Laserfiche WebLink
r `I'r <br /> Imo., <br /> STATE OF CALIFORNIA LIZS <br /> CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD �a 2009 <br /> APPLICATION FOR SOLID WASTE FACILITY PERMITtWASTE DISCHARGE REQUIREMENT <br /> CIWMBE-1-77(Rev.B-04) r'T'.' i Th <br /> NOTE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropria <br /> Please refer to the attached instructions for definitions of terms and for compleUng this application form in a com tete and correct manner. <br /> FOR OFFICIAL USE ONLY <br /> SIMS NUMBER: FILING FEE: RECEIPT NUMBER: DATERII15EIVED: <br /> 6 0 <br /> DATE ACCEPTED: DATE REJ CTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> 0 DATE DUE: _......_......._..... <br /> Part 1.GENERAL INFORMATION <br /> A.ENFORCEMENT AGENCY: y� COUNTY: <br /> San Joaquin County Environmental Health Division ! Jtt p San Joaquin County <br /> C.TYPE OF APPLICATION(Checkone box only): v `' <br /> E]1. NEW SWFP and/or WDRS M4.PERMIT REVIEW <br /> 1:12. REVISION OF SWFP and/or WDRS R5.AMENDMENT OF APPLICATION <br /> F13. EXEMPTION and/or WAIVER ❑✓6.RFI/ROWD/JTD AMENDMENTS <br /> Part 2.FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: Forward Resource Recovery Facility <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: 9999 South Austin Road,Manteca,California <br /> 2. LATITUDE AND LONGITUDE: Latitude=37.87167 Longitude=-121.1848 <br /> 3.LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP,RANGE,BASE.AND MERIDIAN,IF SURVEYED: Section 3 of Township 1 S,Range 7E,Mount <br /> Diablo Baseline and Meridian(MDBBM). Assessor Parcel No.201-060-03. <br /> C.TYPE OF ACTIVITY:(Check applicable boxes): <br /> r-11.DISPOSAL F-13.TRANSFORMATION F-15.OTHER(describe): <br /> a. TYPE: <br /> M2.COMPOSTING F714.TRANSFER/PROCESSING FACILITY <br /> a. TYPE:Any decomposable organic M CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFERIPROCESSING. <br /> material described in RCSI Section 1.3 <br /> D.CONFORMANCE FINDING INFORMATION(CIWMP) <br /> M1.FACILITY IS IDENTIFIED IN(Check one) <br /> SITING ELEMENT DATE OF DOCUMENT PAGE# <br /> ❑✓ NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT:March 1995 PAGE# <br /> �2.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 /> M1.AGRICULTURAL p6.CONSTRUCTION/DEMOLITION M11.LIQUIDS I^ <br /> F-12.ASBESTOS ❑Friable 0 Non-friable 07.CONTAMINATED SOILS ✓❑12.MIXED/MUNICIPAL SOLID WASTE t,1 CID yyti�l�i�"�. ■ <br /> M3.ASH O8.DEAD ANIMALS ✓❑13.SEWAGE SLUDGE(Biosolids) IJ <br /> F-14.AUTO SHREDDER ✓j9.INDUSTRIAL M14.TIRES <br /> r7-110.INERT r--115.OTHER(describe): <br /> a5 COMPOSTABLE MATERIAL(describe):areen material(and mixed with food waste).wood waste.food waste,food orocessina residue.manur <br /> Page 1 <br />