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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.

In order for electronic permits to be valid, you must print the permit and take it with you to the landfill.


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)