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Form BOE-501-NW Fillable Integrated Waste Management Fee Return Nonhazardous Wood Waste Facility
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)02 Total operating days for above calendar quarter2 03 Average tons of nonhazardous wood waste accepted per operating day (divide line 1 by line 2)3 06 Inert nonhazardous wood waste removed from the waste stream and not disposed in a6 07 Other nonhazardous wood waste removed from the waste stream and not disposed in a7 08 TOTAL TONS OF NONHAZARDOUS WOOD WASTE SUBJECT TO THE FEE8 (11 PENALTY [multiply line 10 by 10% (0 10) if payment is made after due date shown above] $) (12 INTEREST $) (13 TOTAL AMOUNT DUE AND PAYABLE (add lines 10 11 and 12) $) (BOE USE ONLY ) (CLEAR) CLEAR (DATE) (DUE ON OR BEFORE) (EMAIL ADDRESS) (I OPERATIONS 1 Total tons of nonhazardous wood waste accepted during above calendar quarter ROUND TO THE NEXT WHOLE TON 0) (I OPERATIONS 2 Total operating days for above calendar quarter ROUND TO THE NEXT WHOLE TON 0) (I OPERATIONS 3 Average tons of nonhazardous wood waste accepted per operating day (divide line 1 by line 2) ROUND TO THE NEXT WHOLE TON* *IF THE AMOUNT ON LINE 3 IS LESS THAN 5 TONS ENTER A ZERO ON LINE 10 AND SIGN AND DATE THE RETURN IF THE AMOUNT ON LINE 3 IS EQUAL TO OR GREATER THAN 5 TONS CONTINUE ON TO THE NEXT SECTION ) (II DISPOSALS 4 Total tons of nonhazardous wood waste accepted during above calendar quarter (from line 1 above) ROUND TO THE NEXT WHOLE TON ) (II DISPOSALS 5 Recycled nonhazardous wood waste removed from the waste stream and not disposed in a disposal facility ROUND TO THE NEXT WHOLE TON ( ) 0) (II DISPOSALS 6 Inert nonhazardous wood waste removed from the waste stream and not disposed in a disposal facility ROUND TO THE NEXT WHOLE TON ( ) 0) (II DISPOSALS 7 Other nonhazardous wood waste removed from the waste stream and not disposed in a disposal facility (attach letter of explanation) ROUND TO THE NEXT WHOLE TON ( ) 0) (II DISPOSALS 8 TOTAL TONS OF NONHAZARDOUS WOOD WASTE SUBJECT TO THE FEE (subtract lines 5 6 and 7 from line 4)) (III FEE 12 INTEREST: One month's interest is due on the total fee for each month or fraction of a month that payment is delayed after the due date The adjusted monthly interest rate is ) (III FEE 9 Rate of fee per ton $) (PRINT NAME AND TITLE) (PRINT) PRINT (subtract lines 5 6 and 7 from line 4) (TELEPHONE (AREA CODE)) (TELEPHONE) (text) (YOUR ACCOUNT NO ) *IF THE AMOUNT ON LINE 3 IS LESS THAN 5 TONS ENTER A ZERO ON LINE 10 AND SIGN AND DATE THE RETURN IF THE AMOUNTON LINE 3 IS EQUAL TO OR GREATER THAN 5 TONS CONTINUE ON TO THE NEXT SECTION [ FOID] 1 Total tons of nonhazardous wood waste accepted during above calendar quarter1 10 FEE DUE (multiply tonnage on line 8 by the rate of fee on line 9)10 $ 11 Penalty [multiply line 10 by 10% (0 10) if payment is made after due date shown above]11 PENALTY$ 12 INTEREST: One month's interest is due on the total fee for each month or fraction of a month that 13 TOTAL AMOUNT DUE AND PAYABLE (add lines 10 11 and 12)13 $ 4 Total tons of nonhazardous wood waste accepted during above calendar quarter (from line 1 above)4 48000 of the Public Resources Code For the purposes of the fee imposed by section 48000 facilities which receive only 48000 pay a quarterly fee to the BOE on all solid waste disposed at each disposal site which does not exceed the amount due 5 Recycled nonhazardous wood waste removed from the waste stream and not disposed in 5 9 Rate of fee per ton9 $ 94279 0088 You may also visit the BOE website at www boe ca gov or call the Taxpayer Information Section at 1 800 400 7115 (TTY:711); a disposal facility( ) Always write your account number on your check or money order Make a copy of this document for your records and interest charges The penalty is 10 percent (0 10) of the total fee on line 10 The interest rate is noted on line 12 and not disposed of in a disposal facility and payable to the BOE by those facilities during the 1992 calendar year and shall pay a fee quarterly to the BOE based on all solid waste disposed at each disposal site on or after January 1 1990 BOARD OF EQUALIZATIONSPECIAL TAXES AND FEESPO BOX 942879SACRAMENTO CA 94279 6095 BOE 501 NW (BACK) REV 7 (4 13) BOE 501 NW (FRONT) REV 7 (4 13) California Integrated Waste Management Board should be included in this total Code Section 40195 1 added facilities which receive only nonhazardous wood waste derived from timber production or wood DATETELEPHONE( disposal facility (attach letter of explanation)( ) disposal facility( ) DISPOSALS If the average is equal to or greater than five tons proceed to line 4 and complete the entire return disposed of in a landfill Material included in line 1 above which is used and has been approved as covered by the DUE ON OR BEFORE Each fee payer is required to file a return quarterly with the BOE The return must be complete in every detail as called for on the effective July 1 1992 Effective October 1 1993 Assembly Bill 1220 repealed section 46027 and added section 40195 1 to the Public Resources EMAIL ADDRESS Every operator of a disposal facility accepting nonhazardous wood waste exclusively is required to have a disposal facility permit facilities during the 1992 calendar year FILING REQUIREMENTS for disposal (line 4) and enter this amount on line 8 For the purposes of the fee imposed by section 48000 facilities which receive only nonhazardous wood waste derived from from the main menu select the option Special Taxes and Fees GENERAL/DEFINITIONS I hereby certify that this return including any accompanying schedules and statements has beenexamined by me and to the best of my knowledge and belief is a true correct and complete return I OPERATIONS If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 Sacramento CA If your fee is being paid after the due date shown on the front of the return additional amounts are due for penalty II DISPOSALS III FEE includes recycled or inert nonhazardous wood waste removed and not disposed of in a disposal facility INSTRUCTIONS INTEGRATED WASTE MANAGEMENT FEE RETURNNONHAZARDOUS WOOD WASTE FACILITY INTEGRATED WASTE MANAGEMENT FEE RETURNNONHAZARDOUS WOOD WASTE FACILITY INTEREST$ Line 1 Enter the total tonnage of nonhazardous wood waste accepted for disposal for the reporting quarter This amount Line 10 FEE DUE Multiply the total tons subject to the fee (line 8) by the rate on line 9 Line 13 Total amount due and payable including late filing charges if applicable Line 2 Enter the number of days you operated during the reporting quarter Line 3 Divide the amount on line 1 by the number on line 2 enter the average tons of nonhazardous wood waste accepted Line 4 Enter the total tons of nonhazardous wood waste accepted for disposal as reported on line 1 Line 5 Enter the total tons of recycled nonhazardous wood waste which was removed from the waste reported on line 1 Line 6 Enter the total tons of inert nonhazardous wood waste which was removed from the waste reported on line 1 and not Line 7 Enter the total tons of other nonhazardous wood waste which was removed from the waste reported on line 1 and Line 8 TOTAL TONS OF NONHAZARDOUS WOOD WASTE SUBJECT TO THE FEE Subtract the total tons of recycled Line 9 This is the current rate of fee per ton of nonhazardous wood waste Lines 11and 12 Make check or money order payable to State Board of Equalization nonhazardous wood waste (reported on lines 5 6 and 7) from the total tons of nonhazardous wood waste accepted nonhazardous wood waste derived from timber production or wood product from the definition of "Solid Waste Landfill" nonhazardous wood waste derived from timber production or wood product manufacturing shall notwithstanding section nonhazardous wood waste exclusively and is required to have a solid waste facilities permit You are to report all nonhazardous not disposed of in a disposal facility You must attach a letter of explanation on the front of this form and applies for each month or portion of month after the due date payment is delayed after the due date The adjusted monthly interest rate is Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our per operating day If the amount is less than five tons enter 0 on line 10; you are not required to complete Section II PREPARATION OF THE RETURN PRINT NAME AND TITLE product manufacturing to the definition of "Solid Waste Landfill " READ INSTRUCTIONSBEFORE PREPARING return A duplicate of the return must be retained on the licensed premise for verification by BOE auditors ROUND TO THENEXT WHOLE TON Section 46027 of the Solid Waste Disposal Site Cleanup and Maintenance Fee Law exempted facilities receiving only SIGNATURE solid waste disposed at each disposal site which does not exceed the amount of the fee due and payable to the BOE by those STATE OF CALIFORNIABOARD OF EQUALIZATION The California State Board of Equalization (BOE) administers the Integrated Waste Management Fee Program under section This return must be filed on or before the due date shown above by every person who operates a disposal facility accepting timber production or wood product manufacturing shall notwithstanding section 48000 pay a quarterly fee to the BOE on all website at www boe ca gov click on the eServices tab and log in to make a payment To pay by credit card go to our website or call 1 855 292 8931 Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return wood waste accepted at each disposal site during the above calendar quarter YOUR ACCOUNT NO