HomeMy WebLinkAbout125 S Grant Ave - Correspondence/Plans Approval - 04/07/2014:. Fc of Community Development & Neighborhood Services
ort Collins 281 N. College Ave. Fort Collins, CO 80522; Voice: 970-221-6760
- FAX: 970-224-6134
CONSTRUCTION WASTE MANAGEMENT PLAN and DOCUMENTATION
Note: Environmental Services staff is able to assist wit questions about getting a recycle program
implemented, and will also provide education and site sits upon request (call Caroline Mitchell at (970)
221-6288).
i PROJECT INFORMATION
Address Date Z-/
Permit No.
General Contractor & Contact Info: Y
Material
Vendor hauling the
materia12
Facility recycling the
material 3
Total volume or weight
of material4
Concrete/Masonry
Wood/Lumber
Metals
CO 1.4
Cardboard
Trash
N/A
Other (describe)
Required Documentation4: Provide signed documentation from the hauling company that the volumes &
weights listed above are accurate. If you hauled the materials yourself, attach tickets from locations receiving
the recyclables. Documentation is required in order to receive final project approval from the City_
I and my City -licensed hauler certify that the above materials from my construction site were recycled in the
volume / weigh cribed and were talOn to the facilities described.
Gam,
Sign a a (Contractor or Owner) Date
r�
Signature (Licensed Hauler)
Date
' At minimum, the four listed materials must be recycled.
2 Enter vendor name and phone number. If the applicant will haul the material themselves, state such.
Where will applicant or vendor take the material for recycling? Enter facility name and address.
° To be completed at the end of the project. Please re -submit this form at end of project with these sections completed.
Rcv 1/15/14