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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 PERMIT/WASTE DISCHARGE REQUIREMENTS <br />CIWMB 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: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVED: <br />DATE ACCEPTED: <br />DATE REJECTED: <br />ACCEPTANCE DATE OF <br />INCOMPLETE APPLICATION: <br />DATE DUE: <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: <br />San Joaquin County Environmental Health Division <br />1. NEW SWFP and/or WDRS <br />02, REVISION OF SWFP and/or WDRS <br />n3. EXEMPTION and/or WAIVER <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: Forward Landfill <br />B. COUNTY: <br />San Joaquin County <br />74. PERMIT REVIEW <br />®5. AMENDMENT OF APPLICATION <br />R6. RFI/ROWD/JTD AMENDMENTS <br />B. LOCATION OF FACILITY: <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: 9999 South Austin Road, Manteca, Califomia <br />2. LATITUDE AND LONGITUDE: Latitude =37.87417 Longitude =-121.18828 <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED: Section 3 of Township 1S, Range 7E, Mount <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, <br />201-060-03 and 201-060-05. <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />®1. DISPOSAL ®3. TRANSFORMATION F-15. OTHER <br />a. TYPE: Class 11 and Class III (see JTD pages 4-1 through 4-3) <br />❑2. COMPOSTING ❑4. TRANSFER/PROCESSING FACILITY <br />a. TYPE: ❑ CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />E✓ 1. FACILITY IS IDENTIFIED IN (Check one): <br />❑✓ SITING ELEMENT DATE OF DOCUMENT March 27, 1997 <br />ONONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT <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 />M1. AGRICULTURAL 06. CONSTRUCTION/DEMOLITION �11. LIQUIDS <br />02. ASBESTOS ❑ Friable ❑ Non -friable [✓ 7. CONTAMINATED SOILS ✓� 12. MIXED/MUNICIPAL SOLID WASTE <br />M3. ASH F-18. DEAD ANIMALS ✓❑13. SEWAGE SLUDGE <br />®4. AUTO SHREDDER M9. INDUSTRIAL M 14. TIRES <br />E✓ 10. INERT F7115. OTHER (describe): See Attachment A-1 <br />✓❑5. COMPOSTABLE MATERIAL (describe): residential curb side green waste collection. <br />PAGE # <br />PAGE # <br />Page 1 <br />