HomeMy WebLinkAboutWaiver Application- Captan Well LLC.pdfC E T P OF
DIAMOND BAR
CALIF0RNEA
City Manager's Office
Attn: Tara Reyes
21E10 Copley Drive
Diamond Bar, CA. 91785
(909) 3 -7015
greendb@diamondbarca.gov
SB 1383 ORGANICS RECYCLING REGULATIONS
WAIVER REQUEST FORM
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Captan Well LLC
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1950 S Brea Canyon Rd Ste 1
10/10/24
Same Diamond Bar CA 91765
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Perry Liang/Manager 626-696-7372 captanwell@gmail.com
WAIVER TYPE (Check the box(es) adjacent to the exemption waiver type(s) you are requesting below and provide information
and. all questions requested for each waiver choice.)
THIRD -PARTY WAIVER (if you have a landscape contractor and/or other organics recycler)
Please provide the following information to request a Third -Party Recycling Waiver.'
• Third -party organic waste recycling service information:
➢ Recycler(s):1) Business Lic #: Self -Haul Permit #: Phone:
2) Business Lic #. Self -Haul Permit #: Phone:
➢ Material type(s): Est. recycled per week: gallons OR cubic yards
➢ Facilit(ies) where this material is taken for recycling
0 WAIVER FOR BUSINESSES/PROPERTIES WITH MINIMAL ORGANIC WASTE (De Minimis Waiver)
Please provide the following information to request a low -waste generator "de minimis" waiver.'
• Average number of employees onsite: 15
• Does your business have a cafeteria providing meals to employees? No
• Estimated number of employees that eat meals/snacks onsite: 10
• Contracted landscaper service information:
➢ Landscaper name: A&S Landscape Business License #:
Self -Haul Permit #. Phone:
• Average amount of organic waste collected per week:
Q >_ 2 cubic yards of waste and < 20 gallons of organics
0 < 2 cubic yards of waste and < 10 gallons of organics
SPACE CONSTRAINT WAIVER
Please provide the following information to request a Space Constraint Waiver.'
• I have documentation that soace constraints preclude placement of green waste and/or food waste recycling
containers at my business. No (Please attach documentation)
• I have worked with the City to determine that we cannot adjust container sizes or make other such changes to
resolve the space constraint issue. No
• Please indicate the specific program(s) you are requesting a waiver for:
Green waste recycling onlyZ:l Food waste recycling only = Green waste & food waste
By signing this form, you are attesting that you have a full understanding of your business'/property's obligations to provide information,
r"-te; a"herwise fully cooperate with the City, as detailed in the instructions herein which accompany this form.
Title and Signature of Authorized Business
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