1095 Airport Rd. Breckenridge, CO
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- Mervyn Gordon
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1 The Town of Breckenridge s waste diversion program requires that all businesses utilizing town-owned shared dumpster enclosures fill out the following questionnaire on an annual basis. The information provided will be used to evaluate the shared enclosure admin fee on an annual basis. It will also help the town plan for future maintenance and/or expansion to better serve businesses. Please completely fill out this questionnaire or you will not receive access to shared enclosures. Questions that do no pertain to your company, use N/A. If you have any questions, please contact Public Works. Submit final form to jessieb@townofbreckenridge.com A: Business Information Name of Business: Physical Address: Mailing Address if different: Phone Number: Address: Website: Days of Operation: Hours of Operation: Number of Employees: Total Square Footage: BOLT License #: B: Contact Information Individual Responsible for Operation Name: Title: Phone: Individual Providing Information Name: Title: Phone: C: Type of Business See definitions in Appendix A - Check all that may apply Auto Repair Bank Bar Beauty & Spa Building Materials Car Wash Caterer Coffee Shop Construct./Landscape Convenience/Gas Day Care/Preschool Drugstore Equipment Rental Fast Food Food Production Grocery Store Gym & Fitness Hotel Industrial Manufact. Industrial Supplies Laundromat Lodge or B&B Medial Multi-Family Res. Nursing Care Facility Office & Education Restaurant Retail Schools, K-12 Self-Storage Services Social Club Theatre Vehicle Dealer Veterinary Wholesalers 1
2 Winery or Tasting D: Solid Waste Collection 1.Who is your waste (garbage, trash) hauler? 2.What waste enclosure do you use? 3. Is your trash service paid through a property management, HOA, or landlord agreement? 4. If yes, please provide contact information for PMC, HOA or landlord. 5. Do you or your HOA contract with a cleaning company? 6. If yes, please provide contact information for cleaning company. 7. How many waste receptacles (trash cans) do you have in your business? 8. How frequently are they emptied? 9. If you are a Restaurant, do you have a cooking grease hauler? If so who is your hauler? 10. If you are a Restaurant, do you have cooking grease storage? If so, please indicate where. 11. Do you have any special waste? (i.e. paint, hazardous materials, fertilizer/chemicals, construction or demolition debris, electronics, tires etc). If so, please indicate type. E. Recycling Collection 1.Do you recycle any of the following? Plastic containers Beverage Containers Food waste Cooking Grease Metal (non-beverage) Tires Paper Cardboard Glass Other NONE (go to question # 7) 2
3 2.Recycling service provided by: (check all that apply) Same as waste hauler Third party recycling company I self-haul my recycling to Other 3. How many co-mingled recycling bins do you have in your business? 4. How many glass recycling bins do you have in your business? 5. How many compost/food scrap bins do you have in your business? 6. Are your recycling, glass, and/or compost bins labeled with signage? (to download and print signage visit highcountryconservation.org/recycle) 7. Of the total waste generated, how much would you estimate gets recycled? % 8. If you do not recycle, what is your biggest barrier to starting? 9. Estimate % of trash that is still comprised of recyclable materials? (i.e. paper or beverage containers that are thrown out instead of recycled). % F: Organics Collection 1.Do you produce green waste (yard trimmings, landscape materials)? If no, go to F4. 2.How is your green waste managed? 3. What is your estimate of landscape area in square footage? 4. Do you generate food waste? If no, you have completed the form. Thank you. 5. How much food waste do you generate? 6. Do you compost your food waste? If no, go to F8. 7. Who is your food scrap hauler? 8. If you don t compost, would you like to? 3
4 9. If you don t compost, what is your biggest barrier to starting? Appendix A Business Type Auto Repair Beauty & Spa Building Materials Car Wash Caterer/Minor Food Retail Day Care/Preschool Gym & Fitness Hotel Laundromat Multi-Family Residential Office & Education Restaurants, Full Service Retail Theatre Definition Auto repair, painting, smog, oil change, tires, car stereo Hair styling, barbers, tanning, manicurists, health spas, skin treatments Sellers of bulk material often with installation component: carpet, glass, tile, lumber, air conditioners, stone, doors, windows, hardware, window coverings, canvas Primarily a car wash, does not include gas stations with car washes. Gas stations with mini marts are classified as Convenience Stores regardless of any other amenities onsite. Preparing food onsite and delivering it offsite or food businesses under 900 square feet. Facilities for pre-kindergarten children Gyms, dance studios, yoga studios, martial arts Hotels, inns with on-site front desk service. Area of restaurant within hotel must define waste as a Restaurant, Full Service Self-service coin-op laundries. Commercial laundries are under Services. More than one dwelling sharing trash service. This includes properties for short term vacation rentals with off-site management. Primarily dealing with information and paperwork: real estate, property management offices, accounting, government, counseling, investing, radio stations, design, travel, service organization, foundations, non-profits, newspapers/publications offices, professional services, business colleges, adult education, and any other education related businesses except Schools K-12. Primarily sit down service, washable tableware, little to no packaging on table, bakeries that serve meals, bars that also serve food. Selling products with little to no service component: clothing, household goods, jewelry, cosmetics, appliances, equipment, electronics, furniture, sporting goods, auto parts, pet supplies, showrooms, galleries. Movie or live performance 4
5 Wholesalers/distributors Winery or Tasting Moving goods through facilities and transportation networks with no direct sales to public May serve tastings and pairings. Appendix B Hauler Services Contact Information Waste Management Trash, Recycling (970) Timberline Waste & Disposal Trash, Recycling, Food Scraps (800) Clear Intentions (Glass Only) Glass (303) Appendix C Resources for Businesses Curbside Commercial Recycling Program Materials Accepted Drop-off Center Recycling Program Materials Accepted Recycling and Food Scrap Bin Labels, Stickers, and Signage 5
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