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STATE OF CALIFORNIA i CALIFORNIA IN7101ED WASTE MANAGEMENT BOARD <br />REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FACILITY PERMIT/WASTE DISCHARGE REQUIREMENTS <br />C"B E-1-77 (Bev. WM <br />'San Joaquin County <br />Public Health Services <br />San Joaquin County <br />1. NEW SWFP AND/OR WDRS 04. REVIEW <br />hNCOMPLETE APPUCA71ON: <br />F-12. REVISION OF SWFP AND/OR WDRS ❑S. AMENDMENT OF APPLICATION <br />IF <br />1:13. EXEMPTION AND/OR WAIVER 1:16. RFI/ROWD/TCD AMENDMENTS <br />1:17. CHANGE OF OWNER/OPERATOR OR ADDRESS <br />NOTE: This form has <br />been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate <br />agency. See instructions <br />for completing this application. <br />I. GENERAL <br />A. NAME OFFACum,Forward Resource & <br />Recovery <br />B. LOCATION OF FACILITY: (Give address or location, also include legal description by section, township, range, base, and meridian if surveyed <br />DESCRIPTION <br />OF <br />orprojected.) 9999 South Austin Road <br />Sec 3 Township is range 7E, Mount <br />Manteca CA 95336 <br />Diablo Bas1line & Meridian <br />FACILITY <br />C. TYPE OF OPERATION: (Check applicable boxes.) <br />DISPOSAL <br />TRANSFORMATION SEWAGE TREATMENT <br />TYPE: <br />UTRANSFER OR ❑INDUSTRY (discharge to sewer) <br />®COMPOSTING <br />PROCESSING STATION INDUSTRY (on-site disposal) <br />TYPE: <br />TYPE: <br />❑OTHER (descnbe): <br />D. COSWMP/CIWMP REVERENCES: <br />DATE OF DOCUMENT: <br />PAGES: <br />E. TYPE OF WASTES TO BE RECEIVED: (Check applicable boxes.) <br />®AGRICULTURAL <br />DEAD ANIMALS SLUDGE <br />❑ASBESTOS <br />nFRIABLE - ASBESTOS ❑TIRES <br />DASH <br />❑INDUSTRIAL ❑WOOD MILL <br />AUTO SHREDDER <br />r�JIIQUIDS UOTHER (deacnbe)r r <br />®CONSTRUCTION/DEMOLTIION <br />MIXED MUNICIPAL <br />Waste <br />U. FACIIITY <br />A. PROPOSED CHANGE (Check applicable boxes) <br />INFORMATION <br />❑ DESIGN (describe) No n e <br />ROPERATION (deacnbe) None <br />QoTHER(de tribe) None <br />B. FACILITY INFORMATION: <br />PEAK DAILY LOADING <br />AVERAGE ANNUAL <br />SITE CAPACITY(yds): <br />FACILITY SIZE (acres): <br />(TPD): 41 8 0 <br />LOADING (TM: NIA <br />N/A <br />33.73 <br />DISPOSAL <br />TOTAL WASTE IN PLACE (yda): <br />AREA IN WHICH SOIL WILL BE <br />DESIGN AIR SPACE CAPACITY: <br />AREA: N/A <br />N/A <br />DISTURBED (acres): N/ A <br />EXPECTED CLOSURE DATE:- <br />ATE:2006 <br />2006 <br />C. PRESENT OR PROPOSED: <br />DAILY FLOW (in MGD): <br />MA}QMUM: 3 0 8 0...md trans VERAGE: <br />DESIGN FLOW (in MGD): <br />1100 and composting <br />III SOURCE OF WATER SUPPLY (cheek all appropriate) <br />A. MUNICIPAL OR UTIIdTY SERVICE B. INDIVIDUAL (wells) <br />NAME OF WATER SURVEYOR IC. SURFACE SUPPLY: <br />NAME OF STREAM, LAKE, EIC <br />TYPE OF WATER RIGHTS: RIPARIAN <br />❑APPROPRIATION <br />(OVER) <br />