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Dump Permit Request Form

In order to process your permit, the entire form must be filled out. A valid email address is required in order to send the permit back to you.

Email Address:

 
 Date Permit Needed:

 
E-Permits must be submitted 48 hours in advance.
 
Drivers License Number: (no dashes or spaces)
 
First Name:
 
Last Name:
 
Address:
 
Zip Code:
 
Phone: (xxx-xxx-xxxx)