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STATE OF CALIFORNIA 0 0 <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITMASTE DISCHARGE REQUIREMENTS <br /> CIWMe E-lJ7{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 com lets this MlIcallon form In a complete and correct manner. <br /> FOR OFFICIAL USE ONLY <br /> SWiS NUMBER: FILING FEE; RECEIPT NUMBER DATE RECEI ED; <br /> 3�_ now --Oo/ .�- w/I <br /> DATE ACCEPT D: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: // / <br /> 7 DATE DUE <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY. IS.COUNTY: <br /> San Joaquin County Public Health Services, Environmental Health <br /> Division San Joaquin <br /> 1. NEW SINE and/or WDRS 114 PERMIT REVIEW <br /> R2. REVISION OF SWFP andror WDRS R5,AMENDMENT OF APPLICATION <br /> 03. EXEMPTION and/or WAIVER 26,RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Forward Landfill <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE <br /> 9999 South Austin Road,Manteca,CA 95336 <br /> 2. LATITUDE AND LONGITUDE: <br /> Latitude 37'52'39.38",Longitude 121' 11'23.90" <br /> 3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE,AND MERIDIAN,IF SURVEYED: <br /> Section 3 of Township 1 S,Range 7E,Mount Diablo Baseline and Meridian(MDB&M),Section 34 of Township 1 N,Range 7E MDB&M,and Section 10 of <br /> Township 1S,Range 7E MDB&M. Assessor Parcel Nos.181-150-07,181-150-08,181-150-09,181-150-10,201-060-01,201-060-02,201-060-03,201- <br /> 060-04,201-060-05.and 201-070-01. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> ®1.DISPOSAL 03.TRANSFORMATION E]5.OTHER(describe): ACW Disposal Site <br /> a. TYPE: Class II and Class III(see JTD pages 4-1 through 4-3) <br /> M2 COMPOSTING F-14.TRANSFER/PROCESSING FACILITY <br /> a. TYPE O CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFERIPROCESSING. <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> XD1.FACILITY IS IDENTIFIED IN(Check one): <br /> XO SITING ELEMENT DATE OF DOCUMENT Apr-96 PAGE k 18-23 <br /> MNONDISPOSAL FACILITY EL DATE OF DOCUMENT PAGE q <br /> M2.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 /> Ell.AGRICULTURAL E16.CONSTRUCTIONIDEMOLITION [_]11.LIQUIDS <br /> XX2.ASBESTOS O Friable O Non-friable X]7.CONTAMINATED SOILS XJ12.MIXEDIMUNICIPAL SOUD WASTE <br /> X13.ASH E-18.DEAD ANIMALS X]13.SEWAGE SLUDGE <br /> X 14.AUTO SHREDDER X❑9.INDUSTRIAL X❑14.TIRES <br /> ®to.INERT E:]15.OTHER(describe): See JTD <br /> XX5.COMPOSTABLE MATERIAL(describe). Residential Curbside green waste collection <br />