Division of Environmental Management
SOLID WASTE DEPARTMENT

RESIDENTIAL PERMIT APPLICATION

ON-LINE APPLICANTS - BY ACCEPTANCE, YOU AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THIS PERMIT.

INSTRUCTIONS - YOU MUST FILL IN EVERY FIELD OF THIS FORM AND THEN CLICK ON THE BUTTON AT THE BOTTOM TO CREATE AND PRINT THE FORMS.

DO NOT PRINT THIS PAGE! CLICKING ON THE BUTTON BELOW WILL TAKE YOU TO THE COMPLETED FORM THAT IS READY FOR PRINTING.

APPLICANT INFORMATION

A value is required.  A value is required.

A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

Physical A value is required.Minimum number of characters not met.Exceeded maximum number of characters. 

A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Include PO Box if Applicable

A value is required.  A value is required.Minimum number of characters not met.Exceeded maximum number of characters.  A value is required.Invalid format.

A value is required.

A value is required.

DESIRED PERMIT TYPE

$130
$95
Disabled American Veteran $95
$65
$15
$36