Read MIDDLESEX COUNTY UTILITIES AUTHORITY- MIDDLESEX COUNTY LANDFILL text version

MIDDLESEX COUNTY UTILITIES AUTHORITY- MIDDLESEX COUNTY LANDFILL 53 Edgeboro Road, East Brunswick, New Jersey 08816 APPLICATION FOR MCLF FACILITY ANNUAL 2005 DECAL PROGRAM HAULER _____________________________________________________________________

Doing Business as, AKA, Trading As, etc.________________________________________________________________________ Business Address ____________________________________________________________ Mailing Address If Different Telephone No. Contact Persons: Administration Billing Operations ___________________________________________________________ _______________________ Fax No. ( )_______________

____________________________ Title __________________________ ____________________________ Title __________________________ __________________________ Title __________________________

My company will be collecting solid waste generated in the following Middlesex County Municipalities (check all that apply):

__ Carteret __ Cranbury __ Dunellen __ E. Brunswick __ Edison __ Helmetta __ Highland Park __ Jamesburg __ Metuchen __ Middlesex __ Milltown __ Monroe __ New Brunswick __ No. Brunswick __ Old Bridge __ Perth Amboy __ Piscataway __ Plainsboro __ Sayreville __ South Amboy __ South Brunswick __ South Plainfield __ South River __ Spotswood __ Woodbridge

TOTAL VEHICLES __________ x $5.00 ANNUAL HAULER ENROLLMENT FEE

$_______ $___25.00

TOTAL AMOUNT ENCLOSED (make check payable to "MCUA") $_________

I hereby certify that the information is correct and MCUA will be promptly notified of any changes. Additionally, I certify that I have received a copy of the MCUA Solid Waste Division Policies and Procedures manual and agree to abide by its terms and conditions, the NJ DEP rules and regulations and the Middlesex County Solid Waste Management Plan as may be amended from time to time.

_____________________________________

Witness

_________________________________

Authorized Signatory

_____________________________________ __________________________________ Date (OVER) Title

VEHICLE ENROLLMENT FOR (HAULER): __________________________

List vehicle type: packer, roll off, tractor, trailer, pickup, dump, stake body, etc. VEHICLE TYPE VIN CERTIFIED TARE WEIGHT LICENSE PLATE NJ DEP DECAL # *2004 MCUA DECAL #

For additional vehicles, please use a copy of this page * MCUA Decal # to be inserted by MCUA

TOTAL VEHICLES TO BE ENROLLED AT THE MIDDLESEX COUNTY LANDFILL ____________

HOW TO ENROLL AS HAULER AND OBTAIN VEHICLE DECALS 1. The Middlesex County Department of Planning, Division of Solid Waste Management has entered into a cooperative agreement with the Middlesex County Utilities Authority to streamline the collection of the recently approved Middlesex County Solid Waste Management Service Fee. 2. A major change for 1998 at the Middlesex County Landfill is the requirement for haulers and vehicles utilizing the facility to formally enroll with the Middlesex County Landfill. A self-adhesive vehicle decal will be issued by MCUA and must displayed on each vehicle collecting/transporting Middlesex County generated solid waste. A tractor and trailer are two vehicles. Roll off containers are not required to display a Middlesex County Landfill facility decal. The minimal cost for enrollment is $25.00 per hauler per year and $5.00 per vehicle per year to obtain the required decal. Each Middlesex County hauler/generator transporter must be separately enrolled. Your vehicle must be registered with and have a NJ DEP Solid Waste Decal in order to qualify for the Middlesex County Landfill facility decal. 3. Enclosed are application forms for the hauler and vehicle enrollment. Upon completion, return the application form to the Middlesex County Landfill with the appropriate check amount payable to "MCUA". Direct bill municipalities will have the amount invoiced and added to the voucher mailed at month's end. The MCUA will issue numbered decals and return a photocopy of the application form. The issued decals must be placed on the correct vehicle to be valid. Decals must be displayed by March 1, 1998 and should be affixed next to or near the current NJ DEP decal. After March 1, 1998 when information changes or when new vehicles are purchased, send an application form with the appropriate separate fee ($5.00 per vehicle) with your driver to the Landfill Office before entering the scales. 4. The Middlesex County Landfill will forward all required information to the various county agencies. In this way, the haulers will only be responsible to submit monthly reports or other transmittals to one address. 5. Questions about the hauler or vehicle enrollment process should be made to the Middlesex County Utilities Authority, Middlesex County Landfill, 53 Edgeboro Road, East Brunswick, NJ 08816, telephone 732-246-4313 and fax 732-246-8846.

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MIDDLESEX COUNTY UTILITIES AUTHORITY- MIDDLESEX COUNTY LANDFILL

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MIDDLESEX COUNTY UTILITIES AUTHORITY- MIDDLESEX COUNTY LANDFILL