Laserfiche WebLink
C <br />Part 5. 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 />1XI ENVIRONMENTAL IMPACT REPORT (EIR) SCH# 9209072 2/94 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />ADDENDUM TO (Identify environmental document) SCH# <br />S. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />�CATEGORICAUSTATUTORY EXEMPTION (CE/SE) GUIDELINE # <br />EXEMPTION TYPE <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />®RFUJTD TPR -Dated 01-2005 FA#0001434 Amendments 3/05 ® ENVIRONMENTAL DOCUMENT(S): <br />®LOCAL USE/PLANNING PERMITS UP -93-2 10/9 3 <br />�EIR SCH #9209072 2/94 <br />❑MND/ND <br />®LOCATION MAP <br />7/6/93 ❑EXEMPTION <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />❑ ADDENDUM <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />OPERATING LIABILITY FINANCIAL MECHANISM <br />[:]CLOSURE/POST CLOSURE MAINTENANCE PLAN <br />❑ PRELIMINARY <br />❑ FINAL <br />C. IF APPLICp BLE: <br />FlREPORT of WASTE DISCHARGE <br />-MCONTRACT'AGREEMENTS <br />E]STORMWATER PERMIT APPLICATION" <br />aNPOES PERMIT APPLICATION - <br />QOTHER <br />FINANCIAL RESPONSIBILITY DOCUMENTATION <br />LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />DEPT. OF HEALTH SERVICES PERMIT <br />[]SWAT (Air and water). <br />QWETLANDS PERMITS <br />�VERIFICATION, OF FIRE.DISTRICT.COMPLIANCE �i -- - <br />Part 7. OWNER INFORMATION (For disposal site, if operator is different from land owner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />DSOLE PROPRIETORSHIP ®PARTNERSHIP CORPORATION <br />OWNER(S) OF LAND <br />(Name): San Joaquin County <br />Department of Public Works—Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP <br />PO Box 1810 <br />Stockton, CA 95201 <br />IGOVERNMENTAGENCY <br />SSN OR TAX ID # <br />6800-14563 <br />TELEPHONE #: <br />(209) 468-3066 <br />(209) 468-3078 <br />E-MAIL ADDRESS: <br />DReno@sjgov.org <br />CONTACT PERSON (Print Name): <br />Desi Reno <br />Page 3 <br />