Jefferson County, NY · Jefferson County

No notary required

Commercial Waste Permit Application

Jefferson County haulers and other entities use this application to request a permit to use the County transfer station.

At a glance

Issued by
City of Jefferson County · Jefferson County, Jefferson County, New York
Notarization
Not required: file this form without a notary.
Official source
Original source unavailable. Use the archived PDF.
Blank form
Download the PDF
Catalogued
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Original source unavailable. Use the archived PDF.

What this form is

The application requests a Commercial Waste Permit for haulers and other entities that want to use the Jefferson County transfer station. Applicants provide business and customer information, describe the waste they collect, list vehicles, and certify the information they submit. The County requires the completed application, a $150 permit fee, and specified insurance and vehicle documents; incomplete submissions may be denied.

Who needs it

Haulers and other entities seeking to use the Jefferson County transfer station must submit this application and the required supporting documents.

How to submit it

Return the application, $150 permit fee, and supporting documents to Jefferson County Recycling and Waste Management, 27138 NYS Route 12, Watertown, NY 13601. Make checks payable to Jefferson County Treasurer.

About notarization

This document is signed and dated without a notary; the applicant certifies the information under penalty of law, but no notarized attachment or related step is specified.

How to submit this form

  1. 1

    Download the Application

    Download the Commercial Waste Permit Application and review the requirements and checklist.

  2. 2

    Complete the Application

    Fill out the applicable business, customer, waste, and vehicle sections, then sign and date the certification.

  3. 3

    Gather Required Documents

    Include the $150 fee, vehicle registrations, and required insurance documents; submit Form CE-200 if applicable.

  4. 4

    Submit to the County

    Return the application and supporting materials to Jefferson County Recycling and Waste Management at the address listed on the form.

Frequently asked questions

Do I need a notary for the Commercial Waste Permit Application?
No. The application has a signature and date line but no notary block. The applicant certifies the information under penalty of law.
How do I submit the Commercial Waste Permit Application?
Return the completed application, $150 permit fee, and required documents to Jefferson County Recycling and Waste Management at 27138 NYS Route 12, Watertown, NY 13601.
What documents must accompany the application?
The checklist calls for insurance certificates and vehicle registrations. It also requires Form CE-200 if Workers’ Compensation, Disability, and Paid Family Leave Benefits coverage are not required.
Who needs a Commercial Waste Permit?
Haulers and other entities must apply for and receive a Commercial Waste Permit to use the Jefferson County transfer station.

Need something notarized?

This Commercial Waste Permit Application doesn’t need a notary, but if you have another Jefferson County form that does, a commissioned online notary can help.