APPENDIX C. Uniform Environmental Citation Form
AR ADC 118.01.27 Appendix CArkansas Administrative CodeEffective: August 4, 2022
Effective: August 4, 2022
Ark. Admin. Code 118.01.27 Appendix C
Formerly cited as AR ADC 014.03.6 Appendix C
APPENDIX C. Uniform Environmental Citation Form
ENVIRONMENTAL CITATION
State of Arkansas
Ticket Number __________
Court Appearance:
You are directed to appear on the ____ of __________, 20___, in District Court of _____________ County, located at _________________________________________ at ____________ a.m./p.m.
I PROMISE TO APPEAR IN SAID COURT AT SAID TIME AND PLACE.
I UNDERSTAND THE ABOVE AND THAT MY SIGNATURE IS NOT AN ADMISSION OF GUILT.
THE UNDERSIGNED issuing officer, duly authorized to issue environmental violation citations, on the ____ day of __________ 20____, has identified evidence or has reason to believe the violation(s) set forth below were committed by or were found to be on the property of:
NAME: _______________________________________________
DL#/ DOB _____________________________________________
ADDRESS: _____________________________________________
______________________________________________________
PHONE: _______________________________________________
SITE LOCATION: ________________________________________
The above listed person is accused of violating provisions of the following State environmental law(s):
{ } violation of the Used Tire Recycling and Accountability Act, A.C.A. § 8-9-401 et seq.
{ } violation of Chapter 6 of Arkansas Pollution Control and Ecology Commission Rule 18;
{ } violation of A.C.A. § 8-6-2005 (1), illegal dumping of solid waste or illegal disposal of solid waste on public or private property.
{ } violation of A.C.A. § 8-6-2005 (2), the creation or participation in the creation or furtherance of an illegal dump site;
{ } violation of A.C.A. § 8-6-2005 (3), the illegal disposal of solid waste or illegal dumping of solid waste has resulted from a property owner's own household activities on his or her own land that:
{ } other violation of Chapter 6 of Title 8.
Remediation must be completed by the ____ day of ______________, 20______.
DEQ permitted facility disposal/processing receipts are required to be submitted to the issuing officer by the remediation completion date listed above.
Failure to appear in court as directed is grounds for issuance of an Arrest Warrant.
SIGNATURE: _____________________________________________
The undersigned further states that he/she has just and reasonable grounds to believe that the accused committed the offense as stated herein either by causing or permitting the indicated violation contrary to law on said property within ____________________ County.
ISSUING OFFICER: ________________________________________ License # __________
For further information regarding this notice, contact ______________________________
______________________________ at ________________________________________
Credits
Adopted July 9, 2020. Amended Aug. 4, 2022.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 118.01.27 Appendix C, AR ADC 118.01.27 Appendix C
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