Laserfiche WebLink
STATE OF CALIFORNIA <br />SOLID WASTE FACILITIES PERMIT APPLICATION <br />CWMB E 1 77 (Rev 1/891 <br />San <br />f.OUNTY <br />CALIFORNIA WASTE MANAGEMENT BOARD <br />FOR ENFORCEMENT AGENCY USE ONLY <br />NUMBER IPERMIT NUM8Efl1 <br />RECEIVED <br />TYPE OF APPLICANUN <br />❑1 NEW SOLID WASTE❑ Z. REVISION Of PERMIT ®3. PERMIT REVIEW DATE ACCEPTED HECEIPT NUMBER <br />FACILITY PERMIT <br />❑ 4. MODIFICATION OF PERMIT ❑ 5. EXEMPTION FROM PERMIT ❑ 6. FACILITY CLOSURE BATE REJECTED CO SWMP REFERENCE PAGUSI <br />❑ 7. AMENDMENT OF APPLICATION <br />NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the enforcement agency. See <br />instructions on back for completing this application. <br />I. <br />GENERAL <br />DESCRIPTION <br />OF <br />FACILITY <br />OF FACILITY <br />)CATION OF FACILITY IGWE ADDRESS OR LOCATIONer- <br />ALSO INCL E LEGAL OESCRIPT N BY SELTION. TOWNSHIP. ANGE. 0 <br />3200 South E1 Dorado Street, Stockton, California <br />PROJECTED I <br />TYPE OF FACILITY <br />® LANDFILL <br />❑ TRANSFER STATION <br />❑ RESOURCE RECOVERY FACILITY <br />❑ SUMP <br />❑ COMPOSTING <br />❑ LAND SPREADING <br />TYPE OF WASTES TO BE RECEIVED <br />❑ AGRICULTURAL <br />❑ CONSTRUCTION/DEMOLITION <br />- <br />❑ LIQUIDS (INCLUDES SEPTAGE) <br />❑ ASBESTOS <br />❑ DEAD ANIMALS <br />❑ MIXED MUNICIPAL <br />❑ ASH <br />❑ INDUSTRIAL <br />❑ SEWAGE SLUDGE <br />® AUTO SHREDDER * <br />❑ INFECTIOUS <br />❑TIRES <br />❑ WOOD MILL <br />* Also other ty-Des of inert waRte <br />II OPERATION I EFFECTIVE DATE PROPOSED CHANGE (CHECK APPLICABLE BOX(ES)) E EFFECTIVE GATE <br />FACILITY <br />X❑ COMMENCED ❑ WILL COMMENCE E ❑ DESIGN ❑ OPERATION ® NO CHANGE <br />INFORMATION 1 <br />AVERAGE ANNUAL LOADING (TPY) 5000 PEAK DAILY LOADING (TPD) 430 FACILITY SIZE (Al R _ 69 EXPECTED CLOSURE YEAR11996 — <br />OWNER OF LAND (NAME) I ADDRESS 2711 Navy Drive TELEPHONE NUMBER <br />OPERATORCoye Contractors Inc- I <br />' Stockton CA - <br />FACILITY I ADDRESS 2711 Navy Drive <br />INFORMATION E <br />For rand disposal, d Cove Contractors Inc 'Stockton, A 5115906 <br />operator is differentiELEPNONE NUMBER <br />from land owner. attach ADDRESS WHERE LEGAL NOTICE MAY BE SERVED <br />lease or franchise 2711 Navy Drive, Stockton, CA 95206 209948-3498 <br />agreement <br />I hereby acknowledge that I have read this application and the Report of Station or Disposal Site Information, and certify that the information given is true and <br />accurate to the best of my knowledge and belief. In operating the solid waste facility. I agree to comply with the conditions of the permit and with federal, state and <br />local enactments. <br />SIGNATURE ILAND OWNER OR AGENT) SIGNATURIfAGIITY OPERATOR OR AGlNT1 <br />NAME <br />G Ic i'• 14 r c 1-1-j- <br />If <br />TI C E rf dzc S.1 _,q _ cl_ `71 <br />IV. LIST OF ATTACHMENTS (CHECK THOSE APPLICABLE) <br />Xl REPORT OF FACILITY INFORMATION IREOUIRED) ❑ ENVIRONMENTAL REVIEW REPORTS <br />f[j PERIODIC SITE REVIEW ❑ WASTE DISCHARGE REQUIREMENTS <br />❑ LOCAL USE/PLANNING PERMITS (REQUIRED) ki SWAT <br />ITfCU ITWIR '� <br />HEC -T <br />roll 4, DATE <br />G <br />' T <br />tee-s'iVrI,/r I -E" -tel <br />`Q 4SuRE PLAN <br />OTHN*GULATORY AGENCY PERMITS <br />10OTHER Re nrt of wa-ata disch&.ge <br />(1) SWAT is Appendix to RDSI <br />(2) Report of Waste Discharge is Appendix to Periodic Site Review Report <br />