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HomeMy WebLinkAboutFile Documents.517 Park Cir.0161.2018 (6).ARBK jTKIN COUNTII PITKIN COUNTY SPECIAL WASTE APPROVAL FORM SOLID WASTE CENTER This form is to be used to describe soils and/or cleanup materials which have been contaminated. The material being delivered for disposal at the Pitkin County Solid Waste Center can contain no free liquid and cannot be a hazardous waste under state or federal authority. All of the following information must be supplied: Name of Generator: Aspen Housing Partnership Mailing Address: 242 Mountain Laurel Drive City: Aspen State: CO Zip: 81611 Address of Contaminated material: 517 Park Circle (Opperable Unit 1)City: Aspen Telephone: (970) 319-9298 Cell: N/A Fax: N/A Email: jebradshawAmac.com Contact Person: Jason Bradshaw Company: Aspen Housing Partnership Signature: Date: Truck company hauling in: Phoenix Industries Date expected to start hauling: Dec. 2018 Charge to Account*: Shaw Construction inplace or check* Name on check: Shaw Construction *Charge accounts must be set up prior to hauling. Check must be at landfill with first haul but may be left open to run for a week at a time. ALL materials* must have Analytical Lab Data submitted and approval given before material arrives at landfill. Date submitted: Sept, 25, 2018 ffvia email Cathy.Hall@PitkinCounty.com ❑via fax 970-923-2043 *Soil from the Smuggler Superfund Site does not need labs submitted unless the City of Aspen has required additional testing. We require a signed approval copy of COA's "Smuggler Mountain Superfund Site Soil Removal Permit" Date Received: Sept. 25, 2018 Volume or Tons of Waste: 1,800 DYards ❑Tons Description of Waste: Fill: silty sand and gravel overlying sandy slightly silty gravel with scattered cobbles Date(s) of Waste Generation: Mid December- regular calls will be made to Katy Hall prior to trucking Source of Waste: 0 Spill 0 UST 0 AST 0 Non-friable Asbestos ❑)Other: Delisted Smuggler S.F. Op.1 If bringing in used Waste Containers have they been triple rinsed: ❑Yes 0 NA X Reviewed and approved by Pitkin County by: Date: Notes/Conditions: A copy of this approved form will be returned to you. Fax or Email: 1st Date Accepted at Pitkin County Solid Waste Center: Last Date: Run report for project. Total Tons: Smuggler: Copy the report to Tom Dunlop (Pitkin County) and Aaron Red(City of Aspen)