HomeMy WebLinkAbout832 Benson Ln - Correspondence/Plans Approval - 12/17/2020Roofing Construction Waste Management Plan
1.
New Hidden Value
12/17/2020
1. Permit #
B2009388
2. Job Address
832 BENSON LN
3. Contact
AJ SHIRK ROOFING
4. Contact Address
330 N. Lincoln AVE STE 110
5. Contact Name
Anita Moore
6. Contact Phone
4027704148
7. Contact Email
ajmoore85@msn.com
8. Material Disposal Information
Material
Asphalt Shingles
Material Weight - Asphalt
1800
Disposal Location - Asphalt
Other - Write In (Required): East Regional LF
Were the asphalt shingles removed from the roof Class 4?
No
9. Waste Hauler Information
Self or Subcontractor
10. Upload Dispoal Receipts
Redbud-Stratton-Benson_Dump_Recpt.pdf
11. Form Agreement
I certify that the above information is correct, and materials include all trash and recycling from my construction
site which were handled in the manner described.
I Agree
Typed Signature
Anita Moore