HomeMy WebLinkAbout615 E PLUM ST - CORRESPONDENCE - 1/27/2016`r
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,.,F6City of Community Development & Neighborhood Services
rt 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).
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PermitNo.4'-
PROJECT INFORMATION
General Contractor & Contact Info: CN A & zc�kic - q--7u r aai —H cj O-7
Material
Vendor hauling the
Facility recycling the
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material
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material3
Concrete/Masonry
Wood/Lumber
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Metals
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Cardboard
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Trash
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Other (describe)
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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 reouired in order to receive final project approval from the City
I and my City -lice sed hauler certify that the above materials from my construction site were recycled in. the
volume I7eig,h, scribed and were taken to the facilities described.
Signature ontr ctor or Owner) D to
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.
3 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 1/15/14