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-----_- - _-- V1. OU ANTITY OF WASTES-- - -- — -- -- --- --- <br /> A <br /> 93AFT OR rROP03 O I YwFIMUY T� I wVRxwOY QSIGN PLOW IN MGO <br /> 1 oAllr rLOW 11N Mcof: ; Cw�M��J.._MV 1�—_f_ C_a�Ci�•\!'� r, •tV 1� N R <br /> :OLID WASTE DISPOSAL I Owla.v OtuJwVnnTr I TOTAL IN PLACE..A.111; O. ARCA IN N WNICWOOL WILL Ot OW—YURtiD w• ww9w <br /> SITE (IN TONS?. (IN AQRt9) <br /> ,s <br /> wne TAwO ajl j Q. •7 'tL�,i( 1 <br /> 0.115'1'e^n1 <br /> 4.v <br /> VII. LN OF POINT 0I DISPOSAL OR OPERATION --- — ----� <br /> 'OtS1ON AND ATTACH MAP,SKETCH,OR LOCATION ON O.S.O.S.QUADNANOLE MAP,7.9 OR 19 MINUTE SERIES.' <br /> LIST DISTANCES OR (MARINO AND DISTANCE PROM 9KCTION CONNOR ON QUARTER CORNQR, :[CTION, TOWNSHIP,RAMOS, RA:t AND MERIDIAN: <br /> 'if's <br /> ��c( \ _• :_ - ' ms's <br /> tc�Fvc C� , <br /> _•a��tc,A <br /> ��`" <br /> \C'e�\(�y RC1 .....\�w.._\"\\S .:J�"��•C', a�l�\��, �JbL'l" 'O\ate`\\'ni�� ��q Rl� !��� 'a[Ly L�t'L.� <br /> ------------ --- <br /> \'1� \ 111. SOURCE OF WATER SUPPLY IenteW ALL wrPwurn Ttr�rya \ + -- <br /> A. MUNICIPAL OR UTILITY SERVICE: B. ® INDIVIDUAL(Wells) T'rUa \c's\ .►t'+-\� <br /> NAME OWATERIVxVaVew <br /> _�•-G�R�R+ C. ❑ SURFACE SUPPLY: <br /> w PPR.9S OI IVAV Ow NAY.OF 4T.EAM,LAWS,9PwIN V,ETC. IP MAMEO) <br /> 15��5 SIL�\ <br /> w.vw w cit --T.AT.II wmnri Ptw�li ow uetxu i <br /> \ rat 1 <br /> ��3,� T❑ Riparian I ❑ Appropriation I <br /> IX. ENVIRONMENTAL IMPACT REPORT IEIRI --' <br /> Has an EIR been prepared for this project? Yes ® No <br /> �t If"Yes",please enclose a copy. <br /> If"No",will an EIR be prepared? Yes flzil No <br /> Will a negatisa declaration be prepared? Yes �'No <br /> If"Yes',please answer the following: _ --- --- -- ------- �- <br /> WNO WILL Iwtlww{TME nt6wTIVE OECLwRwTION} - <br /> wllxOX.GATE OF COMPLETION <br /> CERTIFICATION <br /> 1 hereby certify under penalty of perjury that the information prouided in this application and in any attach- <br /> ments is true and accurate to the best.of my knowledge. <br /> SIGNATURE OPS '-'--- FACILITY - <br /> v`- • , \\ ate\\ <br /> ow TTr <br /> IwlnvO ow Trlao nA wlxvo ro.wMt - -' <br /> r <br /> _ _C`ntt.�L � `ML��ii�i��.— -- T-r�r-m�.� \►:a +`(�.�1(.e\�_P„t <br /> CSL 3. �5 Via( \�. t� .:�\e�- _' 3• -S <br /> usr r\\lTua oP ANY ATTaeNMtxTr. \ - <br /> 0-O�W"\L...1�1L1e^"\� \`e�•�\e�e��l^(� .a.A\� cll L- <br /> -1v'n�y'Y\CM ��Jr�\`r�`cr\�`f��� <br /> You will be notified of the correctness of filing fee and submittal of any additional information deemed necessary to complete your Report of Waste <br /> Discharge pursuant to Otvision 7, Section 13250 of the State Water Code,or to complete your permit application pursuant to Government Code <br /> Section 66796.30 and Health and Safety Code Section 25200. <br />