Laserfiche WebLink
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 /> CMM E-1-77(Rev.8-04) <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 NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> DATE ACCEPTED: DATA 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 Environmental Health Division San Joaquin County <br /> C.TYPE OF APPLICATION Check one box ontyr <br /> 1. NEW SWFP and/or WDRS ®4.PERMIT REVIEW <br /> ❑2.REVISION OF SWFP and/or WDRS ®5.AMENDMENT OF APPLICATION <br /> 03. EXEMPTION and/or WAIVER O6.RFUROWD/JTD AMENDMENTS <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: Forward Landfill <br /> B. LOCATION OF FACILITY: <br /> 1. 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 /> BOUNDARY3.LEGAL DESCRIPTION OF PERMITTED ,BASE,AND MERI Section 3 of Tovvnshipount <br /> Diablo Baseline and Meridian(MDB&M)and Section 34 of Township 1N,Range 7E MDBBM.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 [:35.OTHER(describe): <br /> a.TYPE: Class fl <br /> F-12.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 /> mi.FACILITY IS IDENTIFIED IN(Check one): <br /> p✓ SITING ELEMENT DATE OF DOCUMENT Marcs 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 /> M 1.AGRICULTURAL 06.CONSTRUCTION/DEMOLMON 011.LIQUIDS <br /> M2.ASBESTOS O Friable ❑Nonfidable [Z]7.CONTAMINATED SOILS a12.MIXEDIMUNICIPAL SOLID WASTE <br /> ®3.ASH M8.DEAD ANIMALS 13.SEWAGE SLUDGE <br /> Q4.AUTO SHREDDER F✓ 9.INDUSTRIAL 14.TIRES <br /> 0 10.INERT Q 15.OTHER(describe):See Attachment A <br /> a5.COMPOSTABLE MATERIAL(describe):residential curb side green waste collection. <br /> Page 1 <br />