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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 /> ®ENVIRONMENTAL IMPACT REPORT(EIR)SCH# 2001052061 <br /> ®NEGATIVE DECLARATION(ND)IMITIGATED NEGATIVE DECLARATION(MND) <br /> ®ADDENDUM TO(Identify environmental;document): <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> ®CATEGORICAL/STATUTORY EXEMPTION(CE/SE <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 /> Q RFIiJTD:Report of Composting Site Information(RCSI)(dated March 2009) QENVIRONMENTAL DOCUMENT(S): <br /> LOCAL USEIPLANNING PERMITS: ®EIR SCH#2001052051 Dated December 2002 <br /> ®LOCATION MAP:Figure 2 in RCSI(dated March 2009) ❑MNDIND <br /> MITIGATION MONITORING IMPLEMENTATION SCHEDULE:Decernber2002 ❑EXEMPTION <br /> 0 ADDENDUM_,.-.,, <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM: FiFINANCIAL RESPONSIBILITY DOCUMENTATION: <br /> FiCLOSURE/POST CLOSURE MAINTENANCE PLAN ®LANDFILL CAPACITY SURVEY RESULTS(see instructions) <br /> ®PREUMINARYIFINAL <br /> C. IF APPLICABLE: <br /> ®REPORT OF WASTE DISCHARGE ®DEPT.OF HEALTH SERVICES PERMIT <br /> ®CONTRACT AGREEMENTS ®SWAT(Air and water) <br /> ®STORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> ❑NPDES PERMIT APPLICATION ®OTHER: <br /> VERIFICATION OF FIRE DISTRICT COMPLIANCE <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 /> ®SOLE PROPRIETORSHIP aPARTNERSHIP ❑✓CORPORATION ❑GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX to It <br /> Forward Inc. 941544481 <br /> ADDRESS,CITY,STATE,ZIP: 9999 S.Austin Road,Manteca,CA 95336 TELEPHONE#:(209)982-4298 <br /> FAX#: (209)982-1009 <br /> E-MAIL ADDRESS:Kevin.Basso@aWn.com <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> Page 3 <br />