Laserfiche WebLink
e5'rATEOF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD R <br /> V U D <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS_.__. LIC (! ' �Oju <br /> `C <br /> CIWMB E-1-77(R-8.04) rNI YEN 1' HEALTHLTH <br /> NOTE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate agency. PERMIT/SERVICES <br /> ]ER : iT% S <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 /> SW IS NUMBER: FILING FEE. RECEIPT NUMBER DATE RECEIVED: <br /> 39-AA-0004 <br /> DATE ACCEPTED: DATE REJECTED. ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION. <br /> DATE DUE. <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY. <br /> ENVIRONMENTAL HEALTH DEPARTMENT SAN JOAQUIN COUNTY <br /> C.TYPE OF APPLICATION(Check one box only): <br /> �J 1.NEW SWFP and/or WDRS �4.PERMIT REVIEW <br /> �2. REVISION OF SWFP and/or WDRS �5.AMENDMENT OF APPLICATION <br /> O3.EXEMPTION and/or WAIVER �6 RFI/ROWD/JTD AMENDMENTS <br /> Part 2 FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Foothill Sanitary Landfill <br /> B. LOCATION OF FACILITY: <br /> 1.PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 6484 Waverly Road Linden CA 95236 <br /> 2.LATITUDE AND LONGITUDE: <br /> Latitude:38 Degrees 02 Minutes Longitude:120 Degrees 56 Minutes <br /> 3.LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> Two parcels:APN 093-043-01 (160 acres)and 093-044-01 (640 acres) located in Section 12 Sr 13,T2N,East Mount Diablo Base Meridian. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> �1.DISPOSAL 3.TRANSFORMATION 5.OTHER(des <br /> a.TYPE: Class III <br /> D2.COMPOSTING �4.TRANSFER/PROCESSING FACILITY <br /> a.TYPE: O CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> Some inerts used for roads,some metals,some CRTs,etc <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> 1.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT Apr-96 PAGE# 15 <br /> �NONDISPOSAL FACILITY ELEI DATE OF DOCUMENT PAGE# <br /> D2.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 /> 1.AGRICULTURAL �6.CONSTRUCTIOWDEMOLITION 11.LIQUIDS <br /> �2.ASBESTOS O Friable O Non-friable F]7.CONTAMINATED SOILS 12.MIXED/MUNICIPAL SOLID WASTE <br /> O3 ASH F7K::18.DEAD ANIMALS 13.SEWAGE SLUDGE <br /> �4,AUTO SHREDDER O9.INDUSTRIAL 14.TIRES <br /> �10.INERT 15.OTHER(describe) <br /> �5,COMPOSTABLE MATERIAL(describe): Yard waste(minor quantities)not Composted <br /> N:\1 Foothill\JTD-Permit Review 2010\ <br /> FH-5 yr Permit Review App n TablesAs 1 of 4 <br />