An application for a license must be made to the department on forms provided by the department. The application must contain:

1. (1) the full name and business address of the applicant;
2. (2) a list of the counties in which business is to be conducted and a list of disposal sites that the applicant intends to use during the permit year;
3. (3) for each disposal site listed pursuant to subsection (2), a certification by a local health officer or the local health officer's designated representative in the county in which the disposal site is located that the site meets all applicable state and local requirements;
4. (4) written permission to use each proposed disposal site signed by the owner, manager, or other person authorized to give permission to use the disposal site; and
5. (5) any additional information required by rule.

History: En. Sec. 4, Ch. 378, L. 1999.