TOWN OF GORHAM
CODE ENFORCEMENT OFFICE
75 South Street, Suite 1  Gorham, Maine 04038
P H O N E : ( 2 07) 2 22- 1 60 5  F A X : ( 2 07) 8 39- 4 79 3
Date Paid:
APPLICATION for JUNK YARD
REGISTRATION
MAP
PROPERTY
DESCRIPTION
LOT
REGISTRATION
FEE
REGISTERED
SIZE
$20.00/ Year
AC.
ZONING
DISTRICT(S)
NAME OF BUSINESS:
PHYSICAL LOCATION:
LAST DATE of
REGISTRATION
Name
OWNER’S
INFORMATION
Phone
Mailing
Address
Fax
Email
Name
NAME OF
OPERATOR
(IF DIFFERENT FROM
ABOVE)
Phone
Mailing
Address
Fax
Email
Describe type of materials processed on
site such as junk, scrap metal, vehicles or
other solid waste.
Is this facility part of a viable business
entity that actively engages in the business
of salvage, recycling, dismantling,
processing, repairing or rebuilding junk or
vehicles for the purpose of sale or trade?
How many storage areas are there, and
what is the actual size of each storage
area?
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Please explain under comment.
YES
NO
Are the required buffer areas maintained?
YES
NO
Are parking areas clearly delineated?
YES
NO
Is there road access to the site and all storage
areas? Are isles sufficient widths for
emergency fire services?
YES
NO
Is there exposed ground water?
YES
NO
Are both temporary and permanent structures
located on the property?
YES
NO
Are hazardous materials stored on-site? If yes,
describe the location and provisions for safe
storage.
YES
NO
Is the on-site erosion and sedimentation control
consistent with the approved plan? If there is
no approved plan, are Best Management
Practices for erosion and sedimentation control
consistent with State minimum requirements?
YES
NO
Do you have a reclamation plan pursuant to
Section 6?
YES
NO
Does the Code Enforcement Officer have
copies of the current required state & federal
permits?
YES
NO
Do you have a Performance Guarantee that
covers the cost of the reclamation?
YES
NO
Has there been any change to the location
and/or size of existing signs?
COMMENT
The undersigned declares the foregoing to be true and accurate to the best of his/her knowledge.
APPLICANT’S SIGNATURE
DATE
_______________________________________________
PRINT APPLICANT’S NAME
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