Waste Hauler Permit Application For Collection And Transportation Of Solid Waste And Recyclable Materials In Putnam County Page 4
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15Instructions for acquiring a waste hauler permit to collect and transport
Solid Waste and Recyclable Materials in Putnam County
The attached application for a permit should be completed in its entirety and returned to this
department on or before February 15, 2013 and include the following:
Completed permit application for Collection & Transportation of Solid Waste and
Recyclable Materials in Putnam County.
Completed Annual Report forms based on the previous year of business.
A Certified Check or Money Order made payable to the Putnam County Department of
Health in the amount of $ 200.00, plus $1.00 for each vehicle exceeding the 5 covered by the
$200.00 fee.
For new applications only: If the business is a corporation, a copy of the Certificate of
Incorporation, if a sole proprietorship, a copy of the Certificate of Business or if a
partnership, partnership papers need to be attached, signed and notarized.
Proof of Workman’s Compensation and Disability Benefits Insurance (forms C-105.2 and
DB-120.1) If such insurance coverage is not required, WC/DB CE-200 exemption (see
attachment 1) certificate must be submitted with this application. ACORD forms are not
acceptable.
Copy of valid Waste Transporter Permit from the NYS DEC (applicable to haulers of
Regulated Medical/Infectious Waste)
A letter from the owner of the listed disposal facility (s) permitting you to dispose of the
waste material indicated on the permit at their facility.
The attached “Notarized Certificate of Applicant” must be completed, signed and notarized.
The completed application should be returned to the:
Putnam County Department of Health
Division of Environmental Health
1 Geneva Road, Brewster, New York 10509
Att: Mary Rice
If requesting a renewal, failure to return completed application may result in a lapse of your permit.
In the future, at the discretion of the Department of Health, arrangements may be made for an inspection
of your vehicle (s). Please note that the following items would be inspected:
The vehicle containers must prevent the loss or discharge of offensive material during
transportation.
The identification of the owner of the vehicle or the business name and address must be
clearly posted on both sides of the vehicle.
The Putnam County Permit sticker is to be displayed prominently on each truck or vehicle
registered.
All materials must be collected, stored and transported properly separated in accordance with
the Putnam County Solid Waste Management Plan and County Code 205.
Please contact Mary Rice at (845) 808-1390 ext. 43164 if further information is required. Your
cooperation is greatly appreciated.
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