HomeMy WebLinkAbout4306 NEW BEDFORD DR - CORRESPONDENCE - 3/2/20160.160101.6
�city of Community Development & Neighborhood Services
�Ort COl��rts 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).
Addres
Permit
General Contractor & Contact Info: P--em t, 1J.A- `-u-- l 7 0 —3-7 1—b WZ
Material
Vendor hauling the
Facility recycling the
materialZ
materia13
Concrete/Masonry
.�.,;w� k{i
N
=-yclicil,�c
�I
?3i4;tii:r f ' �•�i
GAAlG®►
Tej
,Wood/Lumber
P{',� y,..ice-2V%{(����l•'11!„Lw':1;.r�1
Metals
�•eI(y''. •.'
,.�..f ,. 11
,
Pi
Cardboard
-All
tf'f+r�''�Y�4�i�,•�;v1(;.{,, r'i
r..!;.`Y-T��ak {����r.P1J%� �,:.F
Trash
N/A
G xt 5`iy.,,ySr?c�}may x7,Pn�y;;2a_t.5sc':I
Other (describe)
li i'ii4 M1k�s Hot ,wy1 T^,1
�l'�%
l`.1 Lt` ":C a5�1.. •.' • ��1' �. u�l�[, i�l, .:!ry �1�/ �i1 .:`�i..,
f;`jy •{7}y?7' R")�' �� �/>' '.Nl'-�.._;yf �i
:.i': !:fl
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 proiect approval from the City.
I and my City -licensed hauler certify that the above materials from my construction site were recycled in the
.volume / weight de cribed and were taken to the facilities described.
✓� 31 7-1 1
Signature (Contractor or O 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.
9 Where will applicaAor 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