San Leandro, CA · Alameda County
Construction & Demolition Waste Diversion Form
Applicants for covered construction or demolition projects submit this form to document how project waste will be diverted from landfill disposal.
What this form is
Use this form for new buildings, non-residential projects requiring building permits, residential projects that increase conditioned area, volume, or footprint, and demolition-only permits. It records project and applicant details, waste documentation method, and planned material diversion. The form states it is due before permit issuance; some projects must use Green Halo, while others may complete the manual plan.
Who needs it
Applicants performing the listed construction or demolition work must complete the form before permit issuance.
How to submit it
Email the completed form to [email protected]. For the manual plan, the form also directs applicants to send the completed page to that email address.
About notarization
This document is signed and dated without a notary; it requires no notarized or sworn attachment, and the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Construction & Demolition Waste Diversion Form.
- 2
Complete Project Details
Enter the property address and applicant information, select the waste documentation method, and complete the required statements.
- 3
Complete The Manual Plan If Needed
If Green Halo is not required, list materials and amounts, identify facilities for salvage or recycling, and calculate the diversion rate.
- 4
Email The Form
Email the completed form to [email protected].
Frequently asked questions
- Do I need a notary for the Construction & Demolition Waste Diversion Form?
- No. The form has signature and date fields but no notary block; the signer just signs and dates it.
- Who needs to complete this form?
- Applicants for new buildings, qualifying non-residential and residential projects, and demolition-only permits complete it to document waste diversion.
- How do I submit the Construction & Demolition Waste Diversion Form?
- Email the completed form to [email protected]. If using the manual plan, email that completed page to the same address.
- When is the form due?
- The form says it is due before permit issuance. It also says disposal receipts must be provided to the building inspector at or before final inspection.