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New
Payment Requested
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Dumpster
Pod
Type Full Name :
Sign With Hand
Clear
Done
Property Address
Certification
Date Set
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
{[PNAME]}
Geographic Location
Name
City
Dumpster Location
Secondary Dumpster Location Description
Fee
Applicant Signature
Primary Dumpster Location Description
Amount Due
Phone #
Use the map below to further drill down to the location of the tree (if applicable), Note that map will not display until address is populated above. Click EDIT and drag the map area until the black crosshair in the center is at the location of the tree, then click SAVE.
Applicant Information
By signing this waiver, you are releasing the Borough of Blakely from any damage that might incur while placing or removing the dumpster from your property.
Placement in a yard or driveway will not be allowed without management approval.
In addition, you are acknowledging that none of the following items will be placed into the dumpster:
ELECTRONICS ROOF SHINGLES DIRT STONE
MULCH CONCRETE CINDER BLOCKS BRICKS
APPLIANCES BATTERIES TIRES
Failure to comply with these requirements will result in additional fees to correct any infractions. Minimum dumpster fee is $200 per dump and there is a one-week time limit unless authorized by borough management. Your dumpster will be delivered within 7 days of your order. Requests sooner than 7 days in advance will be carried out to the best of the borough’s ability.
Container Type
Email
State
Date of Pickup
# of Dumps
ZIP
EDIT
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Property Address:
Reference #:
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