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1804 W Mountain Ave - Correspondence/Plans Approval - 02/03/2016 (2)
fort �011�ns Community Development & Neighborhood Services r 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 L tt D t� Address L% i VI'.���;c .� '� N\k Date /.1 i � C4 Permit No. I Lop ©U General Contractor & Contact Info: 'ice J•�% 1 �` 1 C- - l - Material' eindor hauling the Facility recycling the J4,' dfi :` i io m�teria12 . T+oi ,';v ._i, R1 M. jr:; Wood/Lumber i - _ �..._.,'a;:,••' C`1`l {l � fJ ,mow•' 1:... .r.-,. Metals )N-A ZA Cardboard Trash NIA Other (describe) Required Documentation`: 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 oroiect approval from the City I and my City -licensed hauler certify that the above materials from my construction site were recycled in the volume-/-Weighf described and were taken o the facilities described. i Signatur !(Contractor or Owner) Date// 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. Rev 1/15/14 .. PO BOX 1986 Payment Receipt ._ FORT COLLINS, CO 80522 PHONE 970-484-5556 FAX 970-484-0662 Date: 08/08/2016 WWW.GALLEGOSSANITATION.COM Trans Number: 732860 :! is l r'• r� , � r�;. ;_ S-�s:J Customer Information: Tender: PAY -CC RUCKER DESIGN BUILD Applied to: 1804 W MOUNTAIN AVE Reference: MASTER CARD-0618 ALJIFEA09A28A/9574. FORT COLLINS, CO 80521 Acct Nbr: 2546140 Total: $375.00 Go Green! Go Paperless! Sign up for Auto Pay and Electronic Statements Today. Save time and money. When you sign up for automatic payment, there are no longer any checks to write, stamps to buy, or late fees to pay. Your bank account or credit card will automatically be debited each period. Green. Reduce your carbon footprint by going paperless! We will email you your statement each period in a standard format. Print it if you like, or save paper and the ink and just save the digital PDF copy on your home computer or other storage device. Rewards. With credit card auto -pay you can potentially earn rewards from your credit card company Sian up Now by visiting our website and registering your account: Step 1: From our HOMEPAGE, click on My Account (top right above SEARCH bar) or the green Make a Payment tab. Step 2: In the middle of the screen above the USERNAME box, click Register Here. Step 3: Enter Account information (account & invoice number, username and password- this field is case sensitive.) Place a checkmark in the box "I'm not a robot," then click Register. Step 4: After you are registered and logged in, select Auto Payment from the menu on the left. Step 6: If you want to pay by credit card, click Enroll with a Credit Card. Then enter the requested credit card information before clicking the Save and Enroll button. Step 6: If you want to pay by ACH, click Enroll with a Check/ACH. Then enter the requested information for ACH, followed by the Authorize and Enroll button. Does it say you are already registered? If so, try your account number for your login and last four digits of your phone number as your password. else can you do on our Web Portal? View past invoices View payment history View your current subscription services and current pickup day for each service Request changes to your service More coming soon! Thank you for your business!