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Part 6.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# <br /> ®NEGATIVE DECLARATION(NDvmrrIGATED NEGATIVE DECLARATION(MND),SCM 93!O Z®3`F cli4 TEra. AFC-2-0, 19-93 <br /> OADDENDUM TO(Identify environmental doo meat) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT($)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> aCATEGORICA(STATUTORY EXEMPTION(CEISE) . <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 /> ®RFUJTO gF1/R5C/ d,4'rg-d. F&-6./1, 19-94 [EIEWRONMENTALDOCUMENT(%: <br /> LOCAL USE/PLANNING PERMITS 190 SAi,..2._!—4! JATEd. DEC. Z'®i 9 O EIR 7� <br /> E]LOCATIONMAP /1612./06 )(MNMD Alo cC TEC1 <br /> rIMITIGATK)N MONITORING IMPLEMENTATION SCHEDULE D EXEMPTION J//A <br /> O ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ❑CLOSUREIPOST CLOSURE MAINTENANCE PLAN [-]LANDFILL CAPACITY SURVEY RESULTS(see instructlone) <br /> 0 PRELIMINARY <br /> O FINAL <br /> C. IF APPLICABLE: <br /> REPORTOF WASTE DISCHARGE WAIV-9 rA0M CeWL206-,C Is ❑DEPT.OF HEALTH SERVICES PERMIT <br /> CONTRACTAGREEMENTS sLA7ZFcl 5Ep22,lj93 <br /> SWAT(Air and venter) <br /> F--jSTORMWATER PERMIT APPLICATION ❑WETLANDS PERMITS g p <br /> Fl NPOES PERMIT APPLICATION VERIFICATION OF FIRE DISTRICT COMPLIANCE LtW F--cm IlA1dEy f€Te-iES <br /> MOTHER Fi&E Di5ra 1C7-aArEd TON,Ht 1988 <br /> Park 7.OWNER INFORMATION (For disposal site.If operator is different from land owner,attach tease or other agreement) <br /> TYPE OF BUSINESS: <br /> SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION FiGOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> ADDRESS.CITY,STATE,ZIP TELEPHONE* <br /> p� Zi11,9- <br /> Z 73Jo FLovd P-4. FAX <br /> C-/A,d / CA 9S23(,-, 2-O,9— e 87®36-90 <br /> E4M L ADDRESS: <br /> ire N d'I,DC-�O�t Secrets. 00.144 <br /> CONTACT PERSON(Print Name): <br /> AJT idLT0 <br /> Page 3 <br />