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STATE OF CALIFORNIA CALIFORNIA INTEGRA WASTE MANAGEMENT BOARD <br /> SOLID WASTE FACILITIES PERMIT PLICATION <br /> C1WMa E-1.77(REV.8/921 <br /> ENFORCEMENT AGENCY: Environmental FOR ENFORCEMENT AGENCY USIE--ONLY <br /> Public Health Services , Health Division FILE NUMBER(PERMIT NUMBER) <br /> TEFAMS!E35 1111 <br /> COUNTY: DA REJECTED: <br /> San Joaquin FILING FEE: <br /> TYPE OF APPLICATION: E i <br /> CO SWMP/COUNTYWIDE <br /> 1. NEW SOLID WASTE FACILITY PERMIT ®4. MODIFICATION OF PERMIT ®7.AMENDMENT OF APPLICATION IWMP REFERENCE PAGE(Sl: <br /> g2. REVISION OF PERMIT ®5. EXEMPTION FROM PERMIT ENVIR NMENTAL HEALTH <br /> PE <br /> �3. PERMIT REVIEW B. FACILITY CLOSURE <br /> NOTE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the <br /> local enforcement agency. See instructions for completing this application. <br /> L OENERAL NAME OF FACILITY: Forwgrd Landfill <br /> DESCRIPTION LOCATION OF FACILITY: (Give address or location, also include legal description by section,township,range,base,and <br /> OF meddlan It surveyed or projected. Section 3 , T1S, R7E MDBM; 9999 S . Austin R. ,Manteca <br /> FACILITY <br /> TYPE OF FACILITY: LANDFILL ®PROCESSING FACILITY ®MATERIAL RECOVERY FACILITY <br /> ®SUMP ®TRANSFER STATION ❑LAND SPREADING <br /> ®TRANSFORMATION ®COMPOSTING <br /> FACILITY (MIXED WASTES) <br /> TYPE OF WASTES TO BE RECEIVED: <br /> nAGRICULTURAL DEAD ANIMALS ®TIRES <br /> ASBESTOS JZKNDUSTRIAL ®WOOD MILL <br /> BASH IMLIQUIDS(INCLUDES SEPTAGE) OTHER DESIGNATED WASTE <br /> AUTO SHREDDER Ed MIXED MUNICIPAL ®OTHER HAZARDOUS WASTE �e <br /> CONSTRUCTIONMEMOLITION SLUDGE OTHEM IDESCRBEI e t <br /> II.FACILITY PROPOSED CHANGE EFFECTIVE DATE <br /> INFORMATION OCOMMENCED ICHECK APPUCAeLE®OXES1 OF PROPOSED CHANGE: <br /> Date: 1978 ®DESIGN <br /> ®WILL COMMENCE ®NO CHANGE <br /> Date: <br /> 1 , 185, 600qpv ®oPERAnoN <br /> AVERAGE ANNUAL PEAK DAILY 4 '18 0 FACILITY SITE CAPACITY EXPECTED CLOSURE DATE: <br /> LOADINGrTPY): LOADING(TPD): SIZE(Al: IN YARDS: 13 ,824, 000 2 <br /> III. OPERATOR OWNER OF LAND ADDRESS: TELEPHONE NUMBER: <br /> INFORMATION (Name): <br /> For land disposal. <br /> R operator Is FACILITY OPERATOR ADDRESS: <br /> dI ferent from Memel: <br /> land owner,attach <br /> lease or franchise ADDRESS WHERC LEGAL NOTICE MAY BE SERVED: N <br /> agreement. 1 — <br /> I hereby acknowledge that I have read this application and the Report of Facility Information, and certify that the Information given is <br /> true and accurate to the best of my knowledge and belief. In operating the solid waste facility, I agree to comply with the conditions <br /> of the permit and with federal, state, end local enactments. <br /> SIGNATURE TO OWNER OR EN11-:--� SIGNATU FA ILITY OPERATO � ADEN <br /> i <br /> TYPED NAME: ._ TYPED NAME: <br /> TITLE: DATE: TITLE: DATE: <br /> Yj <br /> IV.LIST OF ATTACHMENTS ICHECK IF APPLICABLE): <br /> ®REPORT OF FACILITY INFORMATION ®SWAT(ARI AND WATER) <br /> ®PERIODIC SITE REVIEW ®STORMWATER DISCHARGE PERMITS fNPDESI <br /> ®LOCAL USE/PLANNING PERMITS ®WETLANDS PERMIT <br /> ®OPERATING LIABILITY FINANCIAL MECHANISM ®PRELIMINARY CLOSURE/POSTCLOSURE MAINTENANCE PLAN <br /> ®DEPARTMENT OF HEALTH SERVICES PERMIT ®FINAL CLOSURE/POSTCLOSURE MAINENANCE PLAN <br /> ®AIR QUALITY/POLLUTION CONTROL DISTRICT PERMITS ®FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> ®CERTIFIED ENVIRONMENTAL REVIEW REPORTS ICEQA) ®OTHER REGULATORY AGENCY PERMITS <br /> ®WASTE DISCHARGE REOUIREMENTS ®OTHER <br /> IPERMITxlse1921 S <br />