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'ATE OF CALIFORNIA CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> I PPLICATION FOR SOLID WASTE FACILITY PERMITMASTE DISCHARGE REQUIREMENTS <br /> vane <br /> JFORCEMENT AGENCY: OR OFFICIAL USE CINE <br /> S c <br /> PMCEiPT RUN= <br /> 11. NEW SWFP AND/OR WORS D4.REVIEW COMPLETE APPLICATION: <br /> E2. REVISION OF SWFP ANO/OR WDRS®5.AMENDMENT OF APPLICATION t - <br /> 13. EXEMPTION ANOJOR WAIVER 06.RFVROWtYJT0 AMENDMENTS . CHANGE OF OWNER/OPERATOR OR ADDRESS <br /> )TE:This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate <br /> en .See instructions for completing this application. <br /> e <br /> ;ENERAL A. NAME OF FACILITY: ,.I j JLvA <br /> SCRIPTION B. LOCATION OF FACILITY:(Give address or locadon,also JudeIagal deWAPtk-by s/�OC&mn,tp�ynanip, e.base,and meridian If surveyed <br /> or projected.) t 53„� y, jAcN r ` ~ `A r '1S ZO <br /> CILITY &* Its o R <br /> C.TYPE OF OPERATION:&twk applicable boxes,) <br /> QDISPOSAL NSFORMATION ®SEWAGE TREATMENT <br /> TYPE NSFER OR ®INDUSTRY(discharge to sevrar? <br /> ®COMPOSTING PROCESSING STATION ®INOUSTRY(On-site disposal) <br /> TYPETYPE: OTHER(describe): <br /> D. SWMP/CIWMP REFERENCES: <br /> DATE OF DOCUMENT: PAGES: <br /> E.TYPE OF WASTES TO BE RECEIVED:(Check applicable boxas.) <br /> jZ]AGL-_J""RICULTURAL DEAD ANIMALS ®SLUDGE <br /> C�ASRESTOS FRIABLE-ASBESTOS [-]T1RES <br /> [3ASH INDUSTRIAL ❑MOD MILL <br /> CJAUTO SHREDDER LIQUIDS ®OTHER:( t. <br /> 000NSTRUCTIOWOEMOL171ON JXEO MUNICIPAL <br /> 1 " ,CtUTY A.PROPOSED CHANGE (Ch"k applicable boats) <br /> 1 R IIAT90N ®DESIGN(deKrlbe) <br /> ®OPERATION(desCibeiL �(x��A7\Y My>1 <br /> ®OTHER(desalbe) ` <br /> B.FACILITY INFORMATION: <br /> PEAK DAILY LOADING AVERAGE ANNUAL SITE CAPACITY(yds); FACILITY SIZE(SCM): <br /> (TPD): LOADING (TPY); Q <br /> DISPOSAL TOTAL TE IN PLACE Lva): REA IN WHICH SOIL WILL BE DESIGN AIR SPACE CAPACITY: <br /> . DISTURBED(acnes): 2 Z5 <br /> EXPECTED CLOSURE DATF- <br /> C. <br /> PRESENT OR PROPO$W.. v <br /> DAILY FLOW(In Gm-TAimik. A GE <br /> DESIGN FLOW on MGD): <br /> M.ser � <br /> SOURCE OF NUTTER SUPPLY{chick a11® ) <br /> ®UNtctPAt OR SERVICE: B (yysy. <br /> 1H OF WATER SURVEYOR <br /> NAME OF STREAM.LAKE,ETC <br /> TYPE OF WATER RIGHTS: RIPARIAN PROARIATION <br /> (OVER) <br /> EMS <br /> IV ENVIRONMENTAL IMPACT REPORT(F-IR) <br /> h 4N EIR BEEN PREPARED FOR THIS PROJECT? ES <br /> NO <br /> ,a/E0 3E)Vd NIIbVW 30C epabatpeGoz EG:61 t;,00Z/E0/50 <br /> 0 <br />