2. WAYNESBORO CITY BULK COLLECTION PROGRAM

   WAYNESBORO CITY BULK COLLECTION PROGRAM

   The Bulk Debris Collection Program will be changing effective March 1, 2023. The New Program Guidelines will eliminate any free pickups and will charge on the basis of type of debris (Grindable Waste or Bulk Debris) and quantity of debris. See the chart below for a breakdown of costs.

   
   

   For any questions or corrections that need to be made regarding the submittal of an application please contact Public Works Operations at 540-942-6764.

6. Relation to Property*
   -- Select One --OwnerTenantLandlord/Property Manager
7. Do You Pay For Trash Services At This Property*

   1. Yes
   2. No
8. Are You The Account Holder For Water and/or Sewer Utilities*

   1. Yes
   2. No
10. FIRST NAME*
11. MIDDLE INITIAL*
12. LAST NAME*
14. UTILITY ACCOUNT NUMBER
15. UTILITY CUSTOMER NUMBER
16. Business or LLC Name (If Applicable)
18. SERVICE ADDRESS*
20. BILLING ADDRESS *
22. City*
23. State*
24. Zip*
26. PHONE NUMBER*
27. EMAIL ADDRESS*
31. FEE SCHEDULE

    Refuse Customers that Schedule a pickup will be charged in accordance with Column 1 (Cost per Pickup (by Request Only)..

    Non-Refuse Customers or Unscheduled Pickups will be charged in accordance with Column 2 (Non-Customer (by request only) / Unscheduled.)

     

    
    

    
    

33. ESTIMATED SIZE*
    -- Select One --GRINDABLE - LEVEL 1GRINDABLE - LEVEL 2BULK DEBRIS - LEVEL 1BULK DEBRIS - LEVEL 2COMBINATION/UNSURE

    Please estimate the size and type of your pickup.  City staff will determine the billable size and type at time of pickup, but estimating helps the City schedule your pickup. 

35. ACKNOWLEDGEMENT OF POLICY AND BILLING*

    BULK COLLECTION POLICY INFORMATION:

    By checking the box below I acknowledge that I have read the policy guidelines. https://www.waynesboro.va.us/702/Bulk-Collection

    I also acknowledge that I am agreeing to be billed for the service requested, and understand that this billing will show on my Utility bill or I will receive a General Bill from the City. 

    I am aware that if City staff determines my estimated size to be inaccurate I will not be notified and will be billed accordingly.

    1. I have read and agree to the above Policy and Billing information
37. REQUEST DATE*
    REQUEST DATE
38. SIGNATURE OF REQUESTER*
Leave This Blank:


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

    This field is not part of the form submission.

42. Submit

* indicates a required field