Forms

Environment

Stormwater Forms

Form Name	Fillable	Legal Size
Detention Pond Planting Application & Authorization Request Form	•
Stormwater Facility Maintenance Request Form	•

Roads / Streets / Sidewalks Forms

Form Name	Fillable	Legal Size
Street Name Sign Maintenance Form	•
Storm Drain Flooding Report Form	•
Storm Drainage Problem Report Form	•
Walkway Problem Form	•

Tree Conservation Forms

Form Name	Fillable	Legal Size
Celebrated Trees: Big Tree | Historic Tree | Commemorative Tree | Favorite Tree	•
Tree Preservation Ordinance Request	•
Request for Waiver/Modification of Tree Canopy and Transitional Screening/Barrier Requirements

VPDES General Permit Coverage Forms

Form Name	Fillable	Legal Size
Registration Statement
Notice of Termination
Transfer Agreement
State Permit Fee Form

 

Stormwater Management

BMP Inspection Checklists and Certifications

Form Name	Fillable	Legal Size
Bioretention
Constructed Wetland
Dry Swales
Extended Detention Pond
Filtering Manufactured Devices
Filtering Practices
Grass Channel
Hydrodynamic Manufactured Devices
Infiltration Practices
Permeable Pavement
Rainwater Harvesting
Rooftop Disconnection
Sheet Flow
Soil Compost
Vegetated Roof
Wet Pond
Wet Swale

 

Public Works and Utilities

Utilities Forms 

Form Name	Fillable	Legal Size
Streetlight Cost Estimate Request	•

Wastewater Forms 

Form Name	Fillable	Legal Size
Business Film Developing Form	•
Discharge Groundwater From Remediation Site
Discharge Groundwater From Underground Storage Tank Remediation Site Form	•
Discharge Landfill Gas Condensate From Nonhazardous Landfill	•
Discharge Leachate From Nonhazardous Landfill	•
Discharge Survey Form	•
Ejector/Grinder Pump Request Form	•
Wastewater Discharge Application	•
Sewerage Service Application	•
Sewerage Service Application Fax Transmittal Form	•
Zero Discharge Certification

 

Recycling and Trash

See the list of Collection and Disposal Business Categories to determine which forms are relevant to your company.

(NOTE: All disposal forms require a W-9 "REQUEST for TAXPAYER IDENTIFICATION NUMBER and CERTIFICATION" be on file with the Fairfax County Solid Waste Management Program.  This form can be obtained from the IRS online or from their FAXBACK service at 703-368-9694, TTY 711. The form number is 10231 and the instruction sheet is form 20479.)

 

Collection & Recycling Forms 

Form Name	Fillable	Legal Size
Alternative Yard Waste Recycling System
Broker Registration Form	•
Broker Renewal Registration Form	•
Broker Client Information	•
Food Waste Composting Pilot Program
MSW Plan - Non-Residential
MSW Plan - Residential	•
Recycling Rate Reporting Form	•
Reduced Collection Frequency Notification Form	•
Waste Stream Calculation for Multifamily Properties	•
Waste Stream Calculation for Nonresidential Uses	•

 

Disposal Forms 

Form Name	Fillable	Legal Size
Application for Certificate to Operate, Collect, Transport and Dispose of MSW - Solid Waste Collector	•
Application for Disposal Permit - Nonsolid Waste Collector
Application for Tire Disposal Permit	•
Application for Commercial Cash Permit	•
Waste Delivery Disposal Agreement  Disposal Companies Solid Waste Company Collecting LESS than 5,000 Tons per Year Solid Waste Company Collecting MORE than 5,000 Tons per Year