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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 /> CIWMB 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 /> ATE 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 M4.PERMIT REVIEW <br /> n2. REVISION OF SWFP and/or WDRS 115.AMENDMENT OF APPLICATION <br /> 03. EXEMPTION and/or WAIVER ®6.RFMWD/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,Caiifomla <br /> 2. LATITUDE AND LONGITUDE: Latitude=37.87417 Longitude=121.18828 <br /> 3.LEGAL DESCRip noN OF PERMITTED BOUNDARY BY SECTION.TOWNSHIP.RANGE.BASE,AND 'ED: Section 3 of Towrsi�ipa 7E,Mount <br /> Diablo Baseline and Meridian(MDB&M)and Section 34 of Township 1N,Range 7E MDB&M.Assessor Parcel Nos.181-150-07.181-15M8.181-150-M.181-150-10.201-060-01,201- <br /> 060-03 and 201-060-05. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> MI.DISPOSAL ®3.TRANSFORMATION E]5.OTHER(describe): <br /> a.TYPE: Class 11 <br /> Q2.COMPOSTING ®4.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> ❑✓ 1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT March 27,1996 PAGE# <br /> ❑NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE# <br /> 1:12.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> 01.AGRICULTURAL [Z]6.CONSTRUCTION/DEMOLITION ®11.LIQUIDS <br /> M2.ASBESTOS ❑Friable O Non-friable M7.CONTAMINATED SOILS ✓❑12.MIXED/MUNICIPAL SOLID WASTE <br /> 03.ASH ❑8.DEAD ANIMALS ✓a13.SEWAGE SLUDGE <br /> ®4.AUTO SHREDDER M9.INDUSTRIAL ®14.TIRES <br /> �✓ 10.INERT [E]15.OTHER(describe):See Attachment A <br /> MS.COMPOSTABLE MATERIAL(describe):residential curb side green waste collection. <br /> Page 1 <br />