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J <br /> V1. QUANTITY OF WASTES _- <br /> A, I MA1tIMYY _ I AVURAGA ` I B. DESIGN FLOW ION MGD — ►•.,. <br /> PRESENT ORROPOS D <br /> DAILY FLOW rift MGD): 1 I 1 r <br /> r _ <br /> C. SOUP WASTE DISPOSAL I GAILY OUANTITV I TOTAL IN PLACS O{/AN TITT O. ARCA IN WNICM SOIL WILL BE DISTURBED I TOTAL SITU ARD^ -' — <br /> SITE 'IN TONS ONI (IN ACRES) I <br /> _ CLINIC YARDII): 1 330 CY in plac� 2,000,000 CY _ 30 Acres 1 42.75 Acres - <br /> VII. t.00ATION OF POINT OF DISPOSAL OR OPERATION _ <br /> 'DESION AND ATTACH MAP.SKETCM,ON LOCATION ON U.S.G.S.QUAORANOI.E MAP,7.5 OR 1/ MINUTE SERIES.) <br /> LIST D/STANCES OR BEARING AND DISTANCE FRDM SECTION CORNER OR QUARTER CORNER,SECTION,TOWNSHIP,RANGE,BASE AND MERIDIAN: <br /> For site location map on U.S.G.S. base may, 107,5 minute, Tracy California," see Figure I <br /> attached (EMCON 1988) . The approximate center of the landfill site is in Township 3 South, <br /> Range 5 East, Mount Diable Base Meridian North 60D West a distance of- 1900 feet from the <br /> southeast corner of Section 18. <br /> *See Attachment II: APN 253-030-05 and 06 <br /> �— V111. SOURCE OF WATER SUPPLY IeNDCK ALL..P.OPa IA TN) ^! <br /> A. I] MUNICIPAL OR UTILITY SERVICE: B. ® INDIVIDUAL(Wells) <br /> NAME OP WATUR PUa VDTON <br /> C. ® SURFACE SUPPLY: <br /> AOp/TS•S OP PYRVDT ON NAMU OP STREAM,LAKE.SIRING.UTC. 1/ pAMSD) <br /> TVPS OP WATUR N/GUTS WATSR R/Ga TS PURMIT OR L/CUNSU <br /> Riparian ® Appropriation 11 <br /> IX. ENVIRONMENTAL IMPACT REPORT(Sew) <br /> Has an E I R been prepared for this project? ❑ Yes ® No <br /> If"Yes",please enclose a Copy. <br /> If"No",will an EIR be prepared? Yoc ® No <br /> Will to negativd declaration be prepared? ® Yes ® No <br /> If"Yes".please answer the fOIIOWInD: WNO WILL PRSPARU TNU NUOATIVU DECLARATION T'-- APPN OA.OATD OP COMPLUTION <br /> CERTIFICATION <br /> A 8®N <br /> I hereby certify under penalty of perjury that the information provided in this/application and in any attach- <br /> ments is true and accurate to the best of my knowledge. <br /> OI.GNATUREO OW OFF ArC I�LiITY SIGNATURE O O►B TOR OF FACILIT <br /> bRINTAD OR TTP/10 NA INPUD OR TTPUD VAMC _ - <br /> -TAtcrbkf4EL_ 1'° ..LLStGELt Mte_t-4[4E4- '1:1._ G efLU s e ---- - <br /> T/TLC DATA T/TLS DATtl <br /> C�LtS'�L►c..Wo (tGz-ro2 ILL Jjo )$$ QLtpLtc. WOR k5 jgSC.r0z ►t�3o f 'j <br /> LIST TITLES OF ANY ATTACHMENTS: --.- --- <br /> I. Figure I: Site Location Map <br /> II. County Assessor Map No. 253-03 <br /> III. Report of Waste Discharge for Corral-,Hollow Sanitary Landfill, August 1988, which <br /> includes drawings (4 sheets), title,:,Closure. Plan Corral Hollow Sanitary Landfill. <br /> You will be notified of the correctneu of filing fee and submittal of any additional information deemed necessary to complete your Report of Waste <br /> Discharge pursuant to Division 7, Section 13250 of the State Water.Code,onto Complete your permit application pursuant to Government Code <br /> Section 66796.30 and Health and Safety,' _le Section 25200. <br />