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Date: <br />Applicant: <br />Contact Name: <br />Street Address: <br />City, State, Zip: <br />Business Phone: <br />After Hours Phone: <br />E-mail: <br />Website: <br />Number of trucks: <br />Total estimated monthly disposal volume or <br />tonnage: <br />Under this Application and Agreement for Disposal of Septage, Food Establishment Sludge and Portable <br />Restroom Wastewater (Agreement), Indian River County will accept, for treatment and disposal process, <br />wastewater from septage, food establishment sludge and portable restroom wastewater. The applicant <br />desires to dispose of process wastewater in accordance with current regulations. <br />REQUIREMENTS OF ACCEPTANCE <br />1. All vehicles used must meet state and federal regulations governing transport of waste liquid on public <br />roadways. <br />2. Applicants must provide a copy of their Indian River County Occupational License and their Florida <br />Department of Health operating permit. <br />3. Applicant is responsible for any damages to Indian River County property or injuries to Indian River <br />County personnel arising from the Applicant's disposal activities. Applicant shall defend, hold <br />harmless and indemnify Indian River County with respect to any and all actions, causes of action, <br />liabilities, losses, damages or expenses (including reasonable attorneys' fees) arising out of or relating <br />to any negligence, intentional misconduct, breach of the requirements set forth herein, or breach of <br />applicable law by Applicant in conjunction with any of the activities described herein. <br />4. Applicant must have approval from the Indian River County Department of Utility Services (IRCDUS) <br />prior to delivery at the Residual Dewatering Facility located at 1325 74th Ave SW, Vero Beach, FL <br />32968, or at the Central Wastewater Treatment Facility located at 3550 49th Street, Vero Beach, FL <br />32967. <br />5. The only accepted wastes under this Agreement shall be septage, food establishment sludge and <br />portable restroom wastewater. All other waste shall be prohibited under this Agreement. The wastes <br />13 <br />