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VI. QUANTITY OF WASTES <br />A. I MAXIMUM AAAAA Oa D. DESIGN rLow (ma mcn) <br />0.045 <br />PRESENT OR reorositto <br />DAILY FLOW (IN MOD): I 0.012 0.006 <br />C. <br />SOLID WASTE DISPOSAL I .'" ITT 1 TOTAL IN PLACE GILOANTITy <br />SITE (IN TONS OR I YARD:), N/A I N/A conic <br />D. AREA IN WHICH SMAILL BE DISTURBED ToTAL sore ACSrT/ <br />(IN ACRES) 0.5 acres <br />LOCATION OF POINT OF DISPOSAL. OR OPERATION <br />(DESIGN AND ATTACH MAP, SKETCH, OR LOCATION ON U.S.G.S. QUADRANGLE MAP, 7.11 OR IS MINUTE SERIES.) <br />LIST DISTANCES OR SEARING AND DISTANCE FROM SECTION CORNER OR QUARTER CORNER, SECTION. TOWNSHIP, RANGE, BASE AND MERIDIAN <br />__Project is located north of Holt, CA (See attached Figure 1) adjacent to Trapper Slough. <br />SOURCE OF WATER SUPPLY (cmacK •LL APPROPRIATE) <br />ENVIRONMENTAL IMPACT REPORT IEIR) <br /> <br />Has an EIR been prepared for this project? H Yes 12.d No <br />If "Yes", please enclose, copy. <br />If "No", will an El R be prepared? 0 Yes Ed No <br />Will a negative declaration be prepared? 111 Yes n No <br />If "Yes", please answer the following: WOO WILL VII DECLARATION? <br />CERTIFICATION <br />I her y certify un 'r penalty of perjury that the information pro ided in this a ication and in any attach- <br />and rite t t best of my knowledge. <br />URE 0 OWILER OF PACILI <br />rRINTED GA Tyree NAM.? <br />LIST TITLES OF ANY ATTACHMENTS: <br />_ <br />You will be notified of It)* COITOCUISS5 of filing fee and submittal of any additional information deemed necessary to complete your Report of Vvaste Discharge pursuant to Division 7, Section 13250 of the State Water Code, or to complete your permit application pursuant to Government Code Section 66796.30 and Health and Safety Code Section 25200. <br />Ised14 • <br />SIGNATURE or OPERATOR OF .FA01-1-i <br />RIPITS0 rep NAma <br />TITLE <br />Environmental Engineer <br />A. MUNICIPAL OR UTILITY SERVICE: <br />NAME Or WATER PURVEYOR <br />*DOWNES Or PURVEYOR <br />B. F,,] INDIVIDUAL (Wells) Shallow ground water <br />c. 0 SURFACE SUPPLY: <br />NAME oe SYRCAM. LAKE. 'PRIN.. ETC. (Ir NAMED <br />TI/fIE Or WATER RIGHTS <br />Riparian <br />T WATER RIGHTS PERMIT OR LICENSE <br />Appropriation