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Home My WebLink About260 NORMANDY LN; ; CBR2024-2836; Recyclet· -· x. 1 Cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov Many of the materials generated from your project can be recycled. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Waste Management at 442-339-9400, a certified C&D recycler, or the Carlsbad Building Division at 442-339-2700. Please note: Unless you are self-hauling, Waste Management or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. Applicant Information Permit No. _____________ Project Title Normandy Beach Homes Project Address 260 & 270 Normandy Lane Carlsbad CA, 92008 APN 203-023-06-00 Stuart Hatch Owner Contractor Applicant Name __________________ Q Q Last First Architect 0 @ Agent Applicant Address 5315 Avenida Encinas, Suite 200 Carlsbad, CA 92008 Phone p49-6y6-6206 Applicant Mailing Address {if different than project address) E-mail Address shatch@rincongrp.com 5315 Avenida Encinas, Suite 200 Carlsbad, CA 92008 Project Type (check oil that apply): Commercial □ Public Building □ Brief Description Removal of existing building and other existing on-site improvements. Clear and grubbing of land. Project Size 5,023 Estimated Cost of Project$ _________________ _ (square footage) Please check the appropriate box: □ I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I ✓ I I plan on using a City Approved Hauler and will provide all receipts after construction. □ This is a proposed LEED certified project and I plan on separating materials on site in conjunction with REPUBLIC Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Print Name Stuart Hatch Signature __ s_~---~p¼_a;td _____ Date 10/23/24 Page 1 of 4 Rev. 04122 PART 1 Complete, obtain signature, and submit this form when applying for a Bl!i!ding Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: -.. ~•n• ' Permit No. Project Title Normandy Beach Homes Project Address 260 & 270 Normandy Lane Carlsbad CA, 92008 APN 203-023-06-00 Applicant Name Hatch, Stuart Phone (888)357-3553 last First -.,;z.1111.,■: Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction waste management. Changes can be made on the final recycle report. Goal: the diversion rate shall be 65% by weights of debris. A B C Material Type Estimated J Place a (✓) check Place a (✓) check next Place a (✓) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only if only vsing WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete 180 tons ✓ Brick/ Masonry/ Tile ✓ Mixed Inert Debris ✓ Cabinets, Doors, Fixtures, (✓) Windows (circle all that apply) Carpet ✓ Carpet Padding/ Foam Cardboard Ceiling TIie (acoustic) Drywall (used, new, scrap) ✓ Landscape Debris (brush, trees, 22.6 (✓) stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials ✓ Scrap Metal ✓ Stucco ✓ Other: TOTAL ..... :Yallllllh'· To meet 65% Diversion Requirement (estimate) 202.6 X 0.65 = 131.69 tons Total Estimated Waste f rom above Minimum Required Diversion Contractor/Owner Signature S~ 1/ a:tM-Date 10/23/24 Page 2 of 4 Rev. 711120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A Acknowledgement I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, t hat I have reviewed t he accuracy of the information, and that the information is true and correct to the best of my knowledge and belief. Permit No. Print Name Stuart Hatch ·--------------------------------------1 Address 5315 Avenida Encinas, Suite 200 Carlsbad, CA 92008 Date 1 0/23/24 ---------------------------- Use this Final Log below to track loads of materials as they leave the job site. @@SAVE RECEIPTS@@ Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken. Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. Date Material Type A B C Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) 5 tons Palomar Transfer Station, 5960 El Camino Real -760 603-0153 @TOTAL Diversion Rate Achieved --------~-----------= _____ % Total of columns A+ B Total of columns A + B + C DIVERSION Contractor/Owner Signature. ________________ Date Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 Conversion Table for Common Construction Waste This document is informational onlv. It is here to help vou convert truckload quantities to tons if necessarv. Column A Column B Column C Category Material Volume Tons[Unit Tons Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) cy X 1.20 = Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Garbage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = Page 4 of 4 Rev. 04122