Berkeley, CA · Alameda County

No notary required

Hazardous Waste and Substances Statement

Development permit applicants use this statement to report whether a proposed project site or alternative site appears on hazardous waste site lists.

What this form is

Berkeley requires a signed statement before it can accept a development permit application as complete. The applicant indicates whether the proposed project site or any alternative site appears on hazardous waste site lists, and provides applicant and project details, any list and regulatory identification information, and known past, present, and proposed site uses. The form also lets applicants identify available supporting submittals.

Who needs it

Applicants submitting a development permit application must provide this signed statement about the proposed project site and any alternative sites.

How to submit it

The form lists Land Use Planning at 1947 Center Street, Berkeley, CA 94704, and [email protected]. It does not specify a submission method.

About notarization

This document is signed without a notary; the applicant signs and dates the statement, and no notarized attachment or related step is listed.

How to submit this form

  1. 1

    Download The Statement

    Download the Hazardous Waste and Substances Statement PDF.

  2. 2

    Complete Applicant And Project Details

    Enter applicant contact information, project address, parcel information, and requested site details.

  3. 3

    Identify Available Submittals

    Check any available Phase I report, Phase II report, closure letter, or other submittal.

  4. 4

    Sign And Contact The City

    Sign and date the statement. Use the Land Use Planning contact details on the form to ask about submission.

Frequently asked questions

What is the Hazardous Waste and Substances Statement?
It is a signed statement for development permit applications that reports whether a proposed project site or alternative site appears on hazardous waste site lists.
Who needs to submit this statement?
Applicants seeking a development permit must submit the statement before the city can accept the application as complete.
Do I need a notary for the Hazardous Waste and Substances Statement?
No. The applicant signs and dates this statement; the form lists no notarized attachment or related step.
How do I submit the Hazardous Waste and Substances Statement?
The form identifies Berkeley Land Use Planning and provides its address and email, but does not specify a submission method. Check the city website for current contact details.

Need something notarized?

This Hazardous Waste and Substances Statement doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.