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Home My WebLink AboutScanned on 10/24/2011 at 09:37:20 AUTHORIZATION APPLICATION FOR DISPOSAL OF SPECIAL WASTE Manchester Landfill, Manchester CT Part I Application Type This Application is for (check one) A New Authorization If an authorization to dispose X Renewal of this waste was issued before most recent DEP authorization number: ..Lot 1 A modification of an existing Expiration Date: September Q0k6— Authorization PART 11 Authorization Type and Fee Information Application Fee Asbestos Disposal Commercial $525.00 Asbestos Disposal Residential waived Contaminated Soil Disposal-Authorization $525.00 Special Waste Disposal Authorization $525.00 Commercial Transport Hauler Current Landfill Permit $130.00 * Checks made payable to "the Town of Manchester" Application sent to Sanitation Department 1 Landfill Way P.O. Box 191 Manchester CT 06045-0191 1 of 5 -PART III : . -Applicant I_Irifbrmation Applicant Town of South Windsor (full legal iiescFiption) Address . 1540 Sullivan Avenue City/State/Zip code, South Windsor, Cr :06074 Contact/Title C. Fred-Shag Phone (860) 644-2511.' Fax (860) -644-728Q Email Fro-,d.Shaw@soutbwindsor.org Generator/Site Owner (if different). Address City/State/Zlp Contactfritle Phone Fox Erticiii Transporter USA Hauling and-Recycling, Inc. Address 15-Mullen Road " Cityr/State/Zip Enfield., Cr 06082 Conf-act/ritle John Pizzimen - Phone (860 627-5753 Fax Consultant/Engineer none Address City/State/Zip code Contact/Title Phone Fax 2 of 5 AUTHORIZATION APPLICATION FOR DISPOSAL OF SPECIAL WASTE Manchester Landfill, Manchester CT Part I Application Type This Application is for (check one) A New Authorization If an authorization to dispose x Renewal of this waste was issued before most recent DEP authorization number: A modification of an existing Expiration Date: September 491-6— Authorization PART If Authorization Type and Fee Information Application Fee Asbestos Disposal Commercial $525.00 Asbestos Disposal Residential waived Contaminated Soil Disposal-Authorization $525.00 X Special Waste Disposal Authorization $525.00 Commercial Transport Hauler Current Landfill Permit $130.00 * Checks made payable to "the Town of Manchester" Application sent to Sanitation Department 1 Landfill Way P.O. Box 191 Manchester CT 06045-0191 1 of 5 PART Ni Applicant Information Applicant Town of South Windsor (full legal description) Address . ' : 1540 Sullivan Avenue C fi'/5ta#eltp code" 'South•Windsor,' CT :06074 Contact/Fftle C. Fred"Shaw Phone (860) 644-2511 Fox (860) '644-7280 Email Fred.Shaw@soutbwindsor.org Generator/Site Qwrier (if different). Address City/State/Tip Contact/Title Phone - Fax Emall Tfansporter USA Hauling and-Recycling, I=. Address 15-Mullen Road City/State/Tip Enfield, Cl 06082 Contact/rdle John ilizzimen - Phone (860) 627-5753 Fax Consultant/Engineer none Address City/State/tip code Contactfritle Wone Fax 2 of 5