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2. County of Louisa Solid Waste Disposal Permit Application

   In order to obtain a permit to use the convenience centers and the landfill, please fill out the following information. Permits are only issued to secondary address owners or property owners who do not live in the County.

   Note: New permits will not be issued until all prior year real estate taxes have been paid.

4. Please Select One of the Following*
   -- Select One --Part-time ResidentShort-term TenantFarm Use Vehicle

   If you are neither a part-time resident nor own a farm use vehicle, please provide a brief explanation as to why you are requesting a permit.

6. If you're a short-term tenant, you'll need to provide the following in the text box below:

   Property Owner's Name, Property Address, Length of rental, and note that all full time tenants must register their vehicle in Louisa County.

10. Name
11. Phone Number
13. Additional Permit Holder First Name
14. Additional Permit Holder First Name
16. Address
18. City
19. State
20. Zip Code
22. Email Address
26. Address
    Please list your property address in Louisa County, or a detailed description of the property such as a Tax Map Number:
28. Certification*

    I certify that the information contained in this application is true. I am not a commercial business, nor will I bring any solid waste from outside Louisa County. I understand that it is my responsibility as a resident/landowner to adhere to the procedures and policies of the Louisa County Landfill. I also understand that payment of current real estate taxes will be verified prior to the issuance of any solid waste disposal permit.

    1. I certify
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit

* indicates a required field