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Roofing Construction Waste Management Plan

Use this form for final roofing construction waste management plans only. Please fill in all information. Some fields may be automatically filled after entering your permit number. However, if any information is incorrect or missing, please enter the correct information.

Please do not submit this form if you a have roofing building permit issued on or after October 1, 2021.

1. Permit # *This question is required.

Please, contact Building Services at buildingservices@fcgov.com or 970-221-6760.

2. Job Address *This question is required.

3. Contact *This question is required.

4. Contact Address *This question is required.

5. Contact Name *This question is required.

6. Contact Phone *This question is required.

7. Contact Email *This question is required. This question requires a valid email address.

Please, check all materials that are applicable.
Be sure to fill in the questions that appear
once a material is checked or typed.

8. Material Disposal Information *This question is required.

Material

Asphalt Shingles
Other

Material Weight - Asphalt

Disposal Location - Asphalt

Please enter an 'other' value for this selection.

Were the asphalt shingles removed from the roof Class 4?

Material

Wood Shingles

How Wood Was Disposed

Material Weight - Wood

Disposal Location - Wood

Please enter an 'other' value for this selection.

Material

Metal Roof

How Metal Was Disposed

Material Weight - Metal

Disposal Location - Metal

Please enter an 'other' value for this selection.

Material

Ceramic Tiles

How Ceramic Was Disposed

Material Weight - Ceramic

Disposal Location - Ceramic

Please enter an 'other' value for this selection.

Other Material

How Other Was Disposed

Material Weight - Other

Disposal Location - Other

Please enter an 'other' value for this selection.

9. Waste Hauler Information *This question is required.

10. Upload Disposal Receipts *This question is required.

File: {{filename}} delete

If you do not have your receipt, please contact Environmental compliance at environmentalcompliance@fcgov.com or 416-2701.

11. Form Agreement *This question is required.

I certify that the above information is correct, and materials include all trash and recycling from my construction site which were handled in the manner described.

I Agree

Typed Signature *This question is required.