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Part 5.COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL QUALITY ACT(CEQA) (Check applicable boxes) <br /> A. CHECK BOX(ES)IF ENVIRONMENTAL DOCUMENT WAS OR WILL BE PREPARED FOR THIS PROJECT: <br /> 1.ENVIRONMENTAL DOCUMENT WAS PREPARED: <br /> 0 ENVIRONMENTAL IMPACT REPORT(EIR)SCH# <br /> ❑ NEGATIVE DECLARATION(ND)/MITIGATED NEGATIVE DECLARATION(MND)SCH# <br /> ADDENDUMTO(I......>. .,..m. .....gym —) SCH# <br /> 2,ENVIRONMENTAL DOCUMENT WILL BE PREPARED(E--... <br /> B. IF ENVIRONMENTAL DOCUMENT(S)WAS NOT PREPARED,PLEASE PROVIDE THE FOLLOWING INFORMATION: <br /> 0 CATEGORICAUSTATUTORY EXEMPTION(CE/SE) <br /> EXEMPTION TYPE GUIDELINE# <br /> Part 6. LIST OF ATTACHMENTS (Fill in the date for each document checked) <br /> A.REQUIRED WITH ALL APPLICATION SUBMITTALS: <br /> RFI/JTD ENVIRONMENTAL DOCUMENT(S): <br /> LOCATION MAP 13 EIR <br /> MITIGATION MONITORING&REPORTING PROGRAM ❑MND/ND <br /> LIST OF PUBLIC HEARINGS AND OTHER MEETINGS OPEN TO THE PUBLIC ❑EXEMPTION <br /> ❑ADDENDUM <br /> B. ADDITIONAL REQUIRED DOCUMENTS FOR DISPOSAL FACILITIES ONLY: <br /> OPERATING LIABILITY FINANCIAL MECHANISM FINANCIAL RESPONSIBILITY DOCUMENTATION <br /> CLOSURE/POST CLOSURE MAINTENANCE PLAN KNOWN OR REASONABLY FORSEEABLE CORRECTIVE ACTION COST ESTIMATES <br /> ❑PRELIMINARY <br /> ❑FINAL LANDFILL CAPACITY SURVEY RESULTS(.... .v «. <br /> C. IF APPLICABLE: <br /> REPORT OF WASTE DISCHARGE El DEPT.OF TOXIC SUBSTANCES CONTROL OR CERTIFIED UNIFIED <br /> PROGRAM AGENCY PERMIT <br /> STORMWATER PERMIT APPLICATION SWAT(A.,.,,d w..,) <br /> ElNPDES PERMIT APPLICATION El WETLANDS PERMITS <br /> FOTHER El VERIFICATION OF FIRE DISTRICT COMPLIANCE <br /> Part 7.OWNER INFORMATION (Fll d..Po..i. If oP.,.t.,..d.R., f—[ n..... 11 Ith-9l..m.It) <br /> TYPE OF BUSINESS: <br /> 7 SOLE PROPRIETORSHIP 0 PARTNERSHIP CORPORATION GOVERNMENT AGENCY <br /> OWNER(S)OF LAND SSN OR TAX ID# <br /> (N. .): <br /> ADDRESS,CITY,STATE,ZIP TELEPHONE#: <br /> FAX A <br /> E-MAIL ADDRESS; <br /> CONTACT PERSON(P....N...): <br /> Page 3 <br />