/2011)

Instructions for Completing DHEC 2711

SOUTH CAROLINA WASTE TIRE HAULER REGISTRATION FORM

PURPOSE:

Complete this form in its entirety when applying for a new or renewal registration as a waste tire or processed tire hauler.

EXPLANATION AND DEFINITION:

Any waste tire hauler (based in or outside of SC) engaged in transporting waste tires or processed tires in South Carolina for the purpose of storage, disposal or processing must register with the Department.

For a new registration, the applicant must complete a SC Waste Tire Hauler Registration Form. To renew an existing registration, the hauler must complete the SC Waste Tire Hauler Registration Form and submit the SC Waste Tire Hauler Annual Report along with the registration. Department approved registrations are effective from the date of issuance

until March 1st of the following year. It is the responsibility of the registered hauler to renew annually! A corporate entity or local government may submit one application to register its entire fleet of vehicles.

ITEM BY ITEM INSTRUCTIONS:

•Check NEW if the hauler, is a new hauler. Check RENEWAL if the hauler has a waste tire registration number issued by the Department. Include the waste tire hauler registration number (ID) if this is a renewal registration.

•Print or type:

OName of the hauling company requesting registration

OName of the owner

OCompany’s location-address,

OMailing address information, if different from the business address,

OCounty.

Oe-mail address - if available,

OPhone and fax numbers and

ONumber of Owner’s Valid Drivers License and the name of the state that issued it.

•Complete all the information in the section labeled “TIRE PICK-UP”. Attach additional sheets if needed:

OPlease note that your Registration will not be processed without all of the requested information.

•Complete all the information in the section labeled “TIRE DISPOSAL”. Attach additional sheets if needed:

OPlease note that your Registration will not be processed without all of the requested information.

•Sign and date the registration form then print complete name and title below.

OFFICE MECHANICS AND FILING:

Please mail the original form to: South Carolina - DHEC / L&WM Waste Tire Hauler Registration 2600 Bull Street

Columbia, SC 29201

The applicant should keep a copy of this form for their records. The Division of Compliance and Enforcement will maintain the original registration form in the applicant’s file.

Per the SC Solid Waste Management Regulation R.61-107.3 - Waste Tires - all renewal applications must be must be accompanied by your SC Waste Tire Hauler Annual Report showing all of the tires picked up and disposed of during the months between March 1st of the previous to the end of February of the current year.

As a reminder, if your company is located outside of South Carolina or hauls waste tires outside of South Carolina, please check with the local solid waste authority for area registration and/or hauling information.

DHEC 2711 (01/2011)

➤ Dhec 2711 PDF Form

Form Properties

Fact Detail
Form Title South Carolina Waste Tire Hauler Registration Form
Form Number DHEC 2711
Issuing Body South Carolina Department of Health and Environmental Control (SCDHEC)
Applicability Required for both new and renewing waste tire haulers in South Carolina
Key Sections New/Renewal Registration, Business and Owner Information, Tire Pick-Up, Tire Disposal, Certification
Attachments Must include additional sheets for customer and disposal facility information if necessary
Signature Requirement Applicant must certify the information is true and sign the form
Annual Renewal Renewal applications must be submitted annually, prior to March 1st, with the SC Waste Tire Hauler Annual Report
Governing Law SC Solid Waste Management Regulation R.61-107.3 - Waste Tires
Penalties for False Information Submitting false information can result in fines and imprisonment
Contact Information for Changes or Questions Applicants should call (803) 896-4137 for any questions or to notify the Department of changes

Guide to Writing Dhec 2711

After completing the DHEC 2711 form, you will have successfully applied for registration or renewed your status as a waste tire hauler in South Carolina. This step is crucial for ensuring compliance with the state's regulations on the transportation of waste tires for storage, disposal, or processing. The process involves providing detailed information about your business, including contact details and specifics about tire pick-up and disposal practices. It's necessary to submit this form annually before March 1st to maintain registration. Keep in mind, accurate and thorough completion of this form is essential for processing. Misinformation may result in penalties.

  1. Decide if this application is a New registration or a Renewal. Check the appropriate box at the top of the form. If renewing, include your Waste Tire Hauler ID number (WTH).
  2. Enter the Business Name and Owner's Name in the designated fields.
  3. Provide the physical address of the business, including City, State, and Zip, in the space provided.
  4. Fill in the Mailing Address, City, State, and Zip if it differs from the physical address.
  5. Record the County where the business is located, your Email address, Telephone Number, and Fax Number.
  6. Enter details of the owner’s valid Driver's License State and Number for proof of identification.
  7. Under the section labeled TIRE PICK-UP, list all customers including their names, business names, addresses, and phone numbers. Attach additional sheets if necessary to include information on all customers.
  8. In the TIRE DISPOSAL section, provide the contact information for each DHEC permitted facility where tires are disposed, including the facility name, operator name, address, and contact information. Again, attach additional sheets if needed.
  9. Review all provided information for accuracy.
  10. Sign and date the form at the bottom, ensuring to print your name and title. This certifies that all information is correct to the best of your knowledge and acknowledges the penalties for false information.
  11. Mail the original completed form to: South Carolina - DHEC / BLWM Waste Tire Hauler Registration, 2600 Bull Street, Columbia, SC 29201.
  12. Keep a copy of the form for your records.

Once submitted, the Division of Compliance and Enforcement will review your application. If approved, your registration will be valid until March 1st of the following year. Remember, it is your responsibility to renew annually. For any changes or updates to your registration information, contact the Department immediately to ensure continuous compliance with South Carolina’s waste management regulations.

Understanding Dhec 2711

What is the purpose of the DHEC 2711 form?

The DHEC 2711 form is used to apply for a new or renew a registration as a waste tire or processed tire hauler in South Carolina. Individuals or companies engaged in transporting waste tires or processed tires in the state for storage, disposal, or processing must register with the Department of Health and Environmental Control.

Who needs to fill out the DHEC 2711 form?

Any waste tire hauler, whether based in South Carolina or operating within the state from outside, that transports waste or processed tires for the purposes of storage, disposal, or processing must fill out this form to either apply for a new registration or renew an existing one.

What information is needed to complete the DHEC 2711 form?

To properly complete the form, applicants must provide details such as the type of application (new or renewal), business name, owner’s name, both physical and mailing addresses of the business, county, email, telephone and fax numbers, proof of a valid driver's license, detailed information about tire pick-up and disposal locations with contact information, and the applicant's signature certifying the truthfulness of the provided information.

Is additional documentation required for the tire pick-up and disposal sections?

Yes, applicants must list contact information for all customers and DHEC-permitted facilities where tires will be disposed, including names, addresses, and phone numbers. If the space provided is insufficient, additional sheets should be attached. Accurate and complete information in these sections is necessary for the registration to be accepted.

What are the consequences of submitting false information on this form?

There are significant penalties for submitting false information on the DHEC 2711 form, including the possibility of fines and imprisonment. The declaration at the end of the form requires the applicant's signature to certify the accuracy of the information, indicating awareness of these penalties.

How often does the registration need to be renewed?

Registrations issued through this form are effective until March 1st of the following year from the date of issuance. It is the responsibility of the registered hauler to renew their registration annually before this date.

Where should the completed form be sent?

The original completed form should be mailed to the South Carolina Department of Health and Environmental Control (DHEC) / Land & Waste Management (L&WM) Waste Tire Hauler Registration at 2600 Bull Street, Columbia, SC 29201. Applicants are advised to keep a copy of the form for their records.

What should I do if my company operates outside of South Carolina or hauls waste tires out of the state?

If your company is located outside of South Carolina or hauls waste tires to locations outside of the state, it is recommended to check with the local solid waste authority for area-specific registration and/or hauling requirements.

Are there instructions for completing the form?

Yes, detailed item-by-item instructions are provided to assist applicants in accurately completing the form. This includes guidance on how to check the application type, what details to include about the business and tire pick-up and disposal, and how to certify the form.

What happens if there are future changes to the information provided?

It is essential to notify the Department of any changes to the information provided on the DHEC 2711 form immediately. Updates may require the form to be resubmitted to ensure that registration details remain accurate and up to date.

Common mistakes

  1. Not checking the correct box for New or Renewal applications and forgetting to include the Waste Tire Hauler ID number for renewals can cause delays. This simple oversight can lead to processing errors, confusion about the application status, and unnecessary follow-up.

  2. Failing to provide complete contact information for Tire Pick-up and Tire Disposal sections, including the names and addresses of all customers and permitted facilities. Each detail is crucial for the registration process, ensuring that all parties involved are properly documented and accountable.

  3. Omitting the Proof of a Valid Driver's License state and number. This is essential for verifying the identity and eligibility of the hauler to operate within the state legally. Missing this information can invalidate the application.

  4. Forgetting to attach additional sheets when necessary. Given the detailed nature of the information requested, especially in the Tire Pick-up and Tire Disposal sections, supplementary sheets are often needed to provide complete data. Overlooking this requirement can lead to incomplete submissions.

  5. Ignoring the certification and signature section at the bottom of the form is a critical mistake. This acknowledgment confirms the accuracy of the information provided and is mandatory for the form's validity. Without it, the application cannot be processed.

To minimize errors and ensure a smooth registration process, individuals are encouraged to:

  • Review the form thoroughly before submission.
  • Double-check for accuracy and completeness of all requested details.
  • Maintain a copy of the form for their records.
  • Remember to update any changes by contacting the Department immediately.

By paying close attention to these common mistakes and adhering to the form's instructions, applicants can avoid delays and ensure their registration is processed efficiently.

Documents used along the form

The DHEC 2711 form, or South Carolina Waste Tire Hauler Registration Form, is a critical document for businesses engaged in the collection, transportation, and disposal of waste tires within South Carolina. It ensures compliance with state environmental and waste management regulations. However, this form is often not the only document needed to effectively manage waste tires or comply with state laws. There are several other forms and documents commonly used alongside the DHEC 2711 form that help in ensuring thorough and compliant waste management practices.

  • SC Waste Tire Hauler Annual Report: This report is mandatory for the renewal of the Waste Tire Hauler Registration. It details the quantities of waste tires collected, transported, and disposed of, or processed in the past year. This documentation helps in tracking the effectiveness and compliance of waste tire haulers with state regulations.
  • Bill of Lading: A document issued by a carrier to acknowledge receipt of cargo for shipment. In the context of waste tire hauling, the bill of lading serves as a proof of the tire collection and transportation process, specifying the quantity and type of tires transported.
  • Proof of Insurance: Waste tire haulers must provide evidence of liability insurance to protect against potential liabilities arising from their operations. This documentation is usually required by state regulations to ensure that the hauler can cover any damages or environmental issues caused by their waste management activities.
  • Vehicle Registration and Inspection Records: Because waste tire haulers use trucks and other vehicles for their operations, they must maintain current vehicle registration and inspection documents to prove that their fleet meets state safety and environmental standards.
  • Environmental Compliance Documentation: Depending on the specifics of their operations, waste tire haulers may need to submit additional documentation proving compliance with other environmental regulations, such as permits for waste storage or processing facilities and reports on environmental impact assessments.

Completing and submitting the DHEC 2715 form, along with these associated documents, ensures that waste tire haulers operate within the framework of South Carolina's environmental laws. These documents collectively help in managing waste tire operations effectively, minimizing environmental impacts, and promoting public health and safety. Together, they form a comprehensive compliance and operational guide for waste tire haulers navigating the regulatory landscape of South Carolina.

Similar forms

The Vehicle Registration Application is a document that shares similarities with the DHEC 2711 form in the requirement for accurate and detailed information about the vehicle owner, including name, address, and contact information. Like the DHEC 2711 form, it is used to establish a formal record with a governing body, in this case, to register a vehicle with the state’s department of motor vehicles. Both forms serve as a means for individuals or entities to provide necessary legal information for regulatory compliance.

A Hazardous Waste Generator’s Identification Number Application closely mirrors the DHEC 2711 form, as it involves the collection of business information, the identification of hazardous waste types, and locations of waste generation. This form, much like the DHEC 2711, requires detailed information on the disposal or processing facilities involved. The aim is to ensure environmental compliance and proper waste management, highlighting the responsibility of businesses in handling waste.

The Environmental Protection Agency’s (EPA) Notification of Regulated Waste Activity form resembles the DHEC 2711 form in its purpose of informing an environmental authority about activities that involve regulated waste. Similar to the waste tire hauler registration form, it collects data on the generator, transporter, or facility managing hazardous or special wastes, ensuring that such activities are monitored for public safety and environmental protection.

A Business License Application also shares commonalities with the DHEC 2711 form. This document requires business owners to provide identification, contact details, and operational information to a governmental authority, much like the DHEC 2711 form does for waste tire haulers. Both applications aim to regulate business activities within their respective scopes to maintain legal and safety standards within the community.

The Interstate Commerce Commission (ICC) Authority Application is similar to the DHEC 2711 form in that it requires transportation businesses to register and provide detailed information about their operations, including types of goods transported and routes used. Like the DHEC 2711 form, this application ensures that businesses comply with regulatory standards for the safe and legal transport of goods, in the ICC’s case, across state lines.

A DOT Number Application, required for commercial vehicles operating in interstate commerce, resembles the DHEC 2711 form by necessitating accurate business and operational information from the applicant. Both forms serve regulatory purposes, ensuring that entities engaged in specific types of commerce or activity are registered, monitored, and compliant with federal and state regulations for safety and environmental protection.

An Alcohol and Tobacco Tax and Trade Bureau (TTB) Application shares similarities with the DHEC 2711 form by requiring businesses to provide detailed operational information, including product types, production facilities, and owners’ details. Both are critical for regulatory compliance, aiming to ensure that businesses within regulated industries adhere to legal and safety standards.

The Employer Identification Number (EIN) Application, while broader in its application, is similar to the DHEC 2711 form in its requirement for business identification and contact information. This form is essential for tax administration, underscoring the importance of accurate business registration for legal and regulatory compliance across different sectors.

The Food and Drug Administration (FDA) Food Facility Registration Form requires food facilities to provide detailed information about their operations, ownership, and processing activities, akin to the detailed operational information required on the DHEC 2711 form. Both registrations serve to protect public health and safety by regulating the operation of businesses that could impact the environment or consumer well-being.

Lastly, the Occupational Safety and Health Administration (OSHA) Form 300A shares objectives with the DHEC 2711 form by collecting and reporting information for compliance and safety purposes. Both forms are part of regulatory frameworks designed to oversee business activities, specifically focusing on health, safety, and environmental implications, thereby ensuring that businesses operate responsibly and transparently.

Dos and Don'ts

Filling out the South Carolina Waste Tire Hauler Registration Form (DHEC 2711) requires accurate and thoughtful completion to ensure compliance with state regulations. To guide you through the process, here are things you should and shouldn't do:

Things You Should Do
  • Verify the type of application: Carefully check the appropriate box to indicate whether you are applying for a new registration or renewing an existing one. If you’re renewing, remember to include your Waste Tire Hauler ID number.
  • Provide complete and accurate information: Ensure every detail you enter, from the business name to the tire disposal section, is accurate. Inaccuracies can lead to processing delays or even fines.
  • Attach additional sheets if necessary: When listing customer information for tire pick-up or the contact information for permitted disposal facilities, don't hesitate to attach additional pages if the space provided isn't sufficient. Make sure these pages are clearly marked and organized.
  • Keep a copy for your records: Once you have completed and signed the form, make a copy for your own records before mailing the original to the specified address. This can help you manage your records and facilitate any future renewals or verifications.
Things You Shouldn't Do
  • Leave sections incomplete: Every section of the form needs to be filled out comprehensively. Leaving sections blank might result in your application being unprocessed or delayed.
  • Submit without verifying information: Resist the urge to rush through the form. Take a moment to review all entered information for its accuracy and completeness to avoid the repercussions of submitting false information, which could include fines or imprisonment.
  • Forget to sign and date: Your signature and the date are necessary to attest to the accuracy of the provided information and your authorization to submit it. An unsigned form will not be processed.
  • Ignore the deadline for renewal applications: If you are renewing your registration, remember that the application must be received annually, prior to March 1st. Late submissions could jeopardize your registration status.

Navigating the registration process with care and attention will help ensure your compliance and contribute to the effective management of waste tires in South Carolina.

Misconceptions

When it comes to handling the DHEC 2711 form, specifically designed for South Carolina Waste Tire Hauler Registration, there are several misconceptions that people often encounter. These misunderstandings can lead to confusion and potentially impact the registration process. Let's clarify some of these common misconceptions:

  • It's only for new applicants: Many think the form is exclusively for new waste tire hauler registrations. However, both new applicants and those looking to renew their registration need to complete it. The form clearly provides options for both "New" and "Renewal" applications.
  • Personal information isn’t important: Every section of the form, including personal and business information, is crucial. The completeness of this information ensures that the registration process goes smoothly and helps in maintaining accurate records.
  • Listing one disposal site is enough: The form requires information on all DHEC permitted facilities where tires will be disposed of, not just one. This comprehensive list aids in proper waste management and compliance with regulations.
  • No need to update if info changes: Any changes to the information provided in the DHEQ 2711 form must be reported to the Department immediately. Keeping information updated is essential for continued compliance and effective communication.
  • Annual renewals aren’t required: Contrary to what some might think, renewals must be submitted annually, prior to March 1st. This is vital for maintaining an active registration and ensuring ongoing authorization to haul waste tires.
  • Submission of additional documents isn’t necessary: Depending on the circumstances, additional documents, such as the SC Waste Tire Hauler Annual Report, are required, especially for renewal applications. These documents are crucial for a complete and accurate review of hauler activities.
  • Penalties for inaccurate information aren’t serious: The form itself states the importance of truthfulness and accuracy of the information provided. Submitting false information can lead to significant penalties, including fines and imprisonment, highlighting the seriousness of the registration process.
  • Online submission is allowed: Currently, the form requires mailing the original document to the specified address. It’s a common misunderstanding that forms like these can be submitted online. Ensuring that the original form is mailed is crucial for the application to be processed.

Correcting these misconceptions helps streamline the registration process and ensures compliance with South Carolina’s waste management regulations. Whether you are a new applicant or looking to renew your registration, understanding these key aspects of the DHEC 2711 form is essential for a successful submission.

Key takeaways

Completing the South Carolina Waste Tire Hauler Registration Form (DHEC 2711) requires thorough attention to ensure compliance with state regulations. Here are key takeaways to guide you through the process:

  • Identify the type of application: Clearly mark whether you are applying for a new registration or renewing an existing one. If renewing, include your Waste Tire Hauler ID number.
  • Provide accurate and complete information: Fill out all sections of the form with accurate details, including business and owner names, addresses, contact information, and a valid driver's license number.
  • List all pickup customers and disposal facilities: Include complete contact information for all customers from whom you will pick up waste tires and all DHEC permitted facilities where the tires will be disposed of. Attach additional sheets if necessary.
  • Annual renewal is mandatory: Remember to renew your registration annually before March 1st, and submit the required SC Waste Tire Hauler Annual Report along with your renewal registration.
  • Keep a copy for your records: After submitting the original form to the designated address, keep a copy of the form for your own records.
  • Penalties for false information are severe: Submitting inaccurate information can lead to significant penalties, including fines and possible imprisonment. Ensure all information is true to the best of your knowledge.
  • Sign and date the form: The form must be signed and dated to certify the accuracy of the information provided. Print your name and title beneath the signature.
  • Check local requirements for out-of-state haulers: If your company is located outside of South Carolina or hauls waste tires outside of South Carolina, make sure to check with the local solid waste authority for additional registration and hauling requirements.

Adherence to these guidelines when completing the DHEC 2711 form will facilitate a smoother registration process and help ensure that you operate in compliance with South Carolina's waste tire haulage regulations.

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