Many of the materials generated from your project can be recycled. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Waste Management at (760) 929 -9400, a certified C&D recycler, or the Carlsbad Building Division at (760) 602 -2700. Please note: Unless you are self -hauling, Waste Management or approved haulers must be used for all construction projects within the City of Carlsbad.
Applicant Information
Permit No. Project Title
Project Address APN
Owner Contractor Architect Other
Applicant Name
Last First
Applicant Address
Phone ( ) E-mail Address
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential Commercial Public Building Industrial
Brief Description
Project Size Estimated Cost of Project $
(square footage)
Please check the appropriate box:
I plan on using WASTE MANAGEMENT roll-off bin(s) for all materials and will provide all receipts after construction.
I plan on self-hauling to a certified recycling facility and will provide all receipts after construction.
This is a proposed LEED certified project and I plan on separating materials on site in conjunction with WASTE MANAGEMENT .
Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belief.
Print Name ___Signature _____Date
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
Attachment "E"
DEBRIS RECYCLING ESTIMATE:
SECTION A Permit No. Project Title
Project Address APN
Applicant Name Phone ( )
Last First
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
This is your plan for construction waste management. Changes can be made on the final recycle report.
Goal: the diversion rate shall be 65% by weights of debris.
Material Type Estimated
Waste Quantity
(tons)
A
Place a (ü) check
next to items to be
reused or salvaged
B
Place a (ü) check next
to items to be
recycled
C
Place a (ü) check next
to items to be
disposed at landfill
Complete this line of the table only if
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Asphalt & Concrete
Brick / Masonry / Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that apply)
Carpet
Carpet Padding / Foam
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Roofing Materials
Scrap Metal
Stucco
Other:
TOTAL =
SECTION C
To meet 65% Diversion Requirement (estimate) x 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature Date
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont’d) not be issued without a completed Construction Waste Management Plan.
Rev. 11/12/18
Attachment "E"
Rev. 2.10.21
Category Material
Mixed Debris Construction
Demolition
Asphalt/Concrete Asphalt (broken)
Concrete (broken)
Concrete (solid slab)
Brick/Masonry/Tile Brick (broken)
Brick (whole, palletized)
Masonry brick (broken)
Tile
Building Materials (cabinets, doors, windows, etc.)
Cardboard (flat)
Carpet By square foot
By cubic yard
Carpet Padding/Foam
Ceiling Tiles Whole (palletized)
Loose
Drywall (new or used) 1/2” (by square foot)
5/8” (by square foot)
Demo/used (by cu. yd.)
Landscape Debris (brush, trees, etc.)
Asphalt Composition
Shingles, asphalt Shingle
Unpainted Wood/Pallets By board foot
By cubic yard
Trash/Garbage
Other (estimated weight)
Column A
Volume
cy
cy
cy
cy
cy
cy
cy
cy
sq ft
cy
cy
sq ft
cy
sq ft
cy
cy
sq ft
sq ft
cy
cy
cy
bd ft
cy
cy
cy
cy
cy
cy
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Column B
Tons/Unit
0.18 1.19
0.70 1.20
1.30 0.70
1.51 0.60
0.00175
0.15 0.05
0.0005
0.30 0.000125
0.0003
0.09 0.0008
0.00105
0.25 0.15
0.22 0.001375
0.15 0.18
estimate
estimate
estimate
estimate
Total all
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
Column C
Tons
Conversion Table for Common Construction Waste
This document is informational only. It is here to help you convert truckload quantities to tons, if necessary.
Attachment "E"
PLANS – BID SET ONLY
NOT FOR CONSTRUCTION