Annual Tier II Fee Report

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Facility Contact Name*
Facility Mailing Address*
Mailing Address for Payment Submission*
Annual Fee Calculation*
Satellite Facility Name
Number of Chemicals
 
If you have more than one facility in New Mexico, calculate the fees due for each facility by adding all facility amounts. For example, if an operator has two sites, one with two chemicals ($25) and another with five chemicals ($50), then the total amount the operator should pay is $75 ($25 for site one + $50 for site two = $75 total). If the total amount exceeds $250, then your payment will be exactly $250. Refunds will not be issued for overpayments. New Mexico does not contract with any online vendors for Tier II reporting or payment. To calculate the Tier II fees, use the schedule below.
Fee Matrix for Total Fee Due Per Operator (maximum payment of $250 per owner/operator.
By typing my name above I agree that the information provided within this form is true and correct to the best of my knowledge and belief. I certify that I have personally examined and am familiar with the information submitted in this and all attached documents. I hereby certify that either based on my person knowledge or my inquiry of those individuals immediately responsible for obtaining the information, the submitted information is true, accurate and complete.
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Payment must be received before processing & approval of report. For electronic payment, please follow the link to E-Bill Express.