Clean Soil Request

NYC Clean Soil Bank Community Soil Request Form

Primary Contact

Date *

First Name *

Last Name *

Organization *

Address *

City *

State*

Zip Code *

Phone *

Email *

Relationship to property owner *

Property owner information (entity name and contact information) *

Has the property owner agreed to a soil delivery? *

Property/Site Information

Site/Garden Name *

Address *

Borough *

Zip Code *

List all tax block and lot numbers:

Block

Lot

Is this a Greenthumb Garden? *

Yes No Unknown

Type of soil requested (All have been tested to ensure they meet safety standards.) *

GENERAL FILL - Consists of clean sediment with little organic content. Appropriate for filling holes, grading, creating a level growing surface, etc.

UNRESTRICTED SOIL - Appropriate for filling sites and mixing with compost to grow vegetables.

GENERAL FILL TOPSOIL - Above + mixed with 25% compost. Appropriate for growing flowers, turf, and non-edible plants.

UNRESTRICTED USE TOPSOIL - Appropriate for growing vegetables.

Time Period and Quantity of Soil Requested

Quantity of clean soil needed (Cubic Yards): (If more than one type of material is desired, list each type and volume.) *

When is soil needed?

Earliest Date *

Anticipated Latest Date (If applicable)

How would you like to receive the soil?

I am requesting delivery

I have access to a truck and can pick up from the Clean Soil Stockpile in East New York.

Describe truck access to your space. (Specify the width and height of the opening.)

What do you plan to use the soil for? (Explain why soil requested is appropriate for the use: e.g. filling holes, building berms, growing non-edible plants, growing vegetables, leveling ground, preventing lead exposure, etc.) *

Soil physical characteristics required:

If you plan to mix the soil with compost, describe your plan to do so.

If you plan to pick up the soil at the Forbell Street Stockpile, describe your truck and experience driving heavy loads. (One cubic yard of soil weighs approximately 1.5 tons.)

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