Laserfiche WebLink
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# 88060714 <br />NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# October 1992 (SCH # 92082082) <br />oADDENDUM TO (Identify environmental document) <br />Oct -90 <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />®CATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE N/A <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />A. REQUIRED WITH ALL APPLICATION SUBMITTALS: <br />X❑RFI/JTD March -05 <br />[K] LOCAL USE/PLANNING PERMITS 06/1989 (UP -89-2) <br />LOCATION MAP <br />XOMITIGATION MONITORING IMPLEMENTATION SCHEDULE <br />SCH# 88060714 <br />GUIDELINE # N/A <br />®ENVIRONMENTAL DOCUMENT(S): <br />© (SCH# 88060714) <br />❑ MND/ND <br />October 31 1992 ❑ EXEMPTION <br />ADDENDUM Oct -90 <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br />®OPERATING LIABILITY FINANCIAL MECHANISM_Per JTD March 2005_ E:]FINANCIAL RESPONSIBILITY DOCUMENTATION Per JTD March 2005 <br />XMCLOSURE/POST CLOSURE MAINTENANCE PLAN xx LANDFILL CAPACITY SURVEY RESULTS (see instructions) 6/14/2004 <br />PRELIMINARY March -05 <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE <br />CONTRACT AGREEMENTS <br />X❑STORMWATER PERMIT APPLICATION <br />❑NPDES PERMIT APPLICATION <br />OTHER <br />12-06-2002 (WDR # RS -2002-0219) ®DEPT. OF HEALTH SERVICES PERMIT <br />®SWAT (Air and water) N/A <br />Permit # 5S391005571 XOWETLANDS PERMITS May -90 <br />®VERIFICATION OF FIRE DISTRICT COMPLIANCE 7/27/2007(Permit # 07-005) <br />Part 7. OWNER tNFORMATION (For disposal site, if operator is different from land owner, attach lease or other agreement) <br />TYPE OF BUSINESS: <br />E]SOLEPROPRIETORSHIP PARTNERSHIP CORPORATION ®GOVERNMENT AGENCY <br />OWNER(S) OF LAND SSN OR TAX ID # <br />(Name): <br />6800-14563 <br />San Joaquin County Department of Public Works- Solid Waste Division <br />ADDRESS, CITY, STATE, ZIP TELEPHONE #: <br />1810 E Hazelton Ave Stockton Ca 95205 <br />(209)468-3066 <br />FAX # <br />(209) 468-3078 <br />E-MAIL ADDRESS: <br />dreno@sjgov.org <br />CONTACT PERSON (Print Name) <br />Desi Reno <br />Page 3 <br />