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STATE OF CAL IFORNIA <br />DEPARTMENT OF RESOURCES RECYCL ING A ND RECOVERY <br />REGIONAL WATER QUAL ITY CONTROL B OA RD <br />APPLICATION FOR SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS <br />CALRECYCLE E-1-77 (Rev. 11-15) <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. <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 />SWIS/WDID/Gl obal ID NUMB ER:FIL ING FEE:RECEIPT NUMB ER:DATE RECEIVED: <br />DATE ACCEPTED:DATE REJ ECTED: <br />Par t 1. G EN ER A L INFO RM A T IO N <br />A. ENFORCEMENT AGENCY: B. COUNTY: <br />C. TYPE OF APPLICATION (Chec k o n e b o x o n l y ): <br />1. NEW SWFP and/or WDRS 4. PERMIT REVIEW <br />2. CHANGE TO SWFP and/or WDRS□ REVISION □ MODIFICATION □ OTHER (As authorized by law) <br />X <br />Par t 2. FA CIL IT Y D ES CR IP TION <br />2. LATITUDE AND LONGITUDE: <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: <br />C. TYPE OF ACTIVITY: (Ch ec k ap p l i c ab l e b ox es ): <br /> 1. DISPOSAL 3. TRANSFORMATION 5. C&D/INERT DEBRIS PROCESSING <br /> a. TYPE : <br />X 2. COMPOSTABLE MATERIALS HANDLING X 4. TRANSFER/PROCESSING 6. IN-VESSEL DIGESTION <br /> a. TYPE:Full Solid Waste Facility Permit <br /> 7. OTHER (describe): <br />D. IDENTIFICATION OF FACIL ITY IN CIWMP [CONFORMANCE FINDING]: <br />X 1. FACILITY IS IDENTIFIED IN (Check one): <br />X SITING ELEMENT DATE OF DOCUMENT PAGE # <br />47 <br /> NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE # <br />E. TYPE OF PERMITTED WASTES TO B E RECEIVED: (Ch ec k ap p l i c ab l e b ox es ): <br />X 1. AGRICULTURAL 6. CONSTRUCTION/DEMOLITION 11. LIQUIDS <br /> 2. ASBESTOS □ Friable □ Non-friable 7. CONTAMINATED SOILS X 12. MUNICIPAL SOLID WASTE (MSW) <br /> 3. ASH 8. DEAD ANIMALS 13. SEWAGE SLUDGE <br /> 4. AUTO SHREDDER X 9. INDUSTRIAL 14. WASTE TIRES <br /> 10. INERT X 15. OTHER (describe): <br />X green, wood, and food wastes <br />3. WAIVER <br />37 52' 39.38" and 121 11'23.90" <br /> 5. COMPOSTABLE MATERIAL (describe): <br />DATE DUE: <br />Forward Resource Recovery Facility <br />ACCEPTANCE DATE OF <br />INCOMPL ETE APPL ICATION: <br />County of San Joaquin, Environmental Health Department San Joaquin <br />A. NAME OF FACIL ITY: <br />5. AMENDMENT OF APPLICATION <br />B . L OCATION OF FACIL ITY: <br />Recyclable materials <br />6. RFI/ROWD/JTD AMENDMENTS <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />9999 South Austin Road, Manteca, CA 95336 <br />The site is located in Section 3 of Township 1S, Range 7E, Moutain Diablo Baseline and Meridian (MDB&M) <br />4/22/96 (Chapter 5) <br />Page 1