Recycling facility initial registration and update form

Instructions: Complete all sections of the form. This form is required for all recycling facilities subject to Section 8 of the Regulations Pertaining to Solid Waste Sites and Facilities 6 CCR 1007-2, Part 1 and §30-20-102(5) C.R.S.

If you have questions regarding this form, please contact Jace Driver at jace.driver@state.co.us.

Facility information

Facility type *

New facility

Existing facility changes/updates

Do you have approval to operate a recycling facility from your local governing authority? *

Yes

No

Facility name *

Business/corporate name (If different than above)

Facility street address *

Facility city or town *

Facility county *

Facility state

Facility zip code *

Is the mailing address the same as the street address? *

Yes

No

Mailing street address *

Mailing city or town *

Mailing county *

Mailing state *

Mailing zip code *

Facility operator name *

Operator's phone number (xxx-xxx-xxxx) *

Facility operator's email *

Please confirm email *

Is the facility operator the same as the facility owner? *

Yes

No

Facility owner's name *

Owner's phone number (xxx-xxx-xxxx) *

Facility owner's email *

Please confirm email *

Please indicate the primary contact *

Facility owner

Facility operator

Is the property owner the same as the facility owner or facility operator? *

The property owner is different than both the facility operator and facility owner.

The property owner is the same as the facility owner.

The property owner is the same as the facility operator.

Property owner's name *

Property owner's phone number (xxx-xxx-xxxx) *

Property owner's street address *

Property owner's city or town *

Property owner's state *

Property owner's zip code *

Property owner's email *

Please confirm email *

24-hour facility emergency contact's name *

Emergency phone number (xxx-xxx-xxxx) *

Emergency contact's email *

Please confirm email *