Municipal Solid Waste (Msw) Collector and Recycler

MUNICIPAL SOLID WASTE (MSW) COLLECTOR AND RECYCLER

REGISTRATION and REPORT FORM

KRS 224.43-315 (2) states “….all persons providing collection service, including collection for the

purpose of recycling, shall register annually with the counties in which they provide the service.”

KRS 224.43-315 (3) states “ … all persons providing collection service, including collection for the purpose of recycling, shall report annually to the counties in which they provide service.”

NAME OF COUNTY: ______REPORTING PERIOD: Jan 1 – Dec 31, ______

CITY OF ______

COLLECTOR TYPE:

____ permit hauler _____ city permit hauler

____ franchise hauler _____ municipally owned

____ private hauler _____ city franchise hauler

____ recycler _____ transfer station or convenience center allowing self haul

1. Name of Collector:

2. Company Name:

3. Doing Business As:

4. Contact Person Name and Title:

5. Contact Person Phone Number:

6. Contact Person Fax Number:

7. Contact Person E-Mail Address:

8. Address:

City/State/Zip Code:

9. Routes and Coverage Area:

(please identify cities, subdivisions, neighborhoods, etc.)

10. Number of Households Served:

11. Number of Businesses from which MSW is collected for disposal or recycling:

12. Of the total from 11, how many of these establishments are industrial facilities?:______

For solid waste collection reporting, answer questions 13-14.

13. Average monthly cost per household: $ ______(for waste pick-up)

$ ______per bag (cost if charged per bag)

$ ______(rate for low income/elderly)

14. List the tonnage of Municipal Solid Waste collected for disposal by your company from ______County.

Amount Disposed Disposal Facility/Transfer Station Tipping Fees

______tons ______$ ______/tons

TOTAL ______tons

For recycling reporting, answer questions 15-17.

15. Do you offer door-to-door recycling? Yes ______No ______.

16. How many households in the county in which you are registering do you provide door-to-door recycling for each year? ______

Average monthly cost per household for recycling: $______(curbside recycling)

$ ______(yard waste pick-up)

17. Amounts of recyclables collected by weight per year. Auto salvage yards and scrap yards shall report the number of tons of material (metals, batteries, etc.) shipped off site to be recycled, not parts sold for reuse.

Newspaper ______tons Metals – Non ferrous ______tons

Plastic ______tons Steel cans ______tons

Cardboard ______tons Motor oil ______gallons

Office paper – mixed _____ tons Mixed residential paper ______tons

Office paper – white _____ tons Lead acid batteries ______each

Glass ______tons Electronic equipment ______tons

Aluminum ______tons Other ______tons

Metals – Ferrous ______tons