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BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SV ,CES-BUILDING
CONSTRUCTION DEBRIS RECOVERY FINAL REPORT
Final inspection will not be scheduled until completed report submitted
APN: Building,Permit #
Submit completed form in person or by
r mail to:
Butte County Development Services -
Building
7 County Center Drive
Oroville, CA 95965
Owner Name: Owner Phone: )
Jobsite Address: Project Type: ❑ Construction 1] Demolition
Jobsite Contact:
Company:
Jobsite Phone:
MATERIAL
Reuse
Tonnage
Recycle
Tonnage
Disposal
Tonnage
ACTUAL FACILITIES/SERVICE PROVIDERS USED
Inert Material (concrete, asphalt)
Lumber
Plant/Tree Debris
Dry Wall
Metal
Cardboard
Other:
Other:
'
Total tons of material disposed of (not recycled or reused)
Total tons of material not disposed (either recycled of reused)
Percent recycled/reused %
Please sign indicating that the above information is true and correct to the best of your knowledge:
Applicant:
(Owner or Contractor):
Circle which
Final Report returned with comments: (Initial) Date: _
Final Report approved: (Building Inspector)
Date:
Attach copies of weight receipts, gate tags, or
other verifying information for all materials
that were reused, recycled or disposed.
Date:
"FI Lr:--;- Cotte
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING
CONSTRUCTION DEBRIS RECOVERY PLAN: Pre -Construction
Building permit will not be issued until completed plan submitted
APN: Building Permit #
Owner Name:
Submit completed form in'person or by
mail or fax to:
Butte County Development Services -
Building
7 County Center Drive
Oroville, CA 95965
Phone: (530)538-7601
Fax: (530)538-2140
Owner Mailing Address: Owner Phone: ( )
Jobsite Address:
Jobsite Contact:
Brief description of project:
Company:
Project Sq. Ft.:
Project Type: *:-i Construction I Demolition
Jobsite Phone: ( )
By signing below, I acknowledge that I am responsible for complying with the requirements of Ordinance 2006-3925 (Chapter 31, Article VII) related to recovery of construction and
demolition debris and the lack of compliance may result in delays in issuance of building/demolition permit(s), hold on final inspections) and/or penalties.
Applicant:
(Owner 1 Contractor) Signature: Date:
(Circle) (2)
MATERIAL 1
Reuse
Recycle
Dispose
FACILITIES/SERVICE PROVIDERS TO BE USED 3
Inert Material (Concrete, asphalt)
Lumber
Plant/Tree Debris
Dry Wall
Metal
Cardboard
Other:
Other:
Recovery Plan approved: Date:
(Building Division)
Please refer to the Butte County online Recycling Directory for local recycling service providers at:www.RecycleButte.net.
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