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​Permit Application for Commercial Hauling Company

APPLICATION

Municipal Solid Waste Collector License

MECKLENBURG COUNTY

Conditions of license:

1.  Provide all customers with solid waste collection as specified by contract.

2.   Notify the Land Use and Environmental Services Agency immediately of any change in name, address, or telephone number.

3.  Notify the Land Use and Environmental Services immediately of any major disruption of service.

4.  Notify all customers, and the Land Use and Environmental Services Agency, one month prior to ANY  operational status change (e.g. going out of business).

The undersigned as license holder shall indemnify and save harmless Mecklenburg County NC, its officers, agents, and employees from and against all losses, claims, demands, payments, suits, actions, recoveries and judgments of every kind and nature brought, asserted or recoverable by reason of any act or omission caused in part or in whole by the negligence of the license holder, its officers, agents, or employees arising out of activities performed or services rendered under this license.

For questions please contact David Coleman at (980) 314-3858

PRINT ALL INFORMATION 

  • Name of Company: ______________________________________________                                                                                                               
  • Inspection Contact Person ____________________________________________________________________________________________
  • Title: ______________________________________                                                                                 __________________________________        
  • Physical Address:  Street: ______________________________________________________________________________________________
  • City:                                          ________State:              Zip: _____                         
  • Mailing Address:   Street or P.O. Box ____________________________________                                                                                           
  • City:                                                          State:              Zip: ___________________
  • Telephone: Business                            __________________ Emergency                                  _________ Fax _____________   
  • E-mail address_______________________________________________________________________________________ 
  • Website "www.________________________________________________._________"
  • PRINT: Completed By: ______________         ______________________________________________________________________________
  • Title: _________________                                           _________________________________________________________________________         
  • Signature:                                                                                        ______________________________________Date: _____                                 

TOTAL NUMBER OF VEHICLES TO BE INSPECTED:                                       

Please use this fee scheduled to determine your payment:

  • 1 - 9 vehicles-  $30.00/vehicle
  • 10 or more vehicles - $30.00/vehicle for the first nine (9) vehicles ,$20.00/vehicle for each  additional vehicles

PAYMENT  AMOUNT ENCLOSED: _____________                                  

Vehicle(s) To Be Inspected (if more than 8, attach list with information below):

  ID NUMBER/LICENSE TAG NUMBER       YEAR            MAKE                MODEL/ TYPE        CAPACITY                       

1.                                                                                                                                                                      

2.                                                                                                                                                                      3.                                                                                                                                                                     

4.                                                                                                                                                                      

 5.                                                                                                                                                                     

6.                                                                                                                                                                     

7.                                                                                                                                                                      

8.                                                                                                                                                                     

Statistical Information:

1. Collection service provided:   Residential     Commercial   Construction/Demolition   (Circle all that apply)


The completed application, liability insurance documentation, and fee must be returned to:

David Coleman
Mecklenburg County Solid Waste
2145 Suttle Ave
Charlotte, NC   28208                                                                                                                                                                                   


Address

Office Location:


2145 Suttle Avenue
Charlotte, NC 28208

MAP

Hours: Disposal Site Hours Mon-Sat 7 a.m - 4 p.m.

Contact

General Inquiries
311 or 980-314-3867