Appendix_G_-_C_D_Disposal_Form.pdf

MACDILL AFB CONSTRUCTION & DEMOLITION DEBRIS

DISPOSAL FORM

Project Title:___________________________________________

Project NVZR #:_________________________________________

This form is to be completed and submitted at 50% and 100% construction completion.

Material Disposal (landfill, incineration, etc.)

Data

Period Amount (tons)*

Disposal Facility/Location(s)

Oct-Dec

Jan-Mar

Apr-Jun

Jul-Sep

Total *please convert all weights to tons before completing this form

Material Diversion (reuse, recycling, etc.)

Data Period

Amount (tons)*

Recycling Facility/Location(s) Selling Price (if any)

Oct-Dec

Jan-Mar

Apr-Jun

Jul-Sep

Total *please convert all weights to tons before completing this form

Your project’s diversion rate

Target diversion rate

60 %

Please retain copies of weight tickets to support data reported on this form.

For questions/info, contact 6 CES/CEVT

828-0460