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STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTL MANAGE MENT BOARD <br /> 'REGIONAL WATER QUALITY CON]ROI BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE DISCHARGE REQUIREMENTS <br /> CIWMe E 1.77(Rev 8 OQ <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 /> WIS NUMBER FILING FE RECEIPT NUMBER DATE RECEIV D <br /> DATE ACCEPTED DATE REJE TED ACCEPTANCE DATE OF <br /> 7INCOMPLETE APPLICATION <br /> DATE DUE <br /> Part 1.GENERAL INFORMATION <br /> A ENFORCEMENT AGENCY B COUNTY <br /> San Joaquin County Public Health Services,Environmental Health San Joaquin <br /> Division <br /> ]1 NEW SWFP and/or WDRS ]4 PERMIT REVIEW <br /> n2 REVISION OF SWFP andlor WDRS 115 AMENDMENT OF APPLICATION <br /> 113 EXEMPTION and/or WAIVER 06 RFUROWD/JTDAMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Forward Landfill <br /> B. LOCATION OF FACILITY: <br /> 1 PHYSICAL ADDRESS OR LOCATION AND ZIP CODE <br /> 9999 South Austin Road,Manteca,CA 95336 <br /> 2 LATITUDE AND LONGITUDE <br /> Latitude 37'52'39.38",Longitude 121' 11'23.90" <br /> 3 LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE BASE.AND MERIDIAN,IF SURVEYED <br /> Section 3 of Township 1S,Range 7E,Mount Diablo Baseline and Meridian(MDB&M),Section 34 of Township 1N,Range 7E MDB&M,and Section 10 of <br /> Township 1S,Range 7E MDB&M. Assessor Parcel Nos.181-150-07.181-150-08,181-150-09,181-150-10,201-060-01,201-060-02,201-060-03,201- <br /> 060-04,201-060-05,and 201-070-01. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> ®1 DISPOSAL ]3 TRANSFORMATION ]5 OTHER(describe) ACW Disposal Site <br /> a TYPE Class II and Class III(see JTD pages 4-1 through 4-3) <br /> ]2 COMPOSTING ]4 TRANSFERIPROCESSING FACILITY <br /> a TYPE O CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> XE 1 FACILITY IS IDENTIFIED IN(Check one) <br /> X]SITING ELEMENT DATE OF DOCUMENT Apr 96 PAGE#18-23 <br /> ]NONDISPOSAL FACILITY EL DATE OF DOCUMENT PAGE# <br /> ]2 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 /> ]1 AGRICULTURAL X-16 CONSTRUCTIONIDEMOLITION ]11 LIQUIDS <br /> ]2 ASBESTOS O Friable O Non-tnable X]7 CONTAMINATED SOILS X]12 MIXEDIMUNICIPAL SOLID WASTE <br /> X]3 ASH ]6 DEADANIMALS X]13 SEWAGE SLUDGE <br /> X]4 AUTOSHREDDER O9 INDUSTRIAL X]14 TIRES <br /> ®10 INERT X]15 OTHER(describe) See JTD <br /> X]5 COMPOSTABLE MATERIAL(describe) Residential curbside green waste collection <br /> Page 1 <br />