Applicant attestation:
• Applicant seeks C&D debris box and/or C&D vehicle permits to transport mixed construction &
demolition (C&D) debris originating within the City and County of San Francisco;
•
Applicant will not transport C&D debris directly to landll except as expressly permitted byEnvironment Code Chapter 14 or other applicable laws;
• Applicant will transport mixed C&D debris only to a processing facility registered by San Francisco
Environment Department;
the mixed C&D debris, such as the jobsite address or the San Francisco Department of Building
Inspection (DBI) permit number (if applicable), for each load of mixed C&D debris delivered;
• Applicant will prominently display the C&D permit decal on the applicant’s debris box or vehicle at
all times that the applicant’s debris box, vehicle, or trailer contains mixed C&D debris (i.e., during
collection and transport).
• Applicant is in compliance with all city, state and federal laws and regulations applicable to
transport of mixed C&D debris, including but not limited to possession of valid licenses, permits, and
insurance, and is in good standing with all other regulatory agencies;
• Applicant has no outstanding notices of violation from any federal, state, or local agency that could affect
• Applicant will maintain copies of all receipts provided by registered processing facilities and other
business records that demonstrate compliance with Environment Code Chapter 14 for at least three years;
• Applicant agrees to comply with the provisions of Environment Code Chapter 14, to provide
Francisco Environment Department to inspect records related to compliance with Environment
Code Chapter 14 in order to verify the information in this application and other submitted reports or
records;
• Applicant agrees that all C&D debris boxes and vehicles will be handled, placed, parked, and
operated in accordance with all applicable local, state, and federal laws, including motor carrier
regulations, and in accordance with standard industry practices to ensure against leakage and
unsafe loads;
• Applicant will transport all C&D debris in a fully enclosed or covered container or vehicle to minimize
any potential spillage or littering.
By signing below, the applicant attests that they understand and agree to the above conditions of
permit issuance as well as the rules and requirements set forth in Environment Code Chapter 14 and
Regulations #SFE-21-02-C&D and #SFE-23-01-CDO.
Print name Title
Signature Date
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Mixed Construction and Demolition Debris 2024 Transporter Permit Application