Waste Hauler Permit Application For Collection And Transportation Of Solid Waste And Recyclable Materials In Putnam County

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Putnam County Department of Health
Division of Environmental Health Services
Waste Hauler Permit Application for Collection and Transportation of
Solid Waste and Recyclable Materials in Putnam County
Please return completed application and direct questions to:
Mary Rice
Putnam County Department of Health
Solid Waste and Recycling Program
1 Geneva Road
Brewster, New York 10509
(845) 808-1390 Ext. 43164
===============================================================
To be completed by PCHD Staff
Transporter/Collector Name: ________________________________________________
Reviewed By: _____________ Date: _____________
Approved By: ______________ Date: _____________
Fee Paid /Check #: ______________________________
Permit Issued Date: _____________________________
Permit #: ______________ Expiration Date: _____________ # of Stickers Issued: _____________

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