Laserfiche WebLink
'4TATE OF CALIFORNIA <br /> REGIONAL WATER QUALITY CONTROL BOARD - <br /> DEPARTMENT OF HEALTH SERVICES <br /> SOLID WASTE MANAGEMENT SOARD <br /> DEPARTMENT OF FORESTRY <br /> j APPLICATION FOR <br /> FACILITY PERMIT/WASTE DISCHARGE <br /> This form is to be used for filing a/an: (check all appropriate) FOR OFFICE USE ONLY <br /> 1. REPORT OF WASTE DISCHARGE Form 200 Recd <br /> (pursuant to Division 7 of the State Water Code) Fee(RWOCB) (SWMBI <br /> 2. APPLICATION FOR A HAZARDOUS WASTE FACILITY PERMIT Letter to Discharger, <br /> (pursuant to Health and Safety Code Section 252001, Report Roca._ <br /> 3.F1 APPLICATION FOR A SOLID WASTE FACILITIES PERMIT Fffeelivo Dots <br /> (pursuant to Government Code Section 66/96.301 CDF Notified <br /> 4. ® APPLICATION FOR A RUBBISH DUMP PERMIT <br /> (pursuant to Public Resources Code Sections 4371-4375 and 4438) DOHS No. <br /> SWMB No. <br /> 1. FACILITY ~— <br /> ta►NONE • <br /> A. NAM%OF FACILITY <br /> CITY OF MANTECA WASTEWATER QUALITY CONTROL FACILITIES Ta(209 239-8433 <br /> AooaLes <br /> 2450 WEST YOSEMITE AVENUE <br /> ®.NAMt of Lt*AL OWNCR OF FACILITY •--_' - TELtPNOaE• - <br /> CITY .OF MANTECA (209 ) 239-8400 <br /> ali COoR <br /> AOORaee - - . <br /> -1001 WEST CENTER STREET, MANTECA, CALIFORNIA 95336 <br /> C.•NA me OF mum OP%NATINO FACILITY -- Tela►NON%• - - <br /> NA ----------__... --------- ( y <br /> aIP COOS <br /> aooaaae <br /> O. TYPS OF aU$IN tea OPt RATIN*FACILITY — <br /> L) Sole Proprietorship Partnership ® Corporation ® Government Agency <br /> C. NAM%wOtFA OWN%R E OF eUa/Ntea OPtRA41N*FACILITY .TELE PNONE w <br /> &*ease$WNIPC LCOAL NOTICC MAT os SMNveo <br /> RtwaON FOR FILING <br /> CNeCa ALL APPNotoIATel <br /> A. New discharge or facility D. Change in character of dischargeG. Change in business operating facility <br /> S. Existing discharge or facility E. Change in place or method of disposal H. X Enlargement of existing facility <br /> C. Increase in quantity of discharge F. Change in design or operation 1. X Other(explain below) <br /> PERMIT RENEWAL <br /> "Ill. TYPE or OPERATION <br /> CNaCR ALL APPROPR/ATO( <br /> A. Transfer station O. X Sewage treatment G.® Woodwaste site <br /> S. Solid waste disposal site E. Industry(on-site disposal facility) H. Other(explain below) <br /> C. Hazardous waste disposal site F. Industry(discharge to sewer) <br /> '— IV. TVP%or WASTE <br /> CNaCN ALL APPROPRIATOI <br /> A X Sewage,sewage sludge,and/or E. Agricultural wastes 1. Inert motor lots <br /> septic tank pumpings <br /> B. Industrial wastes F. Animal wastes J. Dead animals <br /> C. Municipal solid wastes G. Forest product wastes K. Tires <br /> D. Hazardous wastes H. Construction/demolition wastes L. Other(explain below) <br /> V. SITE DESIGN CAPACITY <br /> A. P46s6NT POPULATION ON CAPACITT •,oaslON PO►u LATION OR ULTIMATE CAPACITT C.L OZ eR►a CTANCr IVEARSI <br /> ±41,000 5.45 MGD ±57,000 5.45MGD @96 gal/cap/ ay 5• @ 3.9%/year growth <br /> Foam lee (N%v.atee) (Over) <br />