Laserfiche WebLink
Environmental Information Form <br /> Part B <br /> DATE: June 30, 1988 <br /> (To be Completed By Applicant ) <br /> NOTE : In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If a question <br /> is not applicable to your project, write NA (not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER X AGENT OF OWNER <br /> Name Mark Urquhart, Associate Civil Engineer <br /> Address 1810 East Hazelton Avenue <br /> City Stockton <br /> State/Zip California, 95205 <br /> Phone (209) 468-3066 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: [%] Use Permit, ❑ Major Subdivision, <br /> [] Zone Reclassification, ❑ Minor Subdivision, ❑ Site Approval, <br /> [] Zone variance, 7 Other: <br /> 2. Project location: 11900 and 17916 East Harnev Lane <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : Request Conditional Use Permit to <br /> operate the property as Class III landfill This will involve excavation and <br /> landfilling of non—hazardous municipal waste (See Attachment 1) <br /> 3 . Total acreage of project: 320 ; of existing parcels: 2 <br /> Assessor Parcel # (s ) : 0657120-02 and 065-120-03 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: such EIR i rr n lv being prepared for County <br /> by EMCON Associates (See Attachment 2, Agreement) <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Waste Discharge Requirements - California Regional Water Ouality Control Board (RWQCB) <br /> Solid Waste Facilities Permit --California Solid Waste Management Board CSWMB) <br /> Use Permit Application - 7 - (6/86 ) <br />