Dana Point, CA · Orange County
Construction and Demolition Waste Recycling Plan Statement of Compliance
Property owners, agents, or other representatives submit this statement to certify how waste from a construction or demolition project was processed.
What this form is
The statement certifies that project waste was processed at a City Certified C&D Processing Facility and that attached receipts are true and correct copies. The city uses it to review a construction and demolition deposit refund after the building inspector issues a final. It asks for the permit number, project address, signer details, signature, date, and recycling receipts.
Who needs it
An owner, agent, or other representative submitting recycling documentation for a construction or demolition project needs this statement.
How to submit it
Attach City Certified recycling receipts or weight tickets and send them to Jennifer Anderson at 33282 Golden Lantern, Ste. 212, Dana Point, CA 92629, or email documentation to [email protected].
About notarization
This document is signed without a notary; the signer certifies under penalty of perjury that the attached recycling receipts are true and correct copies.
How to submit this form
- 1
Download the Statement
Download the Construction and Demolition Waste Recycling Plan Statement of Compliance.
- 2
Complete the Statement
Enter the permit number, project address, signer information, signature, and date signed.
- 3
Attach Recycling Documentation
Attach City Certified recycling receipts or weight tickets.
- 4
Submit to the City
Send the statement and attachments to Jennifer Anderson at the listed address or email the documentation to [email protected].
Frequently asked questions
- Do I need a notary for the C&D Waste Recycling Plan Statement of Compliance?
- No. The document has no notary block; the signer certifies under penalty of perjury and attaches recycling receipts or weight tickets.
- How do I submit the statement?
- Attach City Certified recycling receipts or weight tickets and send them to Jennifer Anderson at the listed Dana Point address, or email documentation to [email protected].
- What does the signer certify?
- The signer certifies that project waste was processed at a City Certified C&D Processing Facility and that the attached receipts are true and correct copies.
- When are construction and demolition deposit refunds reviewed?
- The statement says refunds are reviewed and processed after the project receives a final from the building inspector.