Attachment C - Waste Management Plan.pdf
PDF 199 KB Posted
- Solicitation number
- 10231
- Issued by
- Colorado
About this file
This document is a Construction Waste Management Plan and Documentation form issued by the City of Fort Collins Community Development & Neighborhood Services. The form is designed for contractors to report and track waste materials from construction projects, including new construction, alteration, demolition, and re-roofing. It requires detailed documentation of different material types such as asphalt, concrete, masonry, wood, metal, and cardboard, including the company hauling the materials, the receiving facility, and the total weight of materials.
The form includes critical compliance information, with significant penalties for non-compliance - specifically, potential fines of over $2,500 per day of violation and up to six months in jail for failing to follow the waste management plan. Contractors must submit the form at the beginning and end of each project, with re-roof projects only requiring a final submittal. Electronic submission is to be made to environmentalcompliance@fcgov.com, and questions can be directed to Linda Hardin at 970-416-2701. The form was last revised on 1-15-2019 and requires signatures from the contractor/owner and hauler(s) to certify the accuracy of the waste management information.
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Text version
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: Linda Hardin 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
CONSTRUCTION WASTE MANAGEMENT PLAN and DOCUMENTATION
Address: _________________________________________ Permit #(s)
Contact Person: ____________________________ Phone Number: _________________________________
Attachment C mailto:environmentalcompliance@fcgov.com
| Contact Person: |
| Phone Number: |
| New or Alteration?: Off |
| Demolition?: Off |
| Re-roof?: Off |
| Company hauling the Asphalt Concrete Masonry: |
| Company hauling the Wood: |
| Company hauling the Metals: |
| Company hauling the Cardboard: |
| Company hauling the Contaminated Recycling: |
| Company hauling the Trash: |
| Facility recycling the Asphalt Concrete Masonry: |
| Facility receiving the Wood: |
| Facility recycling the Metals: |
| Facility recycling the Cardboard: |
| Date: |
| Facility receiving the Contaminated Recycling: |
| Landfill recieiving the Trash: |
| Total weight of the Asphalt Concrete Masonry: |
| Total weight of the Wood: |
| Total weight of the Metals: |
| Total weight of the Cardboard: |
| Total weight and type of Material: |
| Total weight of the Trash: |
| Company hauling the material 1: |
| Company hauling the material 2: |
| Facility recycling the material 1: |
| Facility recycling the material 2: |
| Total weight of the Material 1: |
| Total weight of the Material 2: |
| Address: |
| Permit #: |
File details come from the government source that posted it. Updated .