Who completes this certification?

The owner, applicant, or legal representative for the development project completes and signs it before the project application is deemed complete.

How do I submit the certification?

The form says it must be completed and signed before the development project application is deemed complete. Submit it to the city department named on the form; check the city website for current contact details.

Do I need a notary for this certification?

No. The applicant signs and dates this certification; it describes no sworn attachment or other notarized step.

Yountville, CA · Napa County

No notary required

Hazardous Waste and Substances Statement Certification of Compliance

Development project applicants complete this certification to report whether their project is on the most recent hazardous waste site lists.

What this form is

This certification accompanies a development project application and must be completed and signed by the applicant before the application is deemed complete. It records whether the project is on the most recent hazardous waste site lists and asks for applicant and site details, including the applicable list, list date, and regulatory identification number.

Who needs it

An owner, applicant, or legal representative for a development project completes and signs this certification before the project application is deemed complete.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the certification, with no sworn attachment described.

How to submit this form

1
Download the Certification
Download the Hazardous Waste and Substances Statement Certification of Compliance.
2
Complete the Certification
Review the listed-site information and fill in the applicant and project site details requested on the form.
3
Sign and Date the Form
The applicant signs and dates the certification before the development project application is deemed complete.
4
Submit the Certification
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Hazardous Waste and Substances Statement certify?: It records whether a development project is on the most recent hazardous waste site lists and collects applicant and site information.
Who completes this certification?: The owner, applicant, or legal representative for the development project completes and signs it before the project application is deemed complete.
How do I submit the certification?: The form says it must be completed and signed before the development project application is deemed complete. Submit it to the city department named on the form; check the city website for current contact details.
Do I need a notary for this certification?: No. The applicant signs and dates this certification; it describes no sworn attachment or other notarized step.

Need something notarized?

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