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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 /> CIW M E1-77 2.W.604 <br /> This form has been developed for multiple uses. itis the transmittal sheet for documents required to be submitted to the appropriate agency. <br /> se refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner. <br /> [AA <br /> ICIAL USE ONLY <br /> BER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> EPTED: 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 Environmental Health Division San Joaquin County <br /> C.TYPE OF APPLICATION(Check one box only): <br /> ®1. NEW SWFP and/or WDRS 1:14.PERMIT REVIEW <br /> 112. REVISION OF SWFP and/or WDRS ®5.AMENDMENT OF APPLICATION <br /> �3. EXEMPTION and/or WAIVER 116.RFVROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: Forward Landfill <br /> B. LOCATION OF FACILITY- <br /> HYSICAL ADDRESS OR LOCATION AND ZIP CODE: 9999 South Austin Road,Manteca,California <br /> 2. LATITUDE AND LONGITUDE: Latitude=37.87417 Longitude=121.18828 <br /> 3.LEGAL DESCRIPI ION Of-PERMITTED 13OUNDARY BY SLC[ION,rOWNSHIP,RANUE,BASE,AND Mt:RIUIAN,IF SURVEYLIJ: Section 3 of owns ip IS,Range 7E,Mount <br /> Diablo Baseline aux!Meridian(MDB&M)and Section 34 of Township 1N,Range 7E MDB&M. Assessor Parcel Nos.181-150-07,181-150-o8,181-150-09,181-150-10,201-060-01,201- <br /> 060-03 and 201-060-05. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> Ell.DISPOSAL 1:13.TRANSFORMATION [:]5.OTHER(describe): <br /> a.TYPE: Class If and Class III(see JTD pages 4-1 through 4-3) <br /> ®2.COMPOSTING 1:14.TRANSFERIPROCESSING FACILITY <br /> a.TYPE: ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> Q1.FACILITY IS IDENTIFIED IN(Check one): <br /> E✓ SITING ELEMENT DATE OF DOCUMENT March 27,19% 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 ®6.CONSTRUCTIONIDEMOLITION ❑11.LIQUIDS <br /> 02.ASBESTOS 0 Friable ❑Non-friable ❑✓ 7.CONTAMINATED SOILS ✓❑12.MtXEDOUNICIPAL SOLID WASTE <br /> ®3.ASH ❑e.DEAD ANIMALS ✓❑13.SEWAGE SLUDGE <br /> 4.AUTO SHREDDER 09.INDUSTRIAL 014.TIRES <br /> 0 Q 10.INERT 015.OTHER(describe):See Attachment A-1 <br /> [E]5.COMPOSTABLE MATERIAL(describe):residential curb side green waste collection. <br /> Page 1 <br />