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2. Section 1. Site Information
4. Property Type*

   1. Multi-Family Dwelling with 5 or More Units
   2. Commercial Business (Any firm, partnership, proprietorship, joint-stock company, corporation, or association, whether for-profit or nonprofit, strip mall or industrial facility)
6. Site Name*
8. Physical Address*
12. Section 2. Compost/Organics Collection Service Waiver Request
14. Are you requesting a compost/organics collection service waiver for your site?*

    1. Yes
    2. No
16. Which type of waiver are you requesting?*

    1. De Minimis
    2. Physical Space
18. How much garbage and recycling is generated at the site each week (e.g., garbage = 2 cubic yard bin collected 2x/week = 4 cubic yards), if known?
20. Does your site have any of the following (check all that apply)?

    1. Employee eating area/break room
    2. Food service
    3. Kitchen
    4. Landscaping/plant debris that is not removed by a landscaping company
22. Please provide reason for waiver request*
26. Section 3. For Businesses
28. What are your Regular Business Hours Each Day (e.g., Mon 8-5, Tues, 9-4, etc.)?
30. What are the Minimum and Maximum Number of Employees Onsite at One Time (e.g., 8-10)?
34. Section 4. Supporting Documents*

    Select “Browse" to upload each document that supports your submission. Documents may include photos, site plans, receipts, contracts, etc.

    Allowable file types: gif, jpg, jpeg, png, pdf, doc, docx

36. Please explain what your supporting document(s) are demonstrating.*
40. Section 5. Certification
42. Name of Person Completing This Form*
43. Contact Phone*
44. Contact Email*

    All communication for this submission will be sent to this email address.

46. Attestation*

    1. I hereby certify that all information entered above is true and accurate to the best of my knowledge.
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field