HomeMy WebLinkAbout428 Linden St - Correspondence/Plans Approval - 02/05/2016f 1
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City of
Community Development & Neighborhood Services
,r F6rt 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 with questions about getting a recycle program
implemented, and will also provide education and site visits upon request (call Caroline Mitchell at (970)
221-6288).
PROJECT INFORMATION
Address Date "I. S /�
Permit No./ cep
General Contractor & Contact Info: `���°'v-f'' `-�' E'✓
7
Material;a.
Vendor hauling the
Facilityrecycling the
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Tg�vouji o r
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material2
material3
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Concrete/Masonry
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Jsi�, c--' /,� cJr� �F..�/
F'S�p ;y',: ,,,.rr=, ::,;;s;:
Wood/Lumber
Metals
Cardboard
Trash
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 ` u�ler certify that the above materials from my construction site were recycled in the
volume / weig d n i ed-arrd_were taken to the facilities described.
Signature (6ont , or or O er) Date
Signature (Liconsed Hauler) Date
'At minimum, 6e four [is d materials must be recycled.
2 Enter vendor name acid 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.
4 To be completed at the end of the project. Please re -submit this form at end of project with these sections completed.
Rev 1/15/I4