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INSTRUCTIONS FOR COMPLETING THE APPLICATION
<br /> This application form is for a Solid Waste Facilities Permit to receive,store,process,or dispose of solid wastes regulated by the California Waste Management
<br /> Board(Board).This form and the filing fee should be sent to the appropriate city or county Local Enforcement Agency(LEA).The exact amount of the filing fee is
<br /> determined by the LEA.
<br /> Complete this form and return it with a photocopy and two copies of the appropriate attachments determined to be necessary by your LEA.All material should be
<br /> submitted on 81/2"x I I" paper. Maps and other oversize documents should be folded to that size.
<br /> The effective date of the application is the date when all required information and the correct fee are received by the LEA.The LEA will notify you of this effective
<br /> date.
<br /> If you have any questions on the completion of this form, please contact the LEA or Board staff for assistance at(916) 322-3330.
<br /> No instructions will be listed for items that are self-explanatory.
<br /> 1. GENERAL DESCRIPTION OF FACILITY
<br /> TYPE OF WASTES TO BE RECEIVED:
<br /> agricultural—wastes resulting from the production and processing of farm or agricultural products,including animal manures,prunings,and crop residues.
<br /> asbestos—a naturally occurring family of carcinogenic fibrous mineral substance.The State Department of Health Services has classified triable wastes which
<br /> contain more than one percent asbestos by weight as hazardous wastes.Friable means that the material can be crumbled with pressure and,therefore,is likely to
<br /> emit fibers. %
<br /> ash—the residue from the incineration of solid wastes, including municipal waste, infectious waste,woodwaste,sludge,and agricultural wastes.
<br /> auto shredder— the "fluff" consisting of upholstry,paint, plastics, and other non-metallic substances which remains after the shredding of automohiles,
<br /> discarded household major appliances, and sheetmetal. The State Department of Health Services has classified untreated shredder wastes as hazardous.
<br /> construction/demolition wastes — waste building materials, packaging and rubble resulting from construction, remodeling, repair, and demolition
<br /> operations, and consisting mainly of inert materials.
<br /> dead animals—animal carcasses requiring disposal that have not been previously used for medical purposes or with known infectious diseases.
<br /> industrial—solid or semi-solid wastes resulting from industrial processes and manufacturing operations,e.g.,cement kiln dust.ore process residues.grit or
<br /> screenings removed from a waste water treatment facility, etc.
<br /> infectious wastes —wastes which have disease transmission potential are classified as hazardous wastes by the State Department of Health Services.
<br /> Infectious wastes include:pathological and surgical wastes,medical clinic wastes,wastes from biological laboratories,syringes,needles,blades,tubing,lings.
<br /> bottles, drugs, patient care items such as linen or personal or food service items from contaminated areas,chemicals, personal hygiene wastes, and animal
<br /> carcasses used for medical purposes or with known infectious diseases.
<br /> liquids—wastes which are not spadeable,usually containing less than 50 percent solids.These wastes include cannery and food processing wastes,landfill
<br /> leachate and gas condensate,boiler blowdown water,grease trap pumpings,oil and geothermal field Wastes,septic tank pumpings,rendering plant byproducts,
<br /> some sewage sludge, etc.may be hazardous.
<br /> mixed municipal—residential and commercial refuse,garbage and/or rubbish.Residential waste is commonly thought of as household garbage:commercial
<br /> waste contains less putrecible waste and more paper and cardboard.
<br /> sewage sludge—human(not industrial)residue,excluding grit or screenings,removed from a waste water treatment facility or septic tank,whether in a dry or
<br /> semidry form.
<br /> tires—discarded tire casings.
<br /> wood Mill—shavings,sawdust,sanderdust,chips,bark,slabs,deck scrapings,edgings,wood and other flammable waste material incidental to the processing
<br /> of wood products.
<br /> 11. FACILITY INFORMATION
<br /> PROPAED CHANGE IN DESIGN OR OPERATION,OR NO CHARGE;EFFECTIVE DATE:
<br /> For existing permitted facilities,when the operator proposes changes in design,operation,operator,or owner,details of the changes must be sent to the LEA.If
<br /> significant.the permit must be revised prior to implementation of the change. For an application for permit review, if there are no changes, so indicate.
<br /> AVERAGE ANNUAL LOADING(TPY):
<br /> The average amount of Wastes the facility Will receive on a yearly basis over the next five years, expressed in tons.Must be consistent With the RFI and any
<br /> California Environmental Quality Act(CEOA)requirements.Volume figures should be converted to tons and the conversion fActor should-be documented in the
<br /> accompanying Report of Facility Information.
<br /> PEAK DAILY LOADING(TPD):
<br /> The maximum amount of waste the facility is designed to receive, store,process, or dispose of per day,expressed in tons.
<br /> FACILITY SIZE:
<br /> The area of the facility in acres to be used for receiving,staring,processing,or disposing of wastes,including all monitoring locations and any buffer zone.This will
<br /> be referred to as the "permitted acreage" and is considered the facility boundaries.
<br /> Ill. OPERATOR INFORMATION
<br /> For land disposal operations,if operator is different from land owner,attach lease or franchise agreement documenting operator's interest in tht real property.
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