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STATE OF CALIFORNIA <br /> DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY <br /> REGIONAL WATER QUALITY CONTROL BOARD <br /> APPLICATION FOR SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS <br /> CALRECYCLE E-1-77(Rev.11-15) <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 OFFICIAL USE ONLY <br /> WIS/WDID/Global ID NUMBER: FILING FEE: RECEIPT NUMBER: DATE RECEIVED: <br /> ATE ACCEPTED: DATE REJECTED: ACCEPTANCE DATE OF <br /> INCOMPLETE APPLICATION: <br /> DATE DUE: <br /> Part 1. GENERAL INFORMATION <br /> A. ENFORCEMENT AGENCY: B.COUNTY: <br /> San Joaquin County Environmental Health San Joaquin <br /> C.TYPE OF APPLICATION(Check one box only): <br /> FT. NEW SWFP and/or WDRS O✓ 4. PERMIT REVIEW <br /> 2. CHANGE TO SWFP and/or WDRS 5.AMENDMENT OF APPLICATION <br /> ❑ REVISION ❑ MODIFICATION ❑ OTHER(As authorized by law) <br /> E-13. WAIVER 6. RFI/ROWD/JTD AMENDMENTS <br /> Part 2. FACILITY DESCRIPTION <br /> A. NAME OF FACILITY: <br /> Forward Landfill, Inc. <br /> B. LOCATION OF FACILITY: <br /> 1. PHYSICAL ADDRESS OR LOCATION AND ZIP CODE: <br /> 9999 S Austin Road, Manteca, CA, 95336 <br /> 2. LATITUDE AND LONGITUDE: <br /> 37d 52' 39.38" , 121 d 11 ' 23.90" <br /> 3. LEGAL DESCRIPTION OF PERMITTED BOUNDARY BY SECTION,TOWNSHIP, RANGE,BASE,AND MERIDIAN, IF SURVEYED: <br /> Section 3 of Township 1 S, Range 7E, Mount Diablo Baseline and Meridian (MDB&M), Section 34 of Township 1 N, Range 7E MDP&M and Section 10 of Township 1 S, Range 7E <br /> MDB&M. Assessor Pacer Nos. 181-150-07, 181-150-08, 181-150-099, 181-150-10, 201-060-02, 201-060-02, 201-060-03, 201-060-04, and 201-070-01 <br /> C. TYPE OF ACTIVITY: (Check applicable boxes): <br /> 1.DISPOSAL 17-1 3.TRANSFORMATION 5. C&D/INERT DEBRIS PROCESSING <br /> a. TYPE : Class II and Class III <br /> 2. COMPOSTABLE MATERIALS HANDLING F--j 4.TRANSFER/PROCESSING 6. IN-VESSEL DIGESTION <br /> a. TYPE: <br /> 7.OTHER(descdbe):ACW Disposal Site <br /> D. IDENTIFICATION OF FACILITY IN CIWMP [CONFORMANCE FINDING]: <br /> ID 1. FACILITY IS IDENTIFIED IN (Check one): <br /> SITING ELEMENT DATE OF DOCUMENT 04/01/1996 PAGE# 18-23 <br /> El NONDISPOSAL FACILITY ELEMENT DATE OF DOCUMENT PAGE# <br /> E. PE OF PERMITTED ATE TO BE RECEIVED: (Check applicable boxes): <br /> 16 1.AGRICULTURAL 6, CONSTRUCTION/DEMOLITION 11. LIQUIDS <br /> B 2.ASBESTOS ❑Friable ❑ Non-friable 7. CONTAMINATED SOILS E0 12. MUNICIPAL SOLID WASTE (MSW) <br /> 3.ASH ED 8. DEAD ANIMALS ® 13. SEWAGE SLUDGE <br /> 4,AUTO SHREDDER 0 9. INDUSTRIAL 14.WASTE TIRES <br /> rl�-(I 10. INERT ® 15. OTHER(describe): See JTD <br /> 5.COMPOSTABLE MATERIAL(describe): � - <br /> Page 1 <br />