Laserfiche WebLink
STATE CALIFORNIA <br /> 6ALIFORNRNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS <br /> CIWMR E-1.77(Rev.8-= <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 <br /> APPLICATION: <br /> DATE DUE: <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County, Environmental Health Department San Joaquin <br /> ❑1. NEW SWFP and/or WDRS F4.PERMIT REVIEW <br /> F12. REVISION OF SWFP and/or WDRS 05.AMENDMENT OF APPLICATION <br /> 113. EXEMPTION and/or WAIVER 06.RFI/ROWD/JTD AMENDMENTS <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 1 S,Range 7E,Mount Diablo Baseline and Meridian(MDB&M),Section 34 of Township 1 N,Range 7E MDB&M,and Section 10 of <br /> Township 1 S, 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 /> ORO-04.901-060-05_and 901-0711-01. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> M1.DISPOSAL F13.TRANSFORMATION ❑X 5.OTHER(describe): ACW Disposal Site <br /> a. TYPE: Class II and Class III(see JTD pages 4-1 through 4-3) <br /> M2.COMPOSTING r74.TRANSFER/PROCESSING FACILITY <br /> a. TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> M1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT April 1996 PAGE# 18-23 <br /> FINONDISPOSAL FACILITY EL 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 /> rx-�1.AGRICULTURAL r7X 6.CONSTRUCTION/DEMOLITION M11.LIQUIDS <br /> F-12.ASBESTOS ❑Friable ❑Non-friable F-17.CONTAMINATED SOILS F112.MIXED/MUNICIPAL SOLID WASTE <br /> X❑3.ASH 718.DEAD ANIMALS(small) MR13.SEWAGE SLUDGE <br /> a4.AUTO SHREDDER F-719.INDUSTRIAL MR14.TIRES <br /> [E10.INERT MR15.OTHER(describe): See Attachment 1 <br /> F15.COMPOSTABLE MATERIAL(describe): <br /> Page 1 <br />