Laserfiche WebLink
Part 5. COMPLIANCE WITH CALIFORNIA ENWONMENTAL QUALITY ACT(CEQA)(CheckWiicabie 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 /> OENVIRONMENTAL IMPACT REPORT(EIR)SCH# SCH#93042093 <br /> X❑NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# SCH#96102011 <br /> ®ADDENDUM TO(Identify environmental document) SCH# <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> X❑CATEGORICAL/STATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE Categorical Exemption GUIDELINE#Existing Facility-Section 15301-Class 1(a) <br /> Part 6. LIST OF ATTACHMENTS(Fill in the date for each document checked) <br /> A REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> X❑RFI/JTD 12/93,Amendments to RFI 09/96, 12/04,08/06,04/07 DENVIRONMENTAL DOCUMENT(S): <br /> X❑LOCAL USE/PLANNING PERMITS UP-93-41 X EIR SCH#93042093 <br /> OLOCATION MAP Figures, RFI Amendment 08/06 ❑MND/ND SCH#96102011 <br /> MITIGATION MONITORING IMPLEMENTATION SCHEDULE X Exemption NOE July 5,2006 <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR LANDFILLS ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM_ n/a FINANCIAL RESPONSIBILITY DOCUMENTATION n/a <br /> F--JCLOSURE/POST CLOSURE MAINTENANCE PLAN n/a ❑LANDFILL CAPACITY SURVEY RESULTS(see instructions) Na <br /> ❑ PRELIMINARY <br /> ❑ FINAL <br /> C. IF APPLICABLE: <br /> x�REPORT OF WASTE DISCHARGE Waiver,3/94 ®DEPT.OF HEALTH SERVICES PERMIT <br /> ®CONTRACT AGREEMENTS SWAT(Air and water) <br /> F-JSTORMWATER PERMIT APPLICATION ®WETLANDS PERMITS <br /> F�NPDES PERMIT APPLICATION VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> XXOTHER APCD Permit to Construct#N-3187-4-0 <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 EIGOVERNMENTAGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (Name): <br /> Mike Repetto #680293953 <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> Tracy Material Recovery and Transfer Facility (209)835-0601 <br /> 30703 S. MacArthur Drive Tracy CA 95376 <br /> FAX#: <br /> (209)835-7729 <br /> E-MAIL ADDRESS: <br /> miker@tdswm.com <br /> CONTACT PERSON(Print Name): <br /> Mike Repetto <br /> Page 3 <br />