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C&D Diversion/Recycling Report Form

End of Project Report

This project report form has been developed for projects located in King County, including the City of Seattle. Some permitting jurisdictions require the use of this form as part of their permitting requirements while other jurisdictions refer permit applicants to it as an educational resource.

If your project is located in an area where the use of this form is required you need to make sure you select the correct jurisdiction and enter the correct permit number or your permit office may have difficulties processing the report.

Instructions: Complete the form as directed below. The materials diversion log will automatically update your diversion tonnage as you save the info for each row. Once you have finished entering data you can click the "Submit & Print" button to generate a pdf of your final report which you can send electronically to your permitting department (or print and mail).

Project Information

Project Title *

Project Address *

Project Jurisdiction *                     Permit # *
    

Type of Project *
Addition/Renovation       New Construction       Building Removal

Material Diversion Log: Select from drop down boxes or type in information. For more information on each field, hover mouse over each column header.

Load Type Material Type Diversion Method Quantity Hauler Name Material Destination  

Refer to refuse, recycling and reuse conversion factors (PDF, 244 K) for guidance. For additional assistance in filling out this report or for help in recovering materials from your job site please call King County DDES at 206-296-6600. Form revised 06.23.10.

I acknowledge that I am responsible for complying with all applicable jurisdictional requirements. This report is accurate and complete. Upon submittal, you will be able to print a copy of this form for your records.

Applicant/Owner First Name *

      

Last Name *

Applicant/Owner Phone #

 

Email Address


 

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Updated: Jul. 13, 2011


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