HomeMy WebLinkAbout417 N GRANT AVE - CORRESPONDENCE - 6/2/2017�Gtyof C Community Development & Neighborhood Services
� Collins 281 N College Ave Fort Collins, CO 80522, Voice 970 221-6760
FAX 970 224 6134
CONSTRUCTION WASTE MANAGEMENT PLAN and DOCUMENTATION
Note City staff is able to assist if you have questions about implementing a construction site recycling program please
call Jonathon Nagel at (970) 416 2701
�7 PROJECT INFORMATION
Address(es) /�
Permit #(s)
General Contractor & Contact Info �en 64".5
Instructions Submit the construction waste management plan at the beginning and end of each protect At first
submittal do not include the total volume/weights signatures or documentation At protect completion resubmit this plan
with ALL fields completed along with the required documentation If one or more materials were not generated during the
protect indicate as such
Documentation Provide documentation from the hauling company listing the protect address and services provided If
you hauled the materials yourself attach tickets from all facilities recycling the materials
Vendor hauling the
Facility recycling the
Total volume or weight
Material
material
material
of material
Indicat 1f self -hauled
Indicate units
Concrete/Masonry
N /L
(Required)
Wood/Lumber
(Required)
�1 "
Metals
\
Se I
Co bni-45
100 Its
(Required)
�a/y)
Cardboard
Se.
�( `���
I f
t�
(Required)
yam( S
Trash
S �
N/A
I tL
k
Contaminated loads
(Intended recyclables sent
N/A
to landfill Indicate material)
I and my hauler certify that the above materials from my const-Fuctlon site were recycled in the volume / weight described
and were taken to the facilities described
-ro, Q (,e�ID�c I� 6/.-1 17
Print Name & Signature - Contractor or Owner Date
/ C'4 a V� L-�
of&/ %..� <1 0i
Print Name Signature - Hauler(s)
(If multiple indicate vendor and include signature from each)
61�),'-2
Date
Rev 5 1 2017
0/80017 11 34 AM Sales Receipt #599980
Store 1
HAGEMAN EARTH CYCLE
3501 Lnst Prospect Road
Fort (,olhnc CO 80525
970 221 7173
V1ww hagemanemlhcycle com
BIII To
Lenoch Constmolon
417 N Grant Ave
Fort Colhns C) 80521 d
Cashier MalyJo
Description I Oly Fnce Eet Ir Ice
CaratluPLonMaten 1 $750 $2 50
SutAotal ,22 hl
County bales ia> 0 % Tax + $0 00
RECEIPT TOTAL $22 50
Account $12 °0
Sic3n4turo __
I Ugrce to I ay a ove amount according to card
r suer agreement tmerchmlt agreement
if wedit voucher,
Thank you for yourbusmess'
COMPANIONS WI rH NATURE
0/8/,017 3 14 PM Sales Receipt 1160017b
Store I
HAGEMAN EARTH CYCLE
3501 E tst Prospect Road
Fort (,olluls CO 8056
9/0 221 7173
www hagemane tlthcyr le r om
BIII To
I enoch Construction
417 f r Grant Ave
Fort Collins CC) 80521 ;
r
Cashier M,i/Jo
ijt " nption I OIy Price Ert I'nw
0111trw hoii Mrlui _' $7 50 FI9 Ju
Subtot it $I i 00
'r Int; 0 % lax $0 00
RECEIPT TOTAL $15 00
air cunt $ 1 100
Slgn tul - -- -- --
,I c r pay above anwunl arcodmg to c,ld
Duel agr�enrent (merrhant ay uement
it rdit vuurher)
shank you for your business'
COMPANIONSWITH tl VURE
Weitzel & Sons Excavatin& Inc.
225 South Taft Hill Road
Fort Collins, CO 80521-2229
970-482-9777
uww WettzelandSonsExcavatzng coin
BX To-
Lenoch Construction
417 Grant St
Ft Collins, CO 80521
1 IWI)5f " V
5/30/2017
Ship Ta
417Gran t St
Ft Collins, CO
Invoice it '
5375
De,smphon
Qty
Rate
Amount
Dump Truck _ _ _ _ __.. _ . ,._
Compost (4 yards)
Top Soil (5 yards)
2
4
5
_ 85 00_
2395
33.00
170 00
95 80T
165.00T
_
Terms Due upon receipt
Finance charge will be
1 o, _____. t_ __ ___ _____.__r _. _._
subtotal $430.80
Sales Tax Q 401o) $19 30
Total. $450.10
Payments/credits $0 00
Balance Due. $450 10
MI r /J/o Pur /murilm, ui art ttrtrmut vale Vf /i /o
Weitzel & Sons Excavatin& Inc.
225 South Taft Hill Road
Fort Collins, CO 80521-2229
970-482-9777
uraw Wei tzelan dSonsExcavah ng con/
Bdl To-
lenocln Construction
417 Grant St
Ft. Collins, CO 80521
es{, 0Dnte InvoiceH
5/77/2017 5372
Slip To
417 Grant St
Ft Collins, CO
Description
Qty
Rate
Amount
Dump Truck
2
85.00
17000
Compost (4 yards)
4
23.95
95 80T
Top Soil (5 yards)
5
33.00
165 OOT
Subtotal- $430 80
Sates Tax (7401b) $19.30
Total. $450.10
Terns Due upon receipt
Payments/Credits- $0 00
Finance charge will be
Balance Due. $45010
u u, 1 /./ie per month, or un unnuuI /utc Uj 41 /e