APPLICATION FOR COUNTY GARBAGE SERVICE - Geneva …



GENEVA COUNTY SOLID WASTE1st FLOOR INSIDE GENEVA COUNTY COURTHOUSE Phone: 334-684-5685P. O. BOX 392 GENEVA, ALABAMA 36340APPLICATION FOR COUNTY GARBAGE SERVICE-205740115570FOR OFFICE USEACCOUNT #__________________ CONTAINER SERIAL #________________ PICK-UP DAY__________________0FOR OFFICE USEACCOUNT #__________________ CONTAINER SERIAL #________________ PICK-UP DAY__________________ACCOUNT #: _____________ CONTAINER SERIAL #: ________ PICK-UP DAY_________________NAME____________________________________________________________________________PHYSICAL ADDRESS_______________________________________________________________MAILING ADDRESS________________________________________________________________CITY____________________ STATE________ ZIP_____________ PHONE____________________EMAIL ADDRESS___________________________________________________________________SOCIAL SECURITY #: ________________________ DRIVERS LICENSE #: ___________________IN ACCORDANCE WITH FEDERAL IDENTITY LAWS, THIS OFFICE WILL NEED TO COPY YOUR DRIVERS LICENSE OR I.D. CARDNAME & PHONE# OF NEAREST RELATIVE (not living with you) ____________________________________________ YOUR EMPLOYER & PHONE #: _______________________________________________________PROPERTY OWNERS NAME, ADDRESS & PH #: _______________________________________________YOUR PREVIOUS ADDRESS__________________________________________________________RESIDENCE LOCATORPlease give directions to your home. Be detailed and list road names, numbers and landmarks: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________LOCATED NEXT TO (NEIGHBOR’S NAME) _________________________________(PAY IN ADVANCE) BILLS WILL BE MAILED MONTHLY MONTHLY RATE- $12.00 QUARTERLY RATE- $36.00 ANNUAL RATE- $144.00.GARBAGE PICK-UP IS ONCE A WEEK. THERE WILL BE A $3.00 PER MONTH LATE FEEFOR ANY ACCOUNT THAT IS NOT PAID IN FULL BY THE LAST DAY OF THE MONTH. THERE WILL BE A $25.00 SERVICE CHARGE ON ALL RETURNED CHECKS. THE UNDERSIGNED IS TO BE RESPONSIBLE FOR THE GARBAGE CAN. IF CAN IS LOST, STOLEN OR DAMAGED IN ANY WAY, THE UNDERSIGNED WILL BE BILLED FOR THE COST OF THE GARBAGE CAN. GARBAGE CANS MUST BE RETURNED TO THE COURTHOUSE IF THE UNDERSIGNED RELOCATES OUTSIDE OF GENEVA COUNTY.(You may pay by cash, check, money order, or credit/debit card.)If your account is 90 days past due, this is CONSIDERED FAILURE TO COMPLYWITH THE SOLID WASTE COLLECTION AND DISPOSAL LAW AND WILL NECESSITATE LEGAL ACTIONAS PROVIDED BY THE LAW, INCLUDING CHARGING THE PERSON IN VIOLATION WITH ACRIMINAL MISDEMEANOR. The Alabama Law (AL Code 22-27-1, et seq.) that establishes mandatory services and participation in the Collection of solid waste or garbage by Geneva County, provides that every person, household, business, Industry or property owner is liable for the monthly or annual fee for the solid waste or garbage collection service made available.AGREEMENT TO PAY: The undersigned accepts the fee charged as a lawful debt and promises to pay said fee including the cost of collection, reasonable attorney fees, and court costs if such be necessary, waiving now and forever the right to claim exemption under the constitution and laws of the State of Alabama, or any other state.Signed: _______________________________________________________ Date: _________________GENEVA COUNTY SOLID WASTE DEPARTMENTLOCATED INSIDE COURTHOUSE, 200 S. COMMERCE ST.P. O. BOX 392Phone: 334-684-5685GENEVA, ALABAMA 36340TO: GENEVA COUNTY RESIDENTIAL CUSTOMERS RE:GARBAGE COLLECTIONThe following is a list of mandatory Rules & Regulations pertaining to garbage collection:1.ALWAYS HAVE CONTAINER TO ROAD SIDE NO LATER THAN 5:00 A.M. or PUT OUT THE NIGHT BEFORE YOUR PICK-UP DAY. DUE TO UNFORSEEN CONDITIONS PICK UP TIMES & DAYS CAN VARY; WE DO NOT GUARANTEE A SPECIFIC PICK UP TIME.2.PLACE YOUR CONTAINER 10 TO 12 FEET FROM THE MAIN ROAD SIDE.3.ONLY GENEVA COUNTY CONTAINERS WILL BE DUMPED. NO EXTRA CONTAINERS OR BAGS OF GARBAGE BESIDE THE CONTAINER WILL BE COLLECTED.4.ALL GARBAGE MUST BE PROPERLY BAGGED. ONLY HOUSEHOLD GARBAGE WILL BE COLLECTED. NO TIRES, BATTERIES, FURNITURE, HAZARDOUS MATERIAL, WOOD, BRICK, CONCRETE, YARD WASTE, ETC. ALL SYRINGES NEED TO BE IN A PROPER CONTAINER. DO NOT PUT INTO CAN LOOSE!5.GENEVA COUNTY SOLID WASTE WILL OBSERVE THE FOLLOWING HOLIDAYS: New Year’s Day; Memorial Day; 4th of July; Labor Day; Veterans’ Day; Thanksgiving Day; & Christmas Day. DURING A HOLIDAY WEEK, IF ONE OF THE HOLIDAYS LISTED FALLS PRIOR TO OR ON THE DAY OF YOUR SCHEDULED PICK-UP YOUR GARBAGE WILL BE PIKCED UP ONE DAY LATER.6.WE DON’T CHARGE A DEPOSIT BUT DO REQUIRE $36 FOR 3 MONTHS SERVICE UPON ENROLLMENT. THERE AFTER WE BILL MONTHLY--$12.00 OR YOU CAN PAY IN ADVANCE FOR THE QUARTER $36.00; BI-YEARLY $72; OR BY THE YEAR $144.00. PLEASE NOTIFY US OF CHANGES IN YOUR BILLING ADDRESS, PHONE #, ETC.7.IT IS VERY IMPORTANT THAT YOU NOTIFY US IF YOU PLAN TO MOVE SO WE CAN TANSFER SERVICE OR DISCONTINUE SERVICE & STOP BILLING. IF YOU RELOCATE YOU MUST BRING YOUR CAN BACK TO THE GENEVA COUNTY COURTHOUSE AND MAKE SURE CAN IS CLEAN WHEN RETURNED.If your account is 90 days past due, this is FAILURE TO COMPLY with the Solid Waste Collection and Disposal Law, and will necessitate legal action as provided by the law, including charging the person in violation with a criminal misdemeanor.The Alabama Law (AL Code 22-27-1, et seq.) which establishes mandatory services and participation in the collection of solid waste or garbage by Geneva County, provides that every person, household, business, industry or property owner is liable for the monthly or annual fee for the solid waste or garbage collection services made available.IF YOU HAVE ANY QUESTIONS ABOUT YOUR GARBAGE SERVICE, PLEASE CALL OUR OFFICE 1-334-684-5685 ................
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