Construction and Demolition Debris Recycling
Solid Waste Planning and Recycling ▪ 5469 Kearny Villa Rd, Suite 305 ▪ San Diego, CA 92123
Debris Management Plan
Complete this form before obtaining a building or demolition permit. Submit this form and your performance guarantee to the Department of Public Works Building Counter at 5201 Ruffin Road, Suite B, San Diego, CA 92123. Permit # (include all permit #'s in the phase) Project Location
Address (Cross Street, Floor, Suite, etc) City Zip
Project Name (If applicable)
Part 1
Contact Name Mailing Address
Address
Company Name
City State Zip
Phone Estimated Start Date Part 2
Fax Estimated Completion Date
Email Project Square Footage
Debris Estimation Identify how the materials generated by the project listed in Part 1 will be handled. Use the Materials Conversion Table to convert volumes to tons. If you do not know the amount of materials, you can use the Standard Generation Worksheet. Requirement - Reduce the quantity of materials disposed at landfills by 90% for inerts and 50% for the rest (determined by weight). Identify Materials (estimate amount by weight)
Material Type
Asphalt & Concrete Brick/Masonry/Tile Dirt Mixed Inerts1
Recycle 0 0 0 0 0
Salvage or Onsite Reuse
Dispose
Handling Procedure, Hauler or Final Destination for Materials
Inerts
Total Inert
Cabinets, Doors, Fixtures, Windows (circle all that apply) Cardboard Carpet Padding/Foam (carpet) Ceiling Tile (acoustic) Drywall (used) Drywall (new, unpainted or scrap) Landscaping (brush, trees, stumps, etc.) Mixed Recyclables Roofing Materials Scrap Metal Stucco, Cement (no wire) Unpainted Wood & Pallets Trash Other (describe)
1
0
0
0 0 0 0 0 0 0
Other Materials
0
0 0 0 0 0 0 0 0 0 0 0 0 0
Total Other Total Inert + Other Notes
(1) Mixed items must be taken to an approved mixed processing facility. (2) Asbestos, hazardous debris, treated wood, contaminated soil and other restricted materials require special
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.
Name Signature
Title Date
For information on these forms call the County of San Diego's Recycling Section at (858) 874-4285. For a list of recycling centers call 1-877-R-1-EARTH (1-877-713-2784) or www.sdcdpw.org/recycling
To be Completed by County Staff Debris Management Plan qApproved Infeasibility Exemption qApproved qDisapproved Date Date Date Staff Staff Staff Electronic Version Available at www.sdcdpw.org/recycling D:\Docstoc\Working\pdf\e4f5e33c-20c9-4d42-bba1-fa0d365c4993.xls 4/4/2009
qDisapproved
Performance Guarantee Paid $ _____________________
Construction and Demolition Debris Recycling
Solid Waste Planning and Recycling ▪ 5469 Kearny Villa Rd, Suite 305 ▪ San Diego, CA 92123
Materials Conversion Table - Separated Materials
This worksheet lists materials typically generated from a construction or demolition project and provides formulas for converting common units (i.e., cubic yards, square feet, and board feet) to tons. It should be used for preparing your Debris Management Plan, which requires that quantities be provided in tons. Step 1 Enter the estimated quantity for each applicable material in Column I, based on units of cubic yards (cy), square feet (sq ft), or board feet (bd ft). Step 2 Multiply by Tons/Unit figure listed in Column II. Enter the result for each material in Column III. If using Excel version, column III will automatically calculate tons. Step 3 Enter quantities for each separated material from Column III on this worksheet into the corresponding section of your Debris Management Plan. For your final calculations, use the actual quantities, based on weight tags, gate receipts, or other documents. Column I Volume Unit 0 cy 0 cy 0 cy 0 0 0 0
cy cy cy sq ft
Category Asphalt/Concrete
Material Asphalt (broken) Concrete (broken) Concrete (solid slab) Brick (broken) Brick (whole, palletized) Masonry Brick (broken) Tile
Column II Tons/Unit 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 0.70 = 1.20 = 1.30 = 0.70 1.51 0.60 0.00175 = = = =
Column III Tons 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Brick/Masonry/Tile
Building Materials (doors, windows, cabinets, etc.) Cardboard (flat) Carpet By square foot By cubic yard
0 cy 0 cy 0 sq ft 0 cy 0 sq ft
0.15 = 0.05 = 0.0005 = 0.30 = 0.000125 = 0.0003 = 0.09 = 0.0008 = 0.00105 = 0.25 = 1.20 = 1.30 0.15 = 0.18 = 1.19 0.51 = 0.001375 = 0.15 = 0.18 =
Carpet Padding/Foam Ceiling Tiles Drywall (new or used) Whole (palletized) Loose 1/2" (by square foot) 5/8" (by square foot) Demo/used (by cubic yd) Loose/Dry Excavated/Wet
0 sq ft 0 cy 0 sq ft 0 sq ft 0 cy 0 cy 0 cy 0 cy 0 cy 0 cy 0 cy
Earth
Landscape Debris (brush, trees, etc) Mixed Debris Construction Demolition
Scrap metal Unpainted Wood & Pallets By board foot By cubic yard
0 bd ft 0 cy 0 cy
Garbage/Trash
Total All
0
Electronic Version Available at www.sdcdpw.org/recycling D:\Docstoc\Working\pdf\e4f5e33c-20c9-4d42-bba1-fa0d365c4993.xls
Construction and Demolition Debris Recycling
Solid Waste Planning and Recycling ▪ 5469 Kearny Villa Rd, Suite 305 ▪ San Diego, CA 92123
Standardized Generation Rates
These generation rates should be used by applicants preparing Debris Management Plans for construction, renovation, and demolition projects to estimate the quantity of construction and demolition debris that will be generated. Total Debris X #of units = (lb)
Type of project Construction Projects Single family home Multifamily Commercial Grading/site preparation Demolition Projects Single family home (w/o basement) Single family home (w/concrete basement) Multifamily Commercial Parking lot/driveways, etc. Grading/site preparation Renovation projects - residential Kitchen (minor) Kitchen (major) Baths (minor) Baths (major) Room additions Driveway/walkway
C&D Debris (lb/sqft)
X sqft/unit
X 2000 Total Tons
4.6 4 3.9
0 0 0 0
0 0 0 0
50 111 127 155
0 0 0 0 0 0
0 0 0 0 0 0
0.75 4.5 0.25 1 0.75
0 0 0 0 0 0
0 0 0 0 0 0
Electronic Version Available at www.sdcdpw.org/recycling D:\Docstoc\Working\pdf\e4f5e33c-20c9-4d42-bba1-fa0d365c4993.xls