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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."41 <br /> r <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 /> WIS NUMBER: FIUN FEE: RECEIPT NUMBER; DATE REC VED: <br /> 3 clp X01 � 6?,s- "/A /_3 <br /> DATE ACCEPT D: DATE REJECTED; ACCEPTANCE DATE OF <br /> INCOMPLETE <br /> �Jq <br /> APPLICATION: <br /> DATE DUE; <br /> Part 1. GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY; B.COUNTY: <br /> San Joaquin County, Environmental Health Department San Joaquin <br /> 1. NEW SWFP andlor WDRS 04,PERMIT REVIEW <br /> FTREVISION OF SWFP and/or WDRS 05 AMENDMENT OF APPLICATION <br /> F13. EXEMPTION and/or WAIVER 116,RFIIROWDIJTD 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 /> 711.DISPOSAL E-13.TRANSFORMATION 05.OTHER(describe): ACW Disposal Site <br /> a. TYPE: Class II and Class III(see JTD pages 4-1 through 4-3) <br /> F-12 COMPOSTING E-14.TRANSFER/PROCESSING FACILITY <br /> a. TYPE, ❑CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFERIPROCESSING, <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP): <br /> FRI1,FACILITY IS IDENTIFIED IN(Check one), <br /> SITING ELEMENT DATE OF DOCUMENT April 1996 PAGE# 18-23 <br /> DNONDISPOSAL FACILITY EL DATE OF DOCUMENT PAGE# <br /> F12.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 /> 711 AGRICULTURAL 06.CONSTRUCTIONIDEMOLITION F-�11,LIQUIDS <br /> 2.ASBESTOS ❑Friable ❑NorrWble ❑- 7.CONTAMINATED SOILS 012,MIXEDIMUNICIPAL SOLID WASTE <br /> X❑3.ASH E-18.DEAD ANIMALS 013.SEWAGE SLUDGE <br /> X�4,AUTO SHREDDER Ex-19.INDUSTRIAL 014.TIRES <br /> 010 INERT 015.OTHER(describe): See JTD <br /> X05,COMPOSTABLE MATERIAL(describe),- Residential curbside green waste Collection <br /> Page <br />