HomeMy WebLinkAbout629 COY DR - CORRESPONDENCE - 4/18/2019 WASTE MANAGEMENT PLAN and DOCUMENTATION
Address/Permit #(s): _______________________________________________________________________
Contact Person: ____________________________ Phone Number: _________________________________
Project Type: New/Alteration Demolition Re-roof
Instructions: Submit this form at the beginning and end of each project (re-roof projects only require final submittal).
At initial submittal, do not include weights, hauler signatures or documentation. All changes to this plan are subject to prior
approval. At project completion resubmit this plan with all fields completed and include the required documentation.
Documentation: Provide documentation from the hauling company and include the project address and services
provided. If you hauled the materials yourself, attach tickets from all disposal and recycling facilities.
Electronic submittal: environmentalcompliance@fcgov.com Questions: Jonathon Nagel 970-416-2701
Material
Company hauling the
material
(Write “self” if self-hauled)
Facility receiving the
material
Total weight of material
(Indicate units. Volume
okay)
Asphalt, Concrete, Masonry
Wood
Metal
Cardboard
Other
(Please describe)
Other
(Please describe)
Contaminated Recycling
(Do not include as trash.
Indicate material)
Trash, Asphalt Shingles
I understand that my failure to follow this plan or resubmit this plan could include penalties of over $2,500 per
day of the violation and up to six months in jail. I certify that the above materials include all trash and recycling from
my construction site and were handled in the manner described.
_____________ _____________________________________________
Contractor/Owner - Print Name & Signature Date
_____________
Date
_____________________________________________
Hauler(s) - Print Name & Signature
(Indicate company. If multiple include signature from each)
Rev 1-15-2019
629 W Coy Dr / B1901705
Sarah Hobbs 970.666.0321
Freddy Alvearez Larimer County Landfill
4/18/2019Anchor Roofing LLC / Jeramiah Larsen
Freddy Alvearez / Alvearez Roofing 4/18/2019
✔
8543 S CR 13, Ft. Collins, CO. 80525
970.669.1020
April 18, 2019
We have unfortunately misplaced the landfill receipts for the 3 jobs listed below:
2303 Tarragon Lane - B1902304
629 W Coy Dr. - B1901705
316 Grant - B1901703
Please accept the attached documents stating waste type and landfill used on the jobs
listed.
Thank you so much!
Sarah Hobbs
970.666.0321
sarah.anchorroofing@gmail.com