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2827 WHIPTAIL LOOP; ; CBC2022-0298; Recycle
.,.. (_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Develo ment Services Building Division 1635 Faraday Avenue 760-602-2 719 www. car/sbadca. 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 (760) 929-9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602-2700. 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. CBc wi,z_.-o-zq g Project Title Mi Ll..i &C S1G~-PHF\S'E -Zk Project Address 2gz1 \1/Ulf?fM L LCX:,(Z \J.L CML S:tY~ Ur QV>/IJ APN Applicant Name .t;"pwMU) <g~s Li C~or [~~r □ ------ Last First ApplicantAddress rs-i1/, OG~N · ltw ~tJ,kl <-AN Rep CA 12/'Z( Phone tSl47 141\-1l50b E-mail Address £D\A.J~C>. j?ul!JJ'sPz_SHf>ytLD6LS-. Applicant Malling Address ?2'2-5" 61?¥~11.J vJ?cVff ?,,u,.f£ / 5Aw/Je&o ~ qz/i ( , r .. , (if different than project address) Project Type (check all that apply): Brief Description Project Size / 'f, 4 S'2 Residential □ (square footage) Please check the appropriate box: Commercial El Public Bulldin1 □ DI plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on self-hauling to a certified recycling facility and will provide all receipts after construction. D This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT. 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 ~~% k,N S Slgnatur~ Date Page 1 of 3 Rev. 2.10.21 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, 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. Permit No. ~,za--z. -(J·Z. 'J Print Name ~-~ Address 2~'1 WHtW~\c... \ADY \AJ c~sRAP~ 92a/0Date SECTION B Use this Final Log below to track loads of materials as they leave the Job site. (Q)©)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 OTOl'Al SECTION C Diversion Rate Achieved ~11_1._,_~___.1--'-l---'-U ____ . q_s--_= q 'f % .!:65% Total of columns A + 8 + C DIVERSION Contractor/Owner Signature.__....,........,_........,.-=.,;.--=~=-------Date (p/29/-zc>z~ Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report l Return completed form and documentation to: City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 2 of 3 Rev. 2110121 (' I >-~ 3825 Bancroft Drive, Spring Valley, CA 91977 P -619-589-6001 F -619-589-7158 CONSTRUCTION AND DEMOLITION DEBRIS RECYCLING LOG Daily Log of Construction and Demolition (C&D) Materials Removed or Reused on Job Site Date: 6/22/2023 Job No: 722003 Project: Milipore WM Char1ston Customer: BNBuilders Address: 2827 Whiptail Loop, Carlsbad, CA 92010 (TONS) (TONS) ~ --lYCKIH NO. 'I '{ l'lt:SlllNA'flON"-'I-.,_ '( LOICA'l:101'1' , ._ .............. '( V""""I" '( "i,rec"~ .. 8/18/22 21371 Sanco Lemon Grove CA 1.09 0.49 69% 8/23/22 TSDJLR Allan Comoanv San Dieao CA 1.85 100% 8/25/22 109717 Rockridae Crushina El Caion CA 10.00 100% 8/25/22 319069 Moody's Oceanside CA 14.00 100% 8/25/22 319087 Moodv's Oceanside CA 14.00 100% 8/26/22 109765 Rockridae Crushina EICaion CA 10.00 100% 8/26/22 319115 Moody's Oceanside CA 14.00 100% 8/26/22 319123 Moodv's Oceanside CA 14.00 100% 8/26/22 319146 Moodv's Oceanside CA 14.00 100% ~ 8/2B/22 S19169 \ \ \ ,MoQdv's. \ Oceanside. CA 14.QO 100% HJZ9/Zl 3HIZ1IJ --~ ------A A -nDA 8/29/22 319233 Moodv's Oceanside CA 14.00 I 100% 8/30/22 319268 Moodv's Oceanside CA 12.50 I 100% 8/30/22 319279 Moody's Oceanside CA 12.50 I 100% 8/30/22 319290 Moodv's Oceanside CA 12.00 I 100% 8/30/22 319300 Moodv's Oceanside CA 12.00 I 100% 8/31/22 319324 Moody's Oceanside CA 14.00 100% 8/31/22 319327 Moodv's Oceanside CA 14.00 I 100% 8/31/22 319332 Moody's Oceanside CA 14.00 I 100% 8/31/22 TSDJSN Allan Comoanv San Dieao CA 4.08 I 100% 9/1/22 109942 Rockridae Crushina EICaion CA 10.00 100% 9/1/22 319357 Moodvs Oceanside CA 14.l'lO 100% 9/1/22 319366 Moods's Oceanside CA 14'.00 100% 9/1/22 319376 Mood~ s Oceanside CA ,1'4.00 100% 9/2/22 319396 Mood~ s Oceanside CA /12.00 100% 9/2/22 319400 Mood, s Oceanside CA I 12.00 100% 9/2/22 319415 Mood~ s Oceanside CA I 12.00 100% 9/2/22 319425 Mood~ s Oceanside CA 12.00 100% 9/6/22 319474 Mood s Oceanside CA / 14.00 100% 9/6/22 319511 Mood~ s Oceanside CA/ 14.00 100% 9/6/22 319539 Moodv's Oceanside CA 14.00 100% 9/21/22 320086 Moodv's Oceanside eA 6.00 100% 9/22/22 320143 Moody's Oceanside/CA 6.00 100% 9/23/22 110621 Rockrldae Crushina San DiAnn CA 10.00 100% 9/23/22 320181 Moodv's Oceansioe. CA 14.00 100% 9/26/22 320267 Moodv's Oceanside CA 12.00 100% 9/26/22 320283 Moody's Oceahslde CA 14.00 100% 9/27/23 320314 Moodv's Oceanside CA 14.00 100% 10/5/22 84000232 Rarnco Ell'condido CA 10.00 100% 10/6/22 TSDKUW Allan Comoanv San Dieao CA 2.81 100% 10/31/22 321876 Moodv's /Oceanside CA 12.00 100% 11/2/22 321967 Moodv's / Oceanside CA 17.00 100% 11/3/22 322001 Moodv's Oceanside CA 16.00 100% 1/25/23 18088 Edco I La Mesa CA 0.66 0% 2/1/23 134668 Rockridae Crushina I El Caion CA 2.00 100% I • 10 wheeler holds 20,250 lbs of concrete with allow~e air space 507.83 1.15 TOTAL RECYCLED: Phase 2A total Name of Person Verifying Accuracy: 100% 230.02 Tons -100 t@±oo recycled Si9nature: WIA l'IIICIU•.1. "'r'C"( Mixed C&D Metal Concrete Concrete A Concrete Concrete Concrete Concrete Concrete Concrete A r-J.. __ ,.1J._ .lt. J Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Metal Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete Metal Concrete Concrete Concrete Refuse Concrete Republic Services. Inc. Diversion Report* Account. SN BUILDERS Account Numher:661-1001SB8·00001 8. 661-1001568·00002 D1ve,sion 'l6; S9 50% Service Container Account Unit of Account# Site Name Site Address Container Name Pcnod Size Contamer Qty Compactor Description Waste Type Type Schedule Tonnage Measure 11001.,_.. .. BUILDERS 1001SINOOCn IN IIUIU)£ll5 110015DG0001 8N BUILDERS 11001511o4J0001 8N IIUIIJ)StS 11001SIIMI0001 INIIUIU>ERS aEJWhlptal 1.-pc.tilbld, CA9200Dampswflllqdf:l az7Wllipalll.Gop~CAt2CIDllamplWOllqldel az7Wl,lpalll.Gopc.11Nd,CA92CIDllamplWOIK,atJ az7 Whlptal l.-pc.11Nd,CA92C&D~~ 327Whlptall.-pcnlllll,CAt2CIDDumplWIRlqclel 2Wug a8ov 15-0lc »-Jin Z7iln ----- No No No No No CID (l,D CID CID CID TlffllNll'IIY TlffllNll'IIY T.....-,y ,.....,., r......., Oneal OnCal OnCal OnCal OnCal 1.11 ua .... UI :uo R~~;;~E 9 87 SOLID WASTE 6 71 TOTAL ~~~:~ 16 58 1ll 1ll 1ll 1ll 1ll *Small containe~ are not weighed. W~hts provided for small containers are only tstimatts and are based on your contain" silt multiplied by the number of scheduled hauls J)f:r month multiplied by the assumed weights of 1oalb$ per cubic yard for waste or SOlbs per cubi< yard for recydlng