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4STRUCTIONS FOR COMPLETING THE APPLICATION
<br /> :is application form is for a Solid Waste Facilities Permit to receive, store,process,transform, or dispose of solid waste regulated by the
<br /> slifornis Waste Management Board (Board). This form and the filing fee should be sent to the appropriate city or county Local Enforcement
<br /> rency(LEA).The exact amount of the filing fee is determined by the LEA.
<br /> )mplete this form and return it with a photocopy and two copies of the appropriate attachments determined to be necessary by your LEA. All
<br /> aterial should be submitted on 81/2' x 11' paper. Maps and other oversize documents should be folded to that size.
<br /> is effective date of the application is the date when all required information and the correct fee are received by the LEA. The LEA will notify
<br /> )u of this effective date.
<br /> you have any questions on the completion of this form, please contact the LEA or Board staff for assistance at(918) 255-2200.
<br /> 'o instructions will be listed for items that are self,e lanatory.
<br /> GENERAL DESCRIPTION OF FACILITY
<br /> fPE OF WASTE TO BE RECEIVED:
<br /> rtierdtural-wastes resulting from the production and processing of farm or agricultural products,including manures,prunings, and crop
<br /> sidues.
<br /> •bostas-a naturally occurring family of carcinogenic fibrous mineral substance. The State Department of Health Services has classified friable
<br /> antes which contain more than one percent asbestos by weight as hazardous wastes. Friable means that the material can be crumbled with
<br /> assure and, therefore,is likely to emit fibers.
<br /> -h-the residue from the incineration of solid wastes, including municipal waste,infectious waste, woodwasta,sludge, and agricultural waste.
<br /> no shredder-the 'fluff' consisting of upholstry,paint,plastics, and other non-metallic substances which remains attar the shredding of
<br /> nomobiles,discarded household major appliances, and shestmetal. The State Department of Health Services has classified untreated '
<br /> iredder wastes as hazardous.
<br /> rnstmctlonldemotitlon worts- waste building materials, packaging, and nubble resulting from construction,remodeling, repair and demolition
<br /> )orations, and consisting mainly of inert materials.
<br /> rad strmels-animal carcasses requiring disposal that have not been previously used for medical purposes or with known infectious diseases.
<br /> dustrlal-solid or semi-solid wastes resulting from industrial processes and manufacturing operations, e.g,cement kiln dust. ore process
<br /> sidues, grit or screenings removed from a waste water treatment facility, etc.
<br /> w-discarded*ire casings.
<br /> .lids-wastes which are not spedeable,usually containing less than 50% solids. These wastes include cannery and food processing wastes,
<br /> ndf ll leachate and gas condensate,boiler blowdown water. grease trap plumbings, oil and geothermal field wastes. septic tank pumpings,
<br /> ndering plant byproducts, some sewage sludge, etc.may be hazardous.
<br /> Ixed murrldpal-residential and commercial refuse, garbage and/or rubbish. Residential waste is commonly thought of as household garbage,
<br /> 3mmercial wastes contain less putrscible waste and more paper and cardboard.
<br /> rwage sludge-human (not Industrial) residue, excluding grit or screenings, removed from a waste water treatment facility or septic tank,
<br /> hether in a dry or semidry form.
<br /> •ood tnAT-shavings,sawdust,sanderdust, chips, bark, slabs,deck scrapings, edging woodand other flammable waste material incidental to
<br /> is processing of wood products.
<br /> her-classification of exempted solid waste facility, or any allowable wastes not included in the above.
<br /> FACILITY INFORMATION
<br /> ROPOSED CHANGE IN DESIGN OR OPERATION.OR NO CHANGE:EFFECTIVE DATE
<br /> 3r existing permitted facilities, when the operator proposes changes in design, operation, operator,or owner,details of the changes must be
<br /> ron to by the LEA. If significant,the permit must be revised prior to implementation of the change. For an application for permit review,if
<br /> 'ere are no changes;so indicate.
<br /> VERAGE ANNUAL LOADING (TPY)
<br /> is average amount of wastes the facility will receive on a yearly basis over the next five years,expressed in tons. Must be consistent with
<br /> is RFI and any California Environmental Quality Act (CEQA) requirements. Volume figures should be converted to tons and the conversion
<br /> ctor should be documented In the accompanying Report of Facility Information.
<br /> --AK DAILY LOADING (TPD)
<br /> be maximum amount of waste the facility Is designed to receive,store,process, or dispose of per day, expressed in tons.
<br /> ACILITY SIZE:
<br /> he area of the facility in acres to be used for receiving, storing, processing, or disposing of wastes,including all monitoring locations and any
<br /> iffer zone. This will be referred to as the 'permitted acreage' and is considered the facility boundaries.
<br /> . OPERATOR INFORMATION:
<br /> it land disposal operations, if the operator is different from land owner,attach lease or franchise agreement documenting operator's interest in
<br /> al property.
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