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Ef, <br />,TATE OF CALIFORNIA F� I L <br />CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD is <br />REGIONAL WATER QUALITY CONTROL BOARD J � .� IL 6 2000 <br />APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE DISCHARGE REQUIREMENTS <br />NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to th piwh6 <br />Please refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner <br />FOR OFFICIAL USE ONLY <br />SWIS NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />39 -AA -002 <br />C. TYPE OF APPLICATION (Check one box only): <br />® 1. NEW SWFP and/or WDRS <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />2- 2-10 g <br />116. RFI/ROWD/JTD AMENDMENTS <br />INCOMPLETE <br />APPLICATION: <br />DATE DUE: <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: <br />B. COUNTY: <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />C. TYPE OF APPLICATION (Check one box only): <br />® 1. NEW SWFP and/or WDRS <br />914. PERMIT REVIEW <br />112. REVISION OF SWFP and/or WDRS <br />5. AMENDMENT OF APPLICATION <br />113. EXEMPTION and/or WAIVER <br />116. RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />North County Landfill <br />B. LOCATION OF FACILITY: <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />17900 East Harney Lane, Lodi Ca 95240 <br />2. LATITUDE AND LONGITUDE: <br />Latiitude:38 Degrees, 06 Minutes Longitude:121 degrees, 04 minutes <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: <br />APN 065-120-02, 065-120-03, 065-120-08, and 065-120-09 in Section 21, T3N, R8E, MDB&M <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />®1. DISPOSAL <br />a. TYPE: <br />®2. COMPOSTING <br />a. TYPE: <br />Class III <br />E-13. TRANSFORMATION M5. OTHER (describe): <br />F-14. TRANSFER/PROCESSING FACILITY <br />❑ CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />XX1. FACILITY IS IDENTIFIED IN (Check one): <br />SITING ELEMENT <br />ONONDISPOSAL FACILITY EL <br />DATE OF DOCUMENT Apr -96 <br />DATE OF DOCUMENT <br />712. FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br />E. TYPE OF PERMITTED WASTES TO BE RECEIVED: (Check applicable boxes): <br />71. AGRICULTURAL ED. CONSTRUCTION/DEMOLITION r__j11. LIQUIDS <br />72. ASBESTOS ❑ Friable ❑ Non -friable 07. CONTAMINATED SOILS x12. MIXED/MUNICIPAL SOLID WASTE <br />73. ASH <br />E-18. DEAD ANIMALS ®13. SEWAGE SLUDGE <br />PAGE # 18 <br />PAGE # <br />74. AUTO SHREDDER D. INDUSTRIAL x 14. TIRES <br />F-110. INERT x] 15. OTHER (describe): Household hazardous waste <br />D5. COMPOSTABLE MATERIAL (describe): Green Wood waste, Yard Clippings <br />mill Page <br />