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Vt. QUANTITY OF -WASTES <br />A. PRESENT OR rROPOSD MAXIMUM AVff.AQff B. DESIGN FLOW (IN MGD' <br />DAILY FLOW (IN MGD)q:: <br />I'A NANA <br />C. OLID WASTDISPOSAL DAILY QUANTITY TOTAL IN PLACE QUANTITY D. AREA IN .03011. WILL Big DISTURBED TOTAL SITE AREA <br />: E ITS (IN TONS OR I I <br />(IN ACRES) <br />CUBIC YARDS): Al S TZDay 1 630 ry/DAN, 91 i 110 ae-res — <br />VII. LOCATION OF NT OF DISPOSAL OR OPERATION <br />(DESIGN AND ATTACK MAP -- SKETCH - , OR LOCATION ON U.S.G.S. QUADRANGLE MAP, 7.5 ORIS MINUTE SERIES.) <br />LIST DISTANCES OR BEARING AND DISTANCE FROM SECTION CONWPARR OR QUARTER CORNER, SECTION, TOWNSHIP, RANGE, BASE AND MERIDIAN: <br />See REPORT OF DISPOSAL SITE OPERATION <br />,111. -WATER SUPPLY (CHECK ALL. APPROPRIATE) <br />A. ❑ MUNICIPAL OR UTILITY SERVICE: B. [R] INDIVIDUAL (Wells) <br />NAMIL OF WATER PURVEYOR C.E] SURFACE SUPPLY: <br />APON652 OF PURVEYOR NAME OF STREAM, LAKE, SPRING. arc. (IF NAMED) <br />TYPE OF WATER RIGHTS WATER RIGHTS PERMIT OR LICKNIiS <br />Riparian <br />El Appropriation I <br />Ix. ENVIRONMENTAL IMPACT REPORT (EIR) <br />Has an E I R been prepared for this project? 1:1 Yes Ej No <br />If "Yes", please enclose a copy. <br />If "No", will an EIR be prepared? El Yes FXI No This site was permitted prior to CEQA <br />Will a negative declaration be prepared? ®YesNo requiren-pefts. An EIS was prepared and <br />agggpled by Courity- <br />If "Yes", p!ease answer the following: WHO WILL PHOPANIZ THS) NEGATIVE DUCLA..11.0,47 ;�;*;;�Dx- -G^Ti-4;F COMPLUTIO <br />San Joac <br />in g2DtyPlanning eprmnt Lanu 1984 <br />CERTIFICATION <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 />SIGNATURE OF OWNER OF FACILITY SIGNATURE OF OPERATOR OF FACILITY <br />;;-4i;TI9G --0. T-1r;U- -"A"x PRINTED OR TYPED NAME <br />TITLE GATE TITLE GATE <br />LIST TITLES OF ANY ATTACHMENTS: <br />REPORT OF DISPQSAL SITE OPERATION <br />CRURAL COUNTY AUSTIN ROAD LANDFILL - NOVEMBER 19,83 <br />F <br />You will be notified of the correctness 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, or to complete your permit application pursuant to Government Code <br />Section 66796.30 and Health and Safety Code Section 25200. <br />