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Part 3. FACILITY INFORMATION A. PROPOSED CHANGE (Check applicable box(es)): F-11. DESIGN (describe): n/a x❑2. OPERATION (describe): Building addition for clean fiber, inert storage appliance - u -waste - e -waste storage 1:13. OWNER, OPERATOR, ADDRESS, AND/OR FACILITY NAME CHANGE (describe): n/a F-14. OTHER (describe): n/a B. FACILITY INFORMATION: 1. INFORMATION APPLICABLE TO ALL FACILITIES: a. PEAK DAILY TONNAGE OR CUBIC YARDS 1,000 TPD 1) DISPOSAL/TRANSFER (unit) 1,000 TPD, 1,038 TPD (sludge) 2) OTHER (unit) n/a b. DAILY DESIGN TONNAGE (TPD) 1,000 TPD c. FACILITY SIZE (acres) 51.7 d. PEAK TRAFFIC VOLUME PER DAY (vpd) 560 VPD e. DAYS AND HOURS OF OPERATION 4 AM - 6 PM Daily (commercial), Daily 6 AM to 4 PM (Public) 2. ADDITIONAL INFO. REQUIRED FOR COMPOSTING FACILITIES ONLY: a. SITE STORAGE CAPACITY (cu yds) n/a 3. ADDITIONAL INFORMATION REQUIRED FOR LANDFILLS ONLY: a. AVERAGE DAILY TONNAGE (TPD) n/a b. SITE CAPACITY CURRENTLY PERMITTED (Airspace) (cu yds) n/a c. SITE CAPACITY PROPOSED (Airspace) (cu yds) n/a d. SITE CAPACITY USED TO DATE (Airspace) (cu yds) n/a e. SITE CAPACITY REMAINING (Airspace) (cu yds) n/a f. DATE OF CAPACITY INFORMATION (Date) (See instructions): n/a g. LAST PHYSICAL SITE SURVEY (Date) n/a h. ESTIMATED CLOSURE DATE (month and year) n/a i. DISPOSAL FOOTPRINT (acres) n/a j. SITE CAPACITY PLANNED (cu yds) n/a k. 1. (i) IN-PLACE WASTE DENSITY (Ibs of waste per cu yd of waste) n/a AND (ii) WASTE -TO -COVER RATIO (Estimated) (v:v) n/a OR 2. AIRSPACE UTILIZATION FACTOR (tons of waste per cu yd of landfill airspace) n/a Part 4. SOURCE OF WATER SUPPLY (Check applicable boxes) EIA. MUNICIPAL OR UTILITY SERVICE: FEB. INDIVIDUAL (Wells): All water for facility operations, including potable water will be obtained from an on site supply well. F_�C. SURFACE SUPPLY: 1. NAME OF STREAM, LAKE, ETC.: 2. TYPE OF WATER RIGHTS: FiRIPARIAN ❑ APPROPRIATION 3. STATE PERMIT OR LICENSE NUMBER, IF APPLICABLE: Page 2