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Part 5. COMPLIANCE WITH CALIFORNIA EN NMENTAL QUALITY ACT (CEQA)(Check ap ble boxes) <br />A. CHECK BUX(ES) IF ENVIRUNMEN I AL UUGUMEN I WAS UR WILL BE PREPARED FOR I HIS PROJEC 1: <br />El 1. ENVIRONMENTAL DOCUMENT WAS PREPARED: <br />® ENVIRONMENTAL IMPACT REPORT (EIR) SCH# <br />ENEGATIVE DECLARATION (ND)/MITIGATED NEGATIVE DECLARATION (MND) SCH# <br />® ADDENDUM TO (Identify environmental document) <br />El 2. ENVIRONMENTAL DOCUMENT WILL BE PREPARED (Enter lead agency if known): <br />B. IF ENVIRONMENTAL DOCUMENT(S) WAS NOT PREPARED, PLEASE PROVIDE THE FOLLOWING INFORMATION. <br />Exempt, Pre-CEQA on going project per CCR 14, CH3,A18,S15261 <br />® CATEGORICAUSTATUTORY EXEMPTION (CE/SE) <br />EXEMPTION TYPE GUIDELINE # <br />Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br />FTREQUIRED WITH ALL APPLICATION SUBMITTALS: <br />IJII RFI/JTD Mar -17 <br />Fxl LOCATION MAP 2017 <br />ElMITIGATION MONITORING & REPORTING PROGRAM <br />El LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC <br />95-01ND-75100 (3/29/1995) <br />SCH# <br />® ENVIRONMENTAL DOCUMENT(S) <br />EIR <br />❑ MND/ND NA <br />❑ EXEMPTION <br />❑ ADDENDUM NA <br />B. ADDITIONAL REQUIRED DOCUMENTS FOR DISPOSAL FACILITIES ONLY: <br />Fxl OPERATING LIABILITY FINANCIAL MECHANISN 2017 x1 FINANCIAL RESPONSIBILITY DOCUMENTATION 2017 <br />IAICLOSURE/POST CLOSURE MAINTENANCE PLAN11 <br />KNOWN OR REASONABLY FORSEEABLE CORRECTIVE ACTION COST ESTIMATES <br />x PRELIMINARY 2017 <br />❑ FINAL <br />C. IF APPLICABLE: <br />REPORT OF WASTE DISCHARGE <br />X� STORMWATER PERMIT APPLICATION <br />X❑ NPDES PERMIT APPLICATION <br />R5-2015-0058 <br />IAflnin ±t 1;cgainn1;R7F <br />tAnnln ii r,cgalnnrr,7a <br />U OTHER UP#3295,UP#3541 (land Use permit) <br />xX LANDFILL CAPACITY SURVEY RESULTS (see instruct 2016 <br />DEPT. OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br />PROGRAM AGENCY PERMIT <br />nSWAT (Air and water) N-4070 <br />ElWETLANDS PERMITS <br />Fxl VERIFICATION OF FIRE DISTRICT COMPLIANCE Linden Peters Fire Dept <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 />El SOLE PROPRIETORSHIP PARTNERSHIP CORPORATION FX] GOVERNMENT AGENCY <br />OWNER(S) OF LAND <br />(Name): <br />San Joaquin County <br />ADDRESS, CITY, STATE, ZIP <br />San Joaquin County Department of Public Works. Attn Solid Waste Division. 1810 East Hazelton Ave Stockton Ca 95205 <br />SSN OR TAX ID # <br />94-6000-531 <br />TELEPHONE #: <br />(209)468-3066 <br />FAX #: <br />(209)468-3078 <br />E-MAIL ADDRESS: <br />tbahadori a0siaov.oro <br />CONTACT PERSON (Print Name): <br />Taj M Bahadori <br />Part 8. OPERATOR INFORMATION (For disposal site, if operator is different from land owner, attach lease or other agreement) <br />