Form YG4163 "Application to Operate a Beverage Container Depot" - Yukon, Canada

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Download Form YG4163 "Application to Operate a Beverage Container Depot" - Yukon, Canada

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APPLICATION TO OPERATE A BEVERAGE CONTAINER DEPOT
• Any person authorized to operate a depot must comply with the requirements of the Beverage Container Regulation,
O.I.C. 1992/136, as amended from time to time, and the Environment Act, R.S.Y. 2002, c.76.
• For more information on the legal requirements for the operation of a depot, including refundable deposits and manda-
tory record keeping, please visit www.gov.yk.ca/legislation/regs/oic1992_136.pdf
• All depots operating as businesses, societies, or other legal entities must register and maintain good standing with
Corporate Affairs. For more information and to register, please contact Corporate Affairs at 1-800-661-0408 ext. 5314
or at 867-667-5314.
• Please note that Permittees must meet all requirements of the Occupational Health and Safety Act.
• There are no fees for obtaining, renewing, or amending permits under the Beverage Container Regulation.
• For additional information about Government of Yukon recycling programs refer to:
• Environment Yukon Website: www.env.gov.yk.ca/air-water-waste/recycling.php
• Community Services Website: www.community.gov.yk.ca/cd/recycling.html
The original and signed application form should be mailed, faxed, emailed or delivered to:
Community Operations and Programs (C-12)
Community Services, Box 2703, Whitehorse Yukon Y1A 2C6
Fax: 867-393-6397
Email: ygrecycles@gov.yk.ca
1. APPLICANT
Business/society/municipality
Authorized representative
Position/title
Mailing address
Postal code
Email address
Phone #
Fax #
2. DEPOT INFORMATION
Street address
(civic address or lot and plan number)
Depot property owner*
(who has title to the land on which the depot is located?)
*If the applicant does not own the land on which the depot is located, written permission from the
landowner to operate a depot must be submitted with this form. Permission form attached?
Yes
No
N/A
Will the depot be located within municipal boundaries?
Yes
No
If yes, how is the area zoned? _________________________________________________________________________
Applicants must comply with any land use restrictions or zoning laws which apply pursuant to municipal or territorial
legislation, including municipal bylaws and regulations made pursuant to the Area Development Act.
What community(s) or area(s) does this depot service?
A site map detailing vehicle traffic flow (including commer-
cial truck loading access), storage/stockpiling area(s), and
building layout must be submitted with this form.
Is a site map attached?
Yes
No
YG(4163EQ)F3 Rev.06/2018
Page 1 of 3
APPLICATION TO OPERATE A BEVERAGE CONTAINER DEPOT
• Any person authorized to operate a depot must comply with the requirements of the Beverage Container Regulation,
O.I.C. 1992/136, as amended from time to time, and the Environment Act, R.S.Y. 2002, c.76.
• For more information on the legal requirements for the operation of a depot, including refundable deposits and manda-
tory record keeping, please visit www.gov.yk.ca/legislation/regs/oic1992_136.pdf
• All depots operating as businesses, societies, or other legal entities must register and maintain good standing with
Corporate Affairs. For more information and to register, please contact Corporate Affairs at 1-800-661-0408 ext. 5314
or at 867-667-5314.
• Please note that Permittees must meet all requirements of the Occupational Health and Safety Act.
• There are no fees for obtaining, renewing, or amending permits under the Beverage Container Regulation.
• For additional information about Government of Yukon recycling programs refer to:
• Environment Yukon Website: www.env.gov.yk.ca/air-water-waste/recycling.php
• Community Services Website: www.community.gov.yk.ca/cd/recycling.html
The original and signed application form should be mailed, faxed, emailed or delivered to:
Community Operations and Programs (C-12)
Community Services, Box 2703, Whitehorse Yukon Y1A 2C6
Fax: 867-393-6397
Email: ygrecycles@gov.yk.ca
1. APPLICANT
Business/society/municipality
Authorized representative
Position/title
Mailing address
Postal code
Email address
Phone #
Fax #
2. DEPOT INFORMATION
Street address
(civic address or lot and plan number)
Depot property owner*
(who has title to the land on which the depot is located?)
*If the applicant does not own the land on which the depot is located, written permission from the
landowner to operate a depot must be submitted with this form. Permission form attached?
Yes
No
N/A
Will the depot be located within municipal boundaries?
Yes
No
If yes, how is the area zoned? _________________________________________________________________________
Applicants must comply with any land use restrictions or zoning laws which apply pursuant to municipal or territorial
legislation, including municipal bylaws and regulations made pursuant to the Area Development Act.
What community(s) or area(s) does this depot service?
A site map detailing vehicle traffic flow (including commer-
cial truck loading access), storage/stockpiling area(s), and
building layout must be submitted with this form.
Is a site map attached?
Yes
No
YG(4163EQ)F3 Rev.06/2018
Page 1 of 3
3. DEPOT OPERATIONS
Hours of operation:
Summer dates:
May 1 to September 30
Other (specify) ______________________________________________
Winter dates:
October 1 to April 30
Other (specify) ______________________________________________
A depot must be open to the public for drop-offs and refunds for a minimum of 12 hours per month. Indicate the
hours and days of the week when your depot will be open to the public. When a depot is open staff must be
present and available at all times to provide refunds to the public for beverage containers.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Summer
Winter
How many staff will be involved in the day to day operation of the facility?
In addition to collecting refundable beverage containers, will the depot collect non-refundable recyclables?
Yes
No
If yes, confirm which products will be collected:
Glass
Mixed plastic
Hard mixed paper and office pack
Cardboard
Boxboard
Other (specify) ____________________________________________________________________
Please indicate whether your depot will have any of the following and provide a brief description of each:
Yes / No
Describe
Security and public access restrictions
(example: gates and fencing)
Equipment (example: fork lift/loader/scales)
On-site power
Baler(s)
On-site internet connection
Cellular coverage
On-site computer
4. TRANSPORTATION
How will the collected material be transported to a processing facility?
By the Government of Yukon under a commercial transportation contract;
By the depot as described in a Transfer Payment Agreement from the Government of Yukon; or
By the depot with reimbursement under the Government of Yukon Self-Haul Transportation Matrix.
If the material will be hauled by the Government of Yukon under a commercial transportation
contract, approximately how often will you require the carrier to provide service?
If the material is to be hauled under a Government of Yukon commercial transportation contract, the depot must
ensure that a standard cube van or 53-foot trailer can access and load the material.
Will the depot have a loading dock accessible to a standard cube van or 53-foot trailer?
Yes
No
N/A
If no, describe how materials will be loaded from the depot: _________________________________________________
_______________________________________________________________________________________________________
Page 2 of 3
Using the table below, indicate how material will be stored and transported.
Refundable beverage containers
Fibre bag / Bale / Pallet
Aluminum cans
Refillable beer bottles
Glass
#1 plastic (clear and coloured)
#2 plastic (natural ie. milk jugs only)
#2 plastic (coloured ie. Milk2Go, juice)
Mixed tetra paks/waxed milk cartons/foil packs
Tin (ie. tomato juice cans)
Other (specify)
Non-refundable recyclables
Fibre bag / Bale / Pallet
Glass
Mixed plastic
Hard mixed paper and office pack
Cardboard
Boxboard
Other (specify)
5. PROCESSING
To what processing facility will materials from the depot be transported?
Identify your point of contact at the processing facility.
Consent to publicly post the depot location and operating information on the Yukon government website.
I, _____________________________________________________________________________, certify that I am the authorized
PRINT NAME
representative of __________________________________________________________________________________ , and that
PRINT NAME OF BUSINESS OR SOCIETY THAT IS TO APPEAR ON PERMIT
the information provided in this application is correct and complete to the best of my knowledge.
________________________________________________
__________________________________
____________________
Signature of applicant
Date
# of attachments
This information is being collected under the authority of Section 9 of the Beverage Container Regulation and used for the purpose of administering the regulation. It may
be made available to the public in accordance with the Access to Information and Protection of Privacy Act. Questions about the collection or use of this information can be
directed to Community Operations and Programs, Community Services Department at (867) 667-8945.
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