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JIf�IL vl �nLif VRltll/1 , <br />CALIFOFJNIA INTEGRATED WASTE MANAGEMENT BOARD <br />° REGIONAL WATER QUALITY CONTROL BOARD <br />APPLICATION FOR SOLID WASTE FAIWY PERMIT/WASTE DISCHARGE REQIJ&MENTS <br />CIWMB E-1-77 (Rev. 8.04) <br />NOTE: This form has been developed for multiple uses. It is the transmittal sheet for documents required to be submitted to the appropriate agency. <br />Please refer to the attached instructions for definitions of terms and for completing this application form in a complete and correct manner. <br />FOR tlPF,ICfAL USE ONLY <br />SVyIS NUMBER: <br />FILING FEE: <br />RECEIPT NUMBER: <br />DATE RECEIVE D:% <br />39 AA DOZ <br />C. TYPE OF APPLICATION (Check one box only): <br />1. NEW SWFP and/or WDRS <br />�a�l?Qg:. <br />DfyTE ACCEP-7.EDc <br />05. AMENDMENT OF APPLICATION <br />DATE REJECTED: <br />ACCEPTANW'bATE OF <br />INCOMPLETE <br />APPLICATION; <br />[3ATE.bUE: " � <br />.. .. ,.. .. <br />Part 1. GENERAL INFORMATION <br />A. ENFORCEMENT AGENCY: <br />B. COUNTY: <br />Environmental Health Department <br />San Joaquin Count <br />C. TYPE OF APPLICATION (Check one box only): <br />1. NEW SWFP and/or WDRS <br />04. PERMIT REVIEW <br />®2. REVISION OF SWFP and/or WDRS <br />05. AMENDMENT OF APPLICATION <br />113. EXEMPTION and/or WAIVER <br />®6. RFI/ROWD/JTD AMENDMENTS <br />Part 2. FACILITY DESCRIPTION <br />A. NAME OF FACILITY: <br />North -County Recycling Center and Sanitary Landfill <br />B. LOCATION OF FACILITY: <br />1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br />i" <br />17720 East Harney Lane, Lodi, CA 94240 (nearest cross street = Atkins Road) <br />2. LATITUDE AND LONGITUDE: <br />Latitude 38 deg 06 min , Longitude 121 deg 04 min <br />3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION, TOWNSHIP, RANGE, BASE, AND MERIDIAN, IF SURVEYED <br />APN 065-120-02, 065-120-03, 065-120-08, and 065-120-09 in Section 21 T3N, R8E, MDB&M <br />C. TYPE OF ACTIVITY: (Check applicable boxes): <br />®1. DISPOSAL E-13. TRANSFORMATION ®5. OTHER (describe): Recovery Of recycleable materials prior to disposal <br />a. TYPE: Processing green waste prior to removal <br />®2. COMPOSTING ®4. TRANSFER/PROCESSING FACILITY (Processing) <br />a. TYPE: X CHECK HERE IF RECYCLABLE MATERIALS ARE RECOVERED PRIOR TO TRANSFER/PROCESSING. <br />D. CONFORMANCE FINDING INFORMATION (CIWMP): <br />®1. FACILITY IS IDENTIFIED IN (Check one): <br />®SITING ELEMENT <br />❑NONDISPOSAL FACILITY EL <br />DATE OF DOCUMENT April 1996 <br />DATE OF DOCUMENT <br />02. FACILITY IS NOT REQUIRED TO BE IDENTIFIED IN SITING ELEMENT OR NONDISPOSAL FACILITY ELEMENT <br />PAGE # 18 <br />PAGE # <br />E. TYPE OF PERMITTED WASTES TO BE RECEIVED: (Check applicable boxes): <br />®1. AGRICULTURAL 716. CONSTRUCTION/DEMOLITION M11. LIQUIDS <br />❑2. ASBESTOS o Friable o Non -friable E7. CONTAMINATED SOILS ®12. MIXED/MUNICIPAL SOLID WASTE <br />®3. ASH ®8. DEAD ANIMALS 1:113. SEWAGE SLUDGE <br />®4. AUTO SHREDDER ®9. INDUSTRIAL ®14. TIRES <br />®10. INERT ❑ 15. OTHER (describe): <br />®5. COMPOSTABLE MATERIAL (describe): Green Waste and discarded lumber for processing prior to removal <br />Page 1 <br />