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F I <br /> STATE OF CALIFORNIA <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITIWASTE DISCHARGE REQUIREMENTS <br /> CIWMB E-1-77(Rev."4) - <br /> Ts This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate agency. <br /> ase refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner. <br /> FOR OPPICIAL USE ONLY <br /> WIS NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> DATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1. GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Orange <br /> C.TYPE OF APPLICATION(Check one box only): <br /> ®1. NEW SWFP and/or WDRS ❑4.PERMIT REVIEW <br /> 02. REVISION OF SWFP and/or WDRS 05.AMENDMENT OF APPLICATION <br /> 113. EXEMPTION and/or WAIVER a6.RFI/ROWD/JTD AMENDMENTS <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: Forward Landfill <br /> B. LOCATION OF FACILITY: <br /> .L-PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: 9999 South Austin Road,Manteca,California <br /> 2. LATITUDE AND LONGITUDE: Latitude=37.87417 Longitude=-121.18828 <br /> DESCRIPTION3.LEGAL MI ED BOUNDARY BY SECTION,TOWNSHIP, MERIDIAN,IF SURVEYED: Section 3 of Township Range , ount <br /> Diablo Baseline and Meridian(MDB&M)and Section 34 of Township IN,Range 7E MDB&M. Assessor Parcel Nos.181-150-07,181-150-08,181-150-09,181-150-10,201-060-01,201- <br /> 060-03 and 201-060-05. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> ®1.DISPOSAL ❑3.TRANSFORMATION E15.OTHER(describe): <br /> a. TYPE: Class If <br /> M2.COMPOSTING ❑4.TRANSFERIPROCESSING FACILITY <br /> a. TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> ❑✓ I.FACILITY IS IDENTIFIED IN(Check one): <br /> SITING ELEMENT DATE OF DOCUMENT March 27,1996 PAGE# <br /> ®NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE# <br /> ®2.FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br /> E.TYPE OF PERMITTED WASTES TO BE RECEIVED:(Check applicable boxes): <br /> ®1.AGRICULTURAL F716.CONSTRUCTION/DEMOLITION F-111.LIQUIDS <br /> ®2.ASBESTOS ❑Friable ❑Non-friable ❑✓ 7.CONTAMINATED SOILS 12.MIXED/MUNICIPAL SOLID WASTE <br /> ®3.ASH F-18.DEAD ANIMALS ✓❑13.SEWAGE SLUDGE <br /> 4.AUTO SHREDDER ❑✓ 9.INDUSTRIAL ®14.TIRES <br /> Q 10.INERT 15.OTHER(describe):See Attachment A <br /> 950.COMPOSTABLE MATERIAL(describe):residential curb side green waste collection. <br /> Page 1 <br />