CONSTRUCTION & DEMOLITION DEBRIS CERTIFICATION FORM

Formulario de certificación de reciclaje

It is required that all covered projects (residential or commercial building, demolition or similar projects) recycle 50% of waste generated at the permitted site. Full details can be found in Lee County Ordinance 07-25. Recycled material must be taken to Lee County-approved facilities.

Permit Information

Permit Number*

Name of Permittee/Company*

Project Address*

Permittee Contact Person*

Phone Number*

Email Address*

Supporting Documents

Note: File size must be less than 2 MB

Upload Supporting documents*

I hereby certify, under penalty of perjury, that at least 50% generated at this project was reused or recycled at a County-approved facility and that the supporting inforation submitted with this Recycling Certification Form is true, accurate and completed meeting the conditions outlined in Lee County Ordinance 07-25.

Total Debris Generated (weights totaled from debris weight tickets)*

Name of disposal facility*

Signature*

Print Name*

Title*

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