Santa Paula, CA · Ventura County
Hazardous Waste Affidavit
This statement is completed by a project applicant to tell Santa Paula whether a proposed project site appears on specified hazardous-site lists.
What this form is
The form asks the applicant to identify the project address and parcel number and state whether the site is on at least one of the specified hazardous-site lists. It says a signed statement must be submitted before the lead agency accepts a development project application as complete. If the site is listed, the applicant must provide the list name, date, site identification number, and corrective measures.
Who needs it
A development project applicant, property owner, or agent completes this statement to report whether the project site appears on a specified hazardous-site list.
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 signer dates and signs the statement, which certifies the information under penalty of perjury.
How to submit this form
- 1
Download The Form
Download the Hazardous Waste Affidavit PDF.
- 2
Complete The Statement
Enter the project address and APN, identify your role, and indicate whether the site is on a specified list.
- 3
Gather Required Details
If the site is listed, provide the list name and date, site identification number, and corrective measures.
- 4
Sign And Submit
Date and sign the statement, then submit it to the city department named on the form.
Frequently asked questions
- What does the Hazardous Waste Affidavit report?
- It states whether a proposed project site is included on at least one of the hazardous-site lists specified on the form.
- What details are needed if the site is listed?
- The form calls for the list name, list date, the site's regulatory identification number, and corrective measures to remove the site from the state list.
- Do I need a notary for the Hazardous Waste Affidavit?
- No. The signer dates and signs the statement under penalty of perjury; the form does not require notarization.
- How do I submit the Hazardous Waste Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.