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STATE r F CALIFORNIA AUFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> STANDARDIZED PERMIT APPLICATION 10 <br /> CIWMB 92(NEW SMS) <br /> SEE INSTRUCTIONS ON BACK <br /> FACILITY NAME �" FACILITY PHONE NUMBER <br /> t\ — tAaAA)- C� \04 O�LAK0,n �a- llei ca0a)'�-301— Q•Qc(lis <br /> FACILITe� , <br /> YADDRESS(INCLUDE STREET.P.O.BOX.CITY..STATE,ZIP CODE) n <br /> FACILITY OPERATOR'S NAME OPERATOR'S PHONE NUMBER <br /> I,-z,�oil ��;. t¢,t�n o\,o elm , �vu. . t�°l)-3 al- •4 s4 C�6 <br /> OPERATOR'S ADDRESS(INCLUDE STREET.P.O.BOX CITY.STATE.ZIP CODE) <br /> w . Lo wise.. Ac.wwka, , NA\.uAAawc 0., CA <br /> LAND OWNER'S NAME(IF DIFFERENT FROM OPERATOR) LAND OWNER'S PHONE NUMBER <br /> LAND OWNEERR'SlADDRE33(iNCLUDE_S`TRRE_E-T..P.O.COX.CITY,S`TTATE.Z!P COOE} �+ [� Q <br /> Q <br /> FACILITY INFORMATION <br /> CALIFORNIA CODE OF EGU/LhATIONS SECTION NUMBER AUTHORIZING EUGIBB�: ` J � v \��5� <br /> 2L4 <br /> ii 04- <br /> YPE OF WASTE MA6,i,LxL(S %OL\ 8E SQECIFtC P++L s-A ; (—CA— <br /> VOLUME OF WASTE MATERIALtS)HANDLED: <br /> SITE CAPACITY: 5G 1 O 0 O CUBIC YARDS I DAILY PEAK LOADING: 6\O O CUBIC YARDS I ANNUAL LOADING: eW /O O V CUBIC YARDS <br /> DAYS AND HOURS OF OPERATION:' <br /> VV�/O L'�(! \` ��•�`0s,0- QOM CE) :0 O W� <br /> FACILITY SIZE. ACRES OPERATING AREA SIZE: ACRES <br /> NCOMING WASTE MATERIAL(NUMBER OF VEHICLES PER DAYr. OUTGOING WASTE MATERIAL(NUMBER OF VEHICLES PER DAY): t l <br /> ONE OF THE FOLLOWING STATEMENTS MUST BE CHECKED: <br /> Issuance of to permit win not prevent or substantially impar achievement of the dbv nk n goals d ule jurisdiction from which it received said waste,the facility is idantifhed and described in <br /> or conforms with the county solid management waste Plan,or otharwhse complies with Public Resources Code section 50000:The fadiuy is consistent with the city or county general Plan <br /> and is compatible with surrounding lend uses.or otherwise complies with Public R6301,111011,11 Coda sedan 50000.1. <br /> The tacdtty is hdentnflee in either to coumvvrde sr<aq etement.the facility element,or in to source neoucuon and recycling element for to AffisilicItOns in wmm it Is loomed:Or. <br /> that the fatality is not reituusd to be Identified in any of two elements purvia t to section 50001 of the Public Resources Code. <br /> 'NIS APPLICATION MUST BE ACCOMPANIED BY A <br /> iEPORT OF FACILITY INFORMATION. SITE PIAN. KOCATION MAP,AND EITHER)(tEVIOENCE OF COMPLIANCE WITH CEO.A.OR ❑INFORMATION ON THE STATUS OF CEOA <br /> CERTIFICATION <br /> hereby acknowledge that/have read this application, and certify under penalty of penury that the information provided is true and accurate. In <br /> )perating the facility. I agree to comply with the conditions of the permit, and with federal, state and local requirements and enactments. <br /> AND OWNER'S SIGNATURE ^ ) DATE SIGNED <br /> )PERATOR'$ SIGNATURE ` !t DATE SIGNE <br /> NFORCEMENT AGENCY NAME ANO ADDRESS <br /> J010\ 'A.n Cp Q�o�ic ��4t»c� �,X�if v 30 F . uJacotr lz c7 I � CA q5?C <br /> FOR ENFORCEMENT AGENCY USE ONLY <br /> -art RI C1 rvi t) DATE APPROVED OAIE REJECTED FluNG FEE SWIS e <br />