Chautauqua County, NY · Chautauqua County
Generator Waste Characterization Report
This application is completed by a waste generator or authorized representative seeking approval to dispose of a waste stream at the Chautauqua County Landfill.
At a glance
- Issued by
- City of Chautauqua County · Chautauqua County, Chautauqua County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chqgov.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The report documents a waste stream and helps the Chautauqua County Landfill determine whether it can accept the waste. The county requires approval before waste is transported to or disposed of at the landfill, with a separate application for each waste stream. The form asks for generator, billing, transporter, waste, and laboratory testing information, along with the generator’s signed certification.
Who needs it
A waste generator or authorized representative seeking landfill approval must complete a separate report for each waste stream.
How to submit it
Submit the completed, signed report with NYSDEC Form 47-19-7 and the analytical testing report, including QA/QC data and chain-of-custody document, to Chautauqua County Landfill, 3889 Towerville Road, Jamestown, NY 14701. Faxed or emailed PDF applications are also accepted.
About notarization
This document is signed and dated without a notary; the instructions require no notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Report
Download the Generator Waste Characterization Report PDF and the referenced NYSDEC Form 47-19-7.
- 2
Complete and Sign the Forms
Complete the report for the waste stream and sign the generator acknowledgement and certification.
- 3
Gather Required Testing Documents
Include the analytical testing report with QA/QC data and chain-of-custody document.
- 4
Submit to the County Landfill
Send the completed documents to the Chautauqua County Landfill by mail, fax, or email as a PDF.
Frequently asked questions
- Do I need a notary for the Generator Waste Characterization Report?
- No. The report is signed and dated without a notary, and the instructions do not require a notarized or sworn attachment or step.
- How do I submit the Generator Waste Characterization Report?
- Send the signed report with NYSDEC Form 47-19-7 and the analytical testing report, including QA/QC data and chain-of-custody document, to the Chautauqua County Landfill. Faxed or emailed PDF applications are also accepted.
- Does each waste stream need a separate application?
- Yes. The instructions state that a separate application is required for each waste stream, and the waste must be approved before transport to or disposal at the landfill.