Construction and Demolition Debris Diversion Plan

This form must be completed by the owner or contractor and submitted, along with original receipts from all vendors and
facilities which collected or received construction and/or demolition debris, to the Building Department not less than five
(5) business days prior to the scheduled date for the final inspection of any of the following:

1. the construction of a new principal structure,
2. the demolition of more than one thousand five hundred (1,500) square feet of gross floor area, or
3. the renovation and/or addition of more than one thousand five hundred (1,500) square feet of gross floor area, or
4. other projects as determined by the Director of Community Services to achieve compliance with the Riverwoods
Construction and Demolition Debris Diversion Ordinance.

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Applicant Information

Applicant Name: *

Applicant Address: *

Applicant Phone: *

Applicant's Email

Is Owner Information the same as Applicant's? *

Owner Information

Owner Name *

Owner Address *

Owner Phone *

Owner's Email *

Percent of debris diverted: * lbs

(must be equal to or exceed 75%)

Weight of construction and/or demolition debris diverted: * lbs

Weight of construction and/or demolition debris generated: * lbs

Scope of Work/Project Description: *

General Contractor Information

Company Name *

Primary Contact *

Company Address *

Phone Number *

Email Address *

GC Certificate of Insurance *

Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf.

I confirm, that to the best of my knowledge and ability, have complied with the requirements of the Riverwoods Construction and Demolition Debris Diversion Ordinance (Ord. 14-04-09) by diverting at least 75% of the construction and demolition debris generated by this project. *

I Agree

Additional Information

Construction and Demolition Debris Diversion Plan

Contact Information