Form Center

Issuance of Waiver Application Form

Issuance of Waiver Application Form
Please complete the application questions as thoroughly as possible; this information will be considered as part of the internal review process and evaluation of the request for an Issuance of Waiver from the SWACO Board of Trustees. After the internal review is conducted, SWACO Staff will present a recommendation to the Board, via Resolution, either for approval or denial of the request.
Company Contact Information
Company Name*
Contact Name*
Email Address*
Address*
City*
State*
Zip Code*
Phone Number*
Fax Number
Continue

Environmental Impacts

Environmental Impacts
Identify the type/composition and quantity of materials that is the subject of the waiver request.*
State the method(s) to be utilized, type of processing, and the extent of the processing capabilities.*
Provide the name of the facility the requester is proposing to divert materials (i.e., a recycling facility, incineration facility, resource recovery operation).*
Is the material being reused or repurposed? *
1. Yes
2. No
State the anticipated tons to be collected and recycled, reused, or recovered and the methods employed to measure and evaluate the project.*
Does the facility currently implement a recycling program or means of diversion other than that which is the subject of the waiver request? If so, please describe.*
Does the facility currently landfill any materials? If so, please describe the types of materials sent and what landfill is utilized for disposal.*
State those disposal options/methods of waste management that have been explored for the facility and explain why those are or are not an option.*
Please include a breakdown of the percentage of the total waste stream that goes to each type of diversion (traditional recycling, composting, incineration, etc.) for the last 2 years, as well as what is anticipated for the year of the waiver. *
Please describe the program or diversion goals to be achieved through the grant of the waiver request.*
Please explain how the request results in positive environmental impacts. *
Please provide a brief statement as to how the request aligns with SWACO’s Mission to improve the community’s solid waste stream through effective reduction, recycling, and disposal. *
Please explain how this request is consistent with the objectives of the SWACO District Plan and OEPA State Solid Waste Management Plan to reduce Ohio’s reliance on landfills to manage the State’s solid wastes and establish objectives for solid waste reduction, recycling, reuse, and minimization.*
Please attach a copy of the requesting agency’s sustainability program statement (i.e., Zero Waste, Zero Waste to Landfill, Environmental Goals, etc.), if applicable.
Please explain how this request serves to benefit SWACO and the residents of its District. *
Continue |Go Back

Community and Business Impacts

Community and Business Impacts
Describe the potential for positive economic and environmental impact on the local and/or regional community as a result of this request. *
Has the requester operated pursuant to a previous waiver from SWACO? *
1. Yes
2. No
Are there any outstanding financial or compliance issues?*
1. Yes
2. No
Does the request propose changes to the current operations which will increase efficiency and/or create the potential for job creation and retention? If so, please describe.
What is the current and proposed impact on the community as related to this request? Will any level of services to the community decrease as a result of the request, and why?*
Does this serve to help subsidize services currently provided to the community (i.e., recycling services)?*
1. Yes
2. No
Continue |Go Back

Financial Impacts

Financial Impacts
State the tonnage of material being diverted from the SWACO designated facilities and being received by an alternate facility. *
Is any residual material from the proposed diversion being returned to a SWACO facility for final disposal?*
Describe the economic impact to the community as a result of this request. Does approval of the request economically benefit the community and/or the requester?
Supporting Documents
Please include any documentation that supports this request or which may be beneficial to SWACO Staff when evaluating the request.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit | Go Back

Search Forms:

Waiver Application

Steps

Issuance of Waiver Application Form

Environmental Impacts

Community and Business Impacts

Financial Impacts

Contact Us

FAQs

Site Links