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INSTRUCTIONS FOR COMPLETING THE APPLICATION
<br /> chis application form is for a Solid Waste Facilities Permit to receive, store,process,transform, or dispose of solid waste regulated by the
<br /> California Waste Management Board (Board). This form and the filing fee should be sent to the appropriate city or county Local Enforcement
<br /> Agency(LEA).The exact amount of the filing fee is determined by the LEA. i
<br /> Complete this form and return it with a photocopy and two copies of the appropriate attachments determined to be necessary by your LEA. All i
<br /> material should be submitted on 81/2" x 11" paper. Maps and other oversize documents should be folded to that size.
<br /> The 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 /> dou of this effective date.
<br /> f you have any questions on the completion of this form,please contact the LEA or Board staff for assistance at(916) 255-2200.
<br /> No instructions will be listed for items that are self-explanatory.
<br /> GENERAL DESCRIPTION OF FACILITY
<br /> TYPE OF WASTE TO BE RECEIVED:
<br /> agricultural-wastes resulting from the production and processing of farm or agricultural products, including manures,prunings, and crop
<br /> -esidues.
<br /> asbestos-a naturally occurring family of carcinogenic fibrous mineral substance. The State Department of Health Services hes classified friable
<br /> .vastes which contain more than one percent asbestos by weight as hazardous wastes. Friable means that the material can be crumbled with
<br /> xessure and, therefore, is likely to emit fibers.
<br /> ash-the residue from the incineration of solid wastes, including municipal waste, infectious waste, woodwaste, sludge, and agricultural waste.
<br /> auto shredder-the "fluff" consisting of upholstry,paint, plastics, and other non-metallic substances which remains after the shredding of
<br /> automobiles, discarded household major appliances, and sheetmetal. The State Department of Health Services has classified untreated
<br /> shredder wastes as hazardous.
<br /> construction/demolition waste- waste building materials,packaging, and rubble resulting from construction, remodeling, repair and demolition
<br /> operations, and consisting mainly of inert materials.
<br /> dead eriimsls-animal carcasses requiring disposal that have not been previously used for medical purposes or with known infectious diseases.
<br /> industrial-solid or semi-solid wastes resulting from industrial processes and manufacturing operations, e.g.cement kiln dust, ore process
<br /> residues, grit or screenings removed from a waste water treatment facility,etc.
<br /> tires-discarded tire casings.
<br /> liquids- wastes which are not spadeable, usually containing less than 50%solids. These wastes include cannery and food processing wastes,
<br /> landfill leachate and gas condensate, boiler blowdown water, grease trap plumbings, oil and geothermal field wastes, septic tank pumpings,
<br /> rendering plant byproducts, some sewage sludge, etc.may be hazardous.
<br /> mixed municipal-residential and commercial refuse,garbage end/or rubbish. Residential waste is commonly thought of as household garbage,
<br /> commercial wastes contain less putrecible waste and more paper and cardboard.
<br /> sewage sludge-human (not industrial) residue, excluding grit or screenings, removed from a waste water treatment facility or septic tank,
<br /> whether in a dry or semidry form.
<br /> wood mill-shavings, sawdust, sanderdust, chips, bark, slabs, deck scrapings, edging wood and other flammable waste material incidental to
<br /> the processing of wood products.
<br /> other-classification of exempted solid waste facility, or any allowable wastes not included in the above.
<br /> II. FACILITY INFORMATION
<br /> PROPOSED CHANGE 1N DESIGN OR OPERATION, OR-NO CHANGE;EFFECTIVE DATE:
<br /> For existing permitted facilities, when the operator proposes changes in design, operation, operator, or owner, details of the changes must be
<br /> seen 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 /> there are no changes, so indicate.
<br /> AVERAGE ANNUAL LOADING (TPY)
<br /> The 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 /> the RFI and any California Environmental Quality Act (CEQA) requirements. Volume figures should be converted to tons and the conversion
<br /> factor should be documented in the accompanying Report of Facility Information.
<br /> PEAK DAILY LOADING (TPD)
<br /> The maximum amount of waste the facility is designed to receive, store,process, or dispose of per day, expressed in tons.
<br /> FACILITY SIZE:
<br /> The area of the facility in acres to be used for receiving, storing, processing, or disposing of wastes,including all monitoring locations and any
<br /> buffer zone. This will be referred to as the "permitted acreage" and is considered the facility boundaries.
<br /> 111.OPERATOR INFORMATION:
<br /> For land disposal operations, if the operator is different from land owner, attach lease or franchise agreement documenting operator's interest in-
<br /> real property.
<br /> (crvaMEAPPe192)
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