Butte, MT · Silver Bow County

No notary required

Domestic Hauled Waste Permit Application

This application requests a domestic hauled waste permit and collects company, vehicle, insurance, and attachment information from waste haulers.

What this form is

The Department of Public Works Pretreatment Program application is for companies seeking a permit to haul domestic septage or portable toilet waste. It asks for company and contact details, vehicle and insurance information, and requires insurance policy information, proof of performance bond, a BSB business license, and a Montana DEQ permit. The form states a $200 fee per truck and a two-year permit validity.

Who needs it

Companies hauling domestic septage or portable toilet waste need this application to request a Butte-Silver Bow hauled waste permit.

How to submit it

Mail the completed application and listed attachments to Butte-Silver Bow, Attention: Angie Mullikin, 126 West Granite, Butte, MT 59701. The application fee is $200 per truck; make checks payable to Butte-Silver Bow.

About notarization

This application is signed without a notary; the signer completes the application signature and provides the listed attachments, with no sworn or notarized step stated.

How to submit this form

  1. 1

    Download The Application

    Download the Domestic Hauled Waste Permit Application PDF.

  2. 2

    Complete The Application

    Enter company and contact information, vehicle details, insurance information, waste type, and the application date; then sign.

  3. 3

    Gather The Listed Attachments

    Attach insurance policy information, proof of performance bond, a BSB business license, and a Montana DEQ permit.

  4. 4

    Submit To Butte-Silver Bow

    Mail the application and attachments to the address shown on the form, with a check for $200 per truck payable to Butte-Silver Bow.

Frequently asked questions

Do I need a notary for the Domestic Hauled Waste Permit Application?
No. The application has a signature line but does not state that notarization is required. It lists insurance information, proof of performance bond, a BSB business license, and a Montana DEQ permit as attachments.
How do I submit the Domestic Hauled Waste Permit Application?
Mail the completed application and required attachments to Butte-Silver Bow, Attention: Angie Mullikin, 126 West Granite, Butte, MT 59701. The form says the fee is $200 per truck and checks should be payable to Butte-Silver Bow.
What information and attachments does the application request?
It requests company and contact details, vehicle and insurance information, and the waste type. Listed attachments are insurance policy information, proof of performance bond, a BSB business license, and a Montana DEQ permit.
How long is the hauled waste permit valid?
The application states that the permit is valid for two years from its date of issue.

Need something notarized?

This Domestic Hauled Waste Permit Application doesn’t need a notary — but if you have another Butte form that does, a commissioned online notary can help.