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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# <br />®NEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />®ADDENDUM TO (Identify environmental document) <br />SCH# <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION: <br />F—ICATEGORICAUSTATUTORY EXEMPTION (CE/SE) <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 />F-lRFI/JTD <br />❑LOCAL USE/PLANNING PERMITS <br />LOCATION MAP <br />®MITIGATION MONITORING IMPLEMENTATION SCHEDULE <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 APPLICABLE: <br />F-JREPORT OF WASTE DISCHARGE <br />[::]CONTRACT AGREEMENTS <br />❑STORMWATER PERMIT APPLICATION <br />®NPDES PERMIT APPLICATION <br />OTHER <br />GUIDELINE # <br />®ENVIRONMENTAL DOCUMENT(S) <br />❑ EIR <br />❑ MND/ND <br />❑ EXEMPTION <br />❑ ADDENDUM <br />®FINANCIAL RESPONSIBILITY DOCUMENTATION <br />®LANDFILL CAPACITY SURVEY RESULTS (see instructions) <br />❑DEPT. OF HEALTH SERVICES PERMIT <br />®SWAT (Air and water) <br />❑WETLANDS PERMITS <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 ®PARTNERSHIP ❑CORPORATION ®GOVERNMENT AGENCY <br />Page 3 <br />