Get AL ADEM Form 9 2009-2024

For help completing this application please contact ADEM at 334-271-7988. Alabama Recycling Fund Grant Application Applicant Information Lead Applicant Name/Entity Physical Address Regional Planning Commission Area s City County Contact Information Contact Person Email Address Governmental Body or Agency Name Federal Employer ID Number FEIN Mailing Address City State Telephone Number Zip Code Fax Number Project Costs Total Estimated Cost of Project Grant Amount Requested General Project Information Estimated quantity of material to be recycled or reused Estimate of how much of this amount will be from out-of-state What types of materials will be recycled When will the proposed project be fully implemented How many households are in the area covered by this project When was your local Solid Waste Management Plan SWMP approved Is the proposed project consistent with the approved SWMP What existing recycling efforts exist in your solid waste jurisdiction What is the estimated participation rate in recycling in the area Does the proposal include public education/outreach activities Does the project require advance funds If so how many households are served Is this application a regional project with more than one applicant If so who is/are the other jurisdiction s ADEM Form 9 01/09 ARF Application Page 1 of 3 Project Description Include project costs revenues list of and markets for anticipated recycled materials any public education and outreach efforts and any interaction with existing solid waste management and/or recycling infrastructure. If needed please include additional pages or attachments. List of Attachments May include proposed contracts requests for proposal agreements local SWMP revisions recycling business plans equipment drawings outreach materials or other documents related to the proposed recycling/waste minimizations project or program Signature/Certification This application is made for the activities described herein* I certify that I am familiar with the information contained in the application have authority to enter into agreements on behalf of the applicant s and do hereby certify to the best of my knowledge and belief this information is true complete and accurate. Responsible Official Signature Title Date Signed Submit three copies of this application with original signatures and all attachments to Recycling Unit Solid Waste Branch Land Division Alabama Department of Environmental Management P O Box 301463 Montgomery AL 36130-1463. If needed please include additional pages or attachments. List of Attachments May include proposed contracts requests for proposal agreements local SWMP revisions recycling business plans equipment drawings outreach materials or other documents related to the proposed recycling/waste minimizations project or program Signature/Certification This application is made for the activities described herein* I certify that I am familiar with the information contained in the application have authority to enter into agreements on behalf of the applicant s and do hereby certify to the best of my knowledge and belief this information is true complete and accurate. Responsible Official Signature Title Date Signed Submit three copies of this application with original signatures and all attachments to Recycling Unit Solid Waste Branch Land Division Alabama Department of Environmental Management P O Box 301463 Montgomery AL 36130-1463. .