Menifee, CA · Riverside County

No notary required

Hazardous Waste Site Disclosure Statement

Development project applicants use this statement to report whether their project is on or near a hazardous waste site identified on specified state-prepared lists.

What this form is

Menifee requires a signed hazardous waste site disclosure statement for a development project application to be accepted as complete. The applicant reports whether the project and any proposed alternatives are on lists compiled under Government Code Section 65962.5. If they are listed, the form asks for information about each list on a separate attached sheet.

Who needs it

Applicants for development projects submit this signed statement to the local agency as part of their application.

How to submit it

Submit the signed statement to the local agency; the form lists 29844 Haun Road, Menifee, California 92586.

About notarization

This statement has no notary block; the signer signs and dates it, and attaches a separate sheet with information for each applicable list.

How to submit this form

  1. 1

    Download The Statement

    Download the Hazardous Waste Site Disclosure Statement PDF.

  2. 2

    Complete The Statement

    Investigate the project's location and indicate whether it and any proposed alternatives are on the specified lists.

  3. 3

    Gather Any Attachment

    If the project is listed, attach a separate sheet with the requested information for each list.

  4. 4

    Sign And Date

    Sign and date the statement to certify that the answers are true and correct to the best of your knowledge.

  5. 5

    Submit To The Local Agency

    Submit the signed statement to the local agency at the address listed on the form.

Frequently asked questions

Do I need a notary for the Hazardous Waste Site Disclosure Statement?
No. The statement has no notary block; the signer signs and dates it. If the project is listed, attach a separate sheet with information for each list.
Who submits this disclosure statement?
The applicant for a development project submits the signed statement to the local agency. The form says an application is not complete without it.
What information does the statement ask for?
It asks the applicant to report whether the project and proposed alternatives are on the specified hazardous waste lists. If listed, provide information for each list on a separate sheet.
How do I submit the Hazardous Waste Site Disclosure Statement?
Submit the signed statement to the local agency. The form lists 29844 Haun Road, Menifee, California 92586.

Need something notarized?

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