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Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQA)(Check applicable boxes) <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT AND PROVIDE THE STATE CLEARINGHOUSE NUMBER(SCH#): <br /> ®ENVIRONMENTAL IMPACT REPORT(EIR)SCH# 2001052081 <br /> EK]NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# 2010112045 <br /> ®ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED.PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> ®CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6.LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> ®RFI/JTD JTD(Updated 2013) ®ENVIRONMENTAL DOCUMENT(S) <br /> ®LOCAL USE/PLANNING PERMITS See Appendix A of JTD X EIR SCH#2001052081(NOD filed April 2003) <br /> ®LOCATION MAP See Drawing 1 of JTD X MND/ND:SCH#2010112045(Cert,January 2011) <br /> ®MITIGATION MONITORING IMPLEMENTATION SCHEDULE December 2002 0 EXEMPTION <br /> 0 ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM May 2008 ®FINANCIAL RESPONSIBILITY DOCUMENTATION June 2012 <br /> ®CLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions):March 2012 <br /> X PRELIMINARY in Appendix L of JTD dated 512002 <br /> 0 FINAL <br /> C. IF APPLICABLE: <br /> ®REPORT OF WASTE DISCHARGE ®DEPT.OF HEALTH SERVICES PERMIT <br /> ❑CONTRACT AGREEMENTS ®SWAT(Air and water) <br /> F]STORMWATER PERMIT APPLICATION ❑WETLANDS PERMITS <br /> ®NPDES PERMIT APPLICATION ®VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> F-JOTHER <br /> Part T.OWNER INFORMATION (For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ®SOLE PROPRIETORSHIP PARTNERSHIP EICORPORATION ®GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Forward, Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> 209-982-4298 <br /> FAX#: <br /> 209-982-1009 <br /> 9999 S. Austin Road, Manteca, CA 95336 E-MAIL ADDRESS. <br /> dl itchfield(MreDublicservices.com <br /> CONTACT PERSON(Print Name)t <br /> Don Litchfield <br /> Page 3 <br />