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STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE DISCHARGE REQUIREMENTS <br /> CMMB E-1-77(Rev.8-04) <br /> NOTE:This form has been developed for multiple uses. it is the transmittal sheet for documents required to be submitted to the appropriate agency. <br /> Please refer to the attached instructions for definitions of terms and for completing this application form In a complete and correct manner. <br /> FOR OFFICIAL USE ONLY <br /> SWIS NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Environmental Health Division San Joaquin County <br /> C.TYPE OF APPLICATION(Check one box only): <br /> 1. NEW SWFP and/or WDRS 04.PERMIT REVIEW <br /> 02, REVISION OF SWFP and/or WDRS 5.AMENDMENT OF APPLICATION <br /> ❑3. EXEMPTION and/or WAIVER ®6.RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: Forward Landfill <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: 9999 South Austin Road,Manteca,California <br /> 2. LATITUDE AND LONGITUDE: Latitude=37.87417 Longitude=121.18828 <br /> 3.LEGAL DESCRIPTION OF PERMITTED OUNDARV BIF SECTION,TOWNSHIP,RANGE,SME.AND MERI Section 3 of TownshipMount <br /> Diablo Baseline and Meridian(MDBBM)and Section 34 of Township 1N,Range 7E MDBBM.Assessor Parcel Nos.181-150-07,181-150-08.181-150-09,181-150-10.201-060-01,201- <br /> 060-03 and 201-060-05. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> Q 1.DISPOSAL ❑3.TRANSFORMATION E]5.OTHER(describe): <br /> a.TYPE: Class It <br /> r--12.COMPOSTING ❑4.TRANSFER/PROCESSING FACILITY <br /> a.TYPE: 0 CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> 01.FACILITY IS IDENTIFIED IN(Check one): <br /> R✓ SITING ELEMENT DATE OF DOCUMENT March 27,1996 PAGE# <br /> ®NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE# <br /> 02.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEWED:(Check applicable boxes): <br /> M1.AGRICULTURAL E16.CONSTRUCTION/DEMOLITION ❑11.LIQUIDS <br /> M2.ASBESTOS 0 Friable O Non-friable M7.CONTAMINATED SOILS ✓❑12.MIXED/MUNICIPAL SOLID WASTE <br /> M3.ASH M8.DEADANIMALS M 13.SEWAGE SLUDGE <br /> M4.AUTO SHREDDER M9.INDUSTRIAL ®14.TIRES <br /> E✓ 1G.INERT M15.OTHER(describe):See Attachment A <br /> ❑✓ 5.COMPOSTABLE MATERIAL(describe):residential curb side green waste collection. <br /> Page 1 <br />