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Part 5.COMPLIANCE WITH CALIFORNIA ENWONMENTAL QUALITY ACT(CEQA) (Check icable boxes) <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT: <br /> ® 1.ENVIRONMENTAL DOCUMENT WAS PREPARED: <br /> ® ENVIRONMENTAL IMPACT REPORT(EIR)SCH# <br /> NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> ADDENDUM TO(L. .,..,., .,, ».,, ..,) SCH# <br /> 2.ENVIRONMENTAL DOCUMENT WILL BE PREPARED(E--... <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE 9153 GUIDELINE# modifications a eS minor changes on what the land <br /> ieno <br /> has-h nu lC d aC rand will In .lIIT'Ent[Jneration <br /> Part 6.LIST OF ATTACHMENTS (Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> ® RFI/JTD ® ENVIRONMENTAL DOCUMENT(S): <br /> LOCATION MAP Site Map ❑EIR <br /> ® MITIGATION MONITORING&REPORTING PROGRAM O MND/ND <br /> ® LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC 13 EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR DISPOSAL FACILITIES ONLY: <br /> ® OPERATING LIABILITY FINANCIAL MECHANISM FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ® CLOSURE/POST CLOSURE MAINTENANCE PLAN ® KNOWN OR REASONABLY FORSEEABLE CORRECTIVE ACTION COST ESTIMATES <br /> ®PRELIMINARY <br /> ❑FINAL ® LANDFILL CAPACITY SURVEY RESULTS <br /> C. IF APPLICABLE: <br /> ® REPORT OF WASTE DISCHARGE ® DEPT,OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br /> PROGRAM AGENCY PERMIT <br /> ® STORMWATER PERMIT APPLICATION ® SWAT(Aar.no war..) <br /> ® NPDES PERMIT APPLICATION ® WETLANDS PERMITS <br /> ® OTHER ® VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> Part 7.OWNER INFORMATION (For alsposel sKa,If operator ..f.r.ntfrnm ow cn 1....or other agreement) <br /> TYPE OF BUSINESS: <br /> ® SOLE PROPRIETORSHIP ® PARTNERSHIP ® CORPORATION ® GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (N. .): <br /> ADDRESS.CITY,STATE,ZIP TELEPHONE#: <br /> FAX#: <br /> E-MAIL ADDRESS: <br /> CONTACT PERSON(Pant N....): <br /> Page 3 <br />