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City Of Watsonville Application For Mobile Waste Hauler Discharge Permit Application

  1. 1. General Information

  2. 3. Waste Transport Vehicle Information

    List the model, license No., and capacity (Gal.) of your vehicle(s) below.

  3. 4. Waste Hauler Transports and Disposes Of The Following Category(ies) of Waste:

  4. 5. Existing Permit(s) or Authorization for Disposal of Waste:

    Type in the Permit No., Issuing Agency, and Expiration Date below: REQUIRED: Health Department permit if hauling septage OR Inedible Kitchen Grease certificate if hauling grease.

  5. 6. Non-Domestic Customer information for waste to dispose of at City of Watsonville Wastewater Treatment Facility

  6. 7. Administrative Official Employed by Applicant Responsible for Disposal of Hauled Waste

  7. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree to the terms listed below and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. TERMS A. The Permit Holder shall pay disposal rates based on the waste type as it corresponds to the City of Watsonville Fee Schedule. B. Disposal rates are based on the full volume of the waste tank on the transport vehicle. C. Payment of fees and charges are due when billed by the City and considered past due after 30 days. D. Overdue accounts may be referred to an outside agency to enforce payment. E. City of Watsonville may amend fees and charges during the term of the Permit. F. All mobile waste hauler discharges must comply with City of Watsonville Sewer Service Ordinance 6-3.513. G. All discharges must be documented on a Mobile Waste Hauler Load Identification Report.

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