HomeMy WebLinkAbout1991 PALOMAR AIRPORT RD; ; CBC2023-0364; Recycle( City of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
www .carlsbadca.gov
This form shall be completed for all demolitions and new construction, additions, and alterations.
The California's Green Building Standards Code (CALGreen) requires that at least 65% of construction site
debris generated during demolition projects, most new construction, as well as the majority of building
additions or alterations be recycled, reused, or otherwise diverted from landfill disposal.
STEP 1: The App licant must submit PART 1 of this form before a building permit application is approved.
STEP 2: The permit holder shall utilize a waste management company that can provide verifiable
documentation that meets 65% waste diversion. Republic Services is the exclusive franchised waste hauler in
the City of Carlsbad.
• Option A -Roll-Off Bins : Call Customer Service (760) 332-6464 and ask for a C&D account for waste
diversion. Republic Services will provide roll-off bins for construction waste.
• Option B -Self Haul to Republic Services or other dump site that can provide verifiable
documentation. It must be a Certified Source Separated Recycling Facility. When you enter the site,
explain to gate operator that this is C&D material. When you exit the site, request a receipt and
certificate from gate operator for waste diversion.
STEP 3: Prior to permit close-out {permit final), the permit holder shall complete PART 2 of this form and
submit all trash and recycling weight receipts to the building inspector. Waste log, acknowledgement, and
tickets must be submitted to release your certificate of occupancy.
C&D CERTIFICATION:
I certify under pena lty 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.
I understand the waste diversion requirements of the State of California and submit this Construction
Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1.
Fail ure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and
failure to provide adequate weight receipts, may result in enforcement action against me or other
responsible parties, including a notice of violatior1, citations, and any other remedies provided in
Chapters 1.08 and 1.10 of the Carlsbad M uniclpa I Code. Projects are required to submit their Waste
Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance.
This project does not involve disposal of universal or hazardous waste OR this project includes disposal
of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos:
containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury
containing equipment and refrigerants, require special processing prior to commencement of
construction or demolition activities.
~ldwta/P ' Signature of Applicant
Page 1 of 4 rev 4/24
PART 1 Complete and submit this form when applying for a building permit. Permits w ill not be issued
without a completed Construction Waste Management Plan.
• ' Permit No. Project Title
Project Address 1991 PALOMAR AIRPORT ROAD, CARLSBAD, CA 92009 APN 213-092-17-00
Applicant Name PALOMAR AIRPORT ARCO (By Laurie Perrault) Phone 760 929-9344
Last First
.. ,;;;;a,-■1•11..,■~--Complete the following table with estimated waste tonnage to be generated by your project .
A 8 C
Material Type Estimated Place a(✓) check Place a ( ✓) check next Place a ( ✓) check next
Waste Qu antity next to items to be to items to be to items to be
(tons) reused or salvaged recycled disposed at landfill
Complete this fine of the table only if
only using WASTE MANAGEMENT
roll-off bins.
M ixed C&D Debris
Asphalt & Concrete 9 ✓
Brick/ Masonry/ Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padd ing/ Foam
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, t rees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Roofing M aterla Is
Scrap Metal
Stucco -
Other: Fiberglass pipe Less than 100 lbs. .,,
TOTAL
-.,::1•■111•••
To meet 65% Diversion Requirement (estimate) 9 X 0.65 = 5.85 tons
~
Total Estimated Waste from above Minimum Required Diversion
Applicant Signatur~ Date / ~J~/at>d-!('
Page 2 of4 rev 4/24