Municipality / Organization contact Contact Person Email Phone Address Address 2 City Postal Code Fax Number Details of the Site Location Address(es) or Nearest Major Intersection Latitude Longitude Description of Waste Materials Estimated Date(s) of Disposal at the Landfill Vehicle License Plate(s) Do You Have Image to Submit - Select -YesNo Submit Your Image One file only.32 MB limit.Allowed types: gif, jpg, png, svg. CAPTCHA
