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i <br />} <br />r <br />NOTICE OF INTENT <br />FOR <br />GENERAL PERMIT TO DISCHARGE STORM WATER <br />ASSOCIATED WITH INDUSTRIAL ACTIVITY (Waord&fNo. 91 - 13 - DWQ ) <br />(Exducing Construction Activities) <br />,rt,RK ONLY 1. Eisli,g Fairy i 0 CfunQa of hixmat;on <br />ONE I. EM Z C3 New Fa=Titr WDO t <br />I. OWN ErVOPERATOR <br />Name: SFN JOAQUIN COUNTY <br />A-Owner/OperatorType: (C.-*ckone) <br />DEPARTMENT OF PUBLIC WORKS <br />t.0 Ciry 2 1�1 County 3.0 Sate d. 0 Federal <br />S. 0 Special District 6. 0 Govemment Combo 7. 0 Private <br />V.0ng Address: <br />POST 0---FIC----BOX 1810 <br />6484 NORTH WAVERLY ?LOAD <br />Cray. <br />State: <br />Tip: Phone: <br />1(209 <br />STOCKTON <br />CC 1A� <br />) 468-300C <br />9 S 40 1 11—El1 <br />Conact Persor± <br />FR_nNCIS LtU <br />1 B. 1.C3 Cwrer 2 C] 0--e-.ator 3.® Dwrner/Oper=,r <br />It t:G(`11 1rY/C,-iTF 1MT:r)PMLT10W <br />FavE y Narte: <br />WWt)': <br />FOOTHILL SANITARY LANDFILL <br />1 SAN JOAQUIN <br />Street Address: <br />Contact Person: <br />6484 NORTH WAVERLY ?LOAD <br />GABRIEL �nRP?✓1 <br />Ci -y- <br />State: Lo: <br />Phone: <br />LINDEN <br />i C A 9 5 a3 I— 9 <br />(2nq) A6F_ <br />Par+el N=-1-er(s) (I1 more tart 4 apply to facTity, enter adcbonal numbers in SECTION IX A): <br />A a. C. <br />D. <br />.S. BILLING ADDRESS <br />:Send BBfing Statements To: A. 0 Owner/OperatDr C. 0 Cxher (Spocfy in SECTION 1X B) <br />W. RECEIVING WATER INFORMATION <br />A. Does your !zcEts s:o m wa:er dsc`.a; a drectiy to: (Chemo one) <br />1. 0 Storm drain system <br />0orner of star n &- n system: (Nana) <br />2 ® Dirocdy m water of U.S. (e.g., river, lake, creek, ocean) <br />3. 0 Indvecdy to waters of U.S. <br />B. Name of cicsest rec:e vi ; wzter. <br />POTTER CREEK <br />V. INDUSTRIAL INFORMATION <br />A. SIC Cod**): B. Type of Business: <br />I. 4 9 5 3 2- 1 I 1 1 1 3. F a_ ( SANITARY LANDFILL CA CLASS III <br />Industrial acrvities at facnty: (Check all that apply) <br />I.� Manu!aG rirrl 2.0 Vehicle "ntenance 3.0 }hazardous Waste Treatment, Storage, or Disposal Faauty (RCF,A S-U;D:e <br />d.0 Material Storage 5_D Vehido Storage 6.0 material HandLng 7.0 Was:ewater Trearnent <br />9.0 Power Generation 9.0 Recydvr9 .9 0 Other. - <br />o0es 3 tXJ�-I ('.Z/A-t <br />