San Clemente, CA · Orange County

No notary required

Exemption Request From Waste Management Plan

Property owners or contractors use this form to request an exemption from San Clemente’s Construction and Demolition Recycling Program for a project.

What this form is

This form requests an exemption from San Clemente’s Construction and Demolition Recycling Program. It asks for the permit number, owner and contractor names, project address, reason for the request, materials being removed, their weight, and where they will go. The contractor or property owner signs and dates the request.

Who needs it

A property owner or contractor seeking an exemption from the city’s Construction and Demolition Recycling Program for a project can use this form.

How to submit it

Send the completed form to Environmental Programs, 3 80 Ave. Pico, Bldg. N, San Clemente, CA 92672. The form also lists phone and fax numbers.

About notarization

This request is signed and dated without a notary; the form lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Waste Management Plan Exemption Request.

  2. 2

    Complete The Request

    Enter the permit number, names, project address, reason for the request, materials removed, weight, and destination.

  3. 3

    Sign And Date

    The contractor or property owner signs and dates the form.

  4. 4

    Submit To The City

    Send the completed form to Environmental Programs at the address printed on the form.

Frequently asked questions

Do I need a notary for the Waste Management Plan Exemption Request?
No. The form calls for a contractor or property owner signature and date, and lists no notarized attachment or sworn step.
Who can request an exemption?
The form is for a property owner or contractor requesting an exemption from the city’s Construction and Demolition Recycling Program.
What information does the form ask for?
It asks for the permit number, owner and contractor names, project address, reason for the request, materials removed, their weight, and where they will go.
How do I submit the exemption request?
Send the completed form to Environmental Programs at the address printed on the form: 3 80 Ave. Pico, Bldg. N, San Clemente, CA 92672.

Need something notarized?

This Exemption Request From Waste Management Plan doesn’t need a notary — but if you have another San Clemente form that does, a commissioned online notary can help.