California Code of Regulations › Title 27 - Environmental Protection › Division 2 - Solid Waste › Subdivision 1 - Consolidated Regulations for Treatment, Storage, Processing or Disposal of Solid Waste › Chapter 8 - Other Provisions › Subchapter 1 - Financial Assistance Programs › Appendix 1 - Joint Permit Application Form

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
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INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR
						SOLID WASTE FACILITY PERMIT AND WASTE DISCHARGE REQUIREMENTS
___________________________
This application form is for a Solid Waste Facility
						Permit (SWFP) and/or Waste Discharge Requirements (WDRs) to receive, store,
						process, transform, or dispose of solid waste regulated by the Department of
						Resources Recycling and Recovery (CalRecycle) and Enforcement Agencies (EAs) or
						California Regional Water Quality Control Boards (RWQCBs), and for related
						purposes. The Application is to be used for new and changes to existing SWFPs,
						WDRs, and supporting documents (e.g. Reports of Facility Information, Reports
						of Waste Discharge), and for SWFP Reviews. AN Applications must be filled out
completely and correctly
. Check with the applicable EA
						or RWQCB for specific permit requirements and exemptions or the use of the
						Application/General Information Form for WDRs and National Pollutant Discharge
						Elimination System permit (Form 200) by the RWQCB. Submit the Application and
						filing fees to the appropriate agency(ies) indicated below:
FORM TYPE /
								USE
APPROPRIATE AGENCY
Application for a Solid Waste Facility
								Permit
EA
Report of Waste Discharge for
								WDRs
RWQCB
If you have any questions on how to complete this form,
						please contact the appropriate agency(ies) for assistance. You can download
						this form from the CalRecycle website at
http://www.calrecycle.ca.gov
.
NOTE: For direct discharge (point source discharge) to
						surface waters, a different application form and submittal package is required.
						Please contact the appropriate RWQCB if seeking to discharge to surface water
						under the NPDES permit.
Submit two copies of the completed Application and filing
						fee to the EA. Submit one copy of the Application to the RWQCB. The RWQCB will
						notify you of your annual fee based on an evaluation of your proposed
						discharge. Please do not submit a check to the RWQCB until requested to do so
						by a RWQCB representative. Applicants applying for an update of an existing WDR
						will be billed through the annual fee billing system and therefore are
						requested NOT to submit a check with their Application. The agency(ies) will
						advise you of any additional information that may be required to complete this
						Application.
The Applicant shall submit this Application in a form and
						format required by the EA. The EA will exercise its discretion in using the
						information provided by the Applicant to establish terms and conditions of a
						proposed SWFP the EA determines to be appropriate.
___________________________
AMOUNT OF FILING FEES
* EA - Contact the EA for fee information.
* RWQCB - Contact the RWQCB for fee information.
___________________________
FOR OFFICIAL USE ONLY
(CalRecycle/EA/RWQCB
						staff)
SWIS/WDID/Global ID Number:
The Solid Waste
						Information System (SWIS) number assigned to the facility by CalRecycle staff.
						The Waste Discharge Identification number (WDID) and global identification
						number (global ID) for use by RWQB staff.
Filing Fee:
The amount of filing fee
						submitted by the applicant.
Receipt Number:
The number assigned to the
						Application by CalRecycle/EA/RWQCB staff.
Date Received:
The date the EA or RWQCB
						receives the Application from the applicant (Title 27, section
						21650(a)).
Date Accepted:
The date the EA accepts the
						Application for filing (Title 27, section
						21650(a)). Leave
						blank if the Application is for a SWFP review (Title 27, section
						21640).
Date Rejected:
The date the EA rejects the
						Application (Title 27, section
						21650(d)). Leave
						blank if the Application is for a SWFP review (Title 27, section
						21640).
Date of Acceptance of Incomplete
						Application:
The date the EA accepts an incomplete Application (Title
						27, section
						21580). Date Due: Within 180 days
						from the date the application was accepted as incomplete (Title 27, section
						21580). Leave blank if Application
						is for a SWFP review (Title 27, section
						21640).
___________________________
Part 1. GENERAL INFORMATION
A. Enforcement Agency:
Enter the name of the
						EA.
B. County:
Enter the name of the county or
						counties in which the facility is located.
C. Type of Application:
Check the box (one
						box only) that describes the reason the Application is being submitted, as
						follows:
1.
New SWFP and/or WDRs:
A facility that
						does not have a current SWFP or WDRs.
2.
Change to SWFP and/or WDRs:
Applicant is
						proposing to make a change to the design or operation of the facility. (Title
						27, section
						21620 and
						21710)
3.
Waiver:
WDRs have been waived.
4.
Review:
To comply with the five-year
						permit review requirement (Title 27, section
						21640).
5.
Amendment of Application:
If the
						applicant changes any of the information required in the Application after it
						has been submitted and before the EA has acted on the Application. (Title 27,
						section 21610 and
						21710)
6.
RFI/ROWD/JTD Amendments:
A change to the
						Report of Facility Information, Report of Waste Discharge, or Joint Technical
						Document that does not require a change to the SWFP or WDRs.
___________________________
Part 2. FACILITY DESCRIPTION
A. Name of Facility:
The name to be listed
						on the SWFP and/or the WDRs.
B. Location of Facility:
1. The physical address of the facility or, if no
						address, a description of the location. Include the Assessor's Parcel Number,
						directions to the location of the facility and the name of the nearest city or
						named place, i.e. mountain, lake, cross roads, etc. Provide the zip code for
						the actual facility location, not the mailing address.
2. Latitude and longitude in Degrees, Minutes, and
						Seconds, or Decimal Degrees identifying the center of the waste footprint for
						existing or proposed disposal sites and identifying the office or main gate for
						all other facilities (e.g., transfer station, composting facility, etc.). Use
						of a GPS instrument is recommended.
3. The legal description shall include the applicable
						portions of the section(s) of the township, range, base, and meridian. The
						facility shall have permanent monuments
or
other physical
						features that adequately delineate the permitted boundary in the field.
C. Type Of Activity:
Check all that apply or
						will apply for the type of facility covered under this Application.
1.
Disposal:
A facility that includes a
						place, location, tract of land, area, or premises in use, intended to be used,
						or which has been used, for landfill disposal of solid waste.
a.
Type:
The type of disposal facility, such
						as, monofill, C&D/inert, municipal solid waste, or Engineered municipal
						solid waste conversion facility.
2.
Compostable Material Handling:
A facility
						that handles compostable materials.
3.
Transformation:
A facility at which solid
						waste is incinerated or subject to pyrolysis, distillation, or biological
						conversion other than composting. Transformation does not include composting,
						gasification, or biomass conversion.
4.
Transfer/Processing:
A facility that
						receives, handles, stores, separates, converts or otherwise processes solid
						waste or transfers solid waste directly from one container to another or from
						one vehicle to another for transport.
5.
Construction and Demolition/Inert Debris
						Processing:
A facility that receives Construction and Demolition Debris
						and/or Inert Debris for the purpose of controlled separation, recovery, volume
						reduction, or recycling.
6.
In-vessel Digestion:
A facility that
						receives solid waste for digestion in an in-vessel digester.
7.
Other:
An activity authorized by law not
						listed above.
D. Identification of Facility in CIWMP [Conformance
						Finding Information]
(Title 27, section
						21570(f)(5)):
1. If the location of the facility is identified in
						either a Countywide Siting Element or a Nondisposal Facility Element, check the
						appropriate box, and fill in the date of the document and the page on which the
						facility is identified. (You may obtain this information from the jurisdiction
						in which the facility is located).
E. Type Of Permitted Wastes To Be Received:
Check all that apply for the type of material covered under this Application
						package:
1.
Agricultural:
Wastes resulting directly
						from the conduct of agricultural activities, including, but not limited to,
						manures, prunings, and crop residues.
2.
Asbestos:
The State Department of Toxic
						Substances Control classifies friable wastes which contain one percent or more
						asbestos by weight as hazardous wastes. Friable means that the material can be
						crumbled with pressure and, therefore, is likely to emit fibers. Indicate
						whether the asbestos is friable or non-friable by checking the appropriate
						box.
3.
Ash:
The residue from the incineration of
						solid wastes, including, but not limited to, municipal waste, medical waste,
						woodwaste, sludge, and agricultural waste.
4.
Treated Auto Shredder Waste:
The "fluff"
						consisting of upholstery, paint, plastics, and other non-metallic substances
						that remains after the shredding of automobiles, discarded household major
						appliances, and similar items.
5.
Compostable Material:
Any organic
						material that when accumulated will become active compost. Describe the types
						of compostable materials to be received.
6.
Construction/Demolition Waste:
Waste that
						results from construction, remodeling, repair, demolition or deconstruction of
						buildings, and other structures.
7.
Contaminated Soil:
Soil that the RWQCB or
						the Local Oversight Agency has classified as a designated waste.
8.
Dead Animals:
Animal carcasses requiring
						disposal that have
not
been previously used for medical purposes
						and are not known to have been infected with infectious diseases.
9.
Industrial:
Solid or semi-solid wastes
						resulting from industrial processes and manufacturing operations, e.g. cement
						kiln dust, ore process residues, grit or screenings removed from a waste water
						treatment facility, etc.
10.
Inert:
Solid waste and recyclable
						materials that are source separated or separated for reuse, do not contain
						hazardous waste or soluble pollutants at concentrations in excess of applicable
						water quality objectives and do not contain significant quantities of
						decomposable waste. Inert debris may not contain more than 1% putrescible
						wastes by volume calculated on a monthly basis and the putrescible wastes do
						not constitute a nuisance, as determined by the EA.
11.
Liquids:
Wastes which are not spadable,
						usually containing less than 50% solids. These wastes include cannery and food
						processing wastes, landfill leachate and gas condensate, boiler blowdown water,
						grease trap pumpings, oil and geothermal field wastes, septic tank pumpings,
						rendering plant byproducts, some sewage sludge, etc.
12.
Municipal Solid Waste (MSW):
Solid waste
						generated primarily by residential and commercial sources, although it may
						contain insignificant amounts of other solid waste that, when mixed together,
						is all handled as MSW.
13.
Sewage Sludge:
Human (not industrial)
						residue, excluding grit or screenings, removed from a wastewater treatment
						facility or septic tank, whether in a dry or semidry form.
14.
Waste Tires:
Tires that are no longer
						mounted on a vehicle and are no longer suitable for use as a vehicle tire due
						to wear, damage, or deviation from the manufacturer's original specifications
						including, repairable tires, scrap tires, altered tires, and used tires that
						are not organized for inspection in a rack or a stack.
15.
Other:
Any allowable wastes not included
						in the above.
___________________________
Part 3. FACILITY INFORMATION
A. Facility Information
1. Information Applicable To All Existing
						Facilities:
This portion of the Application must be filled out by every
						applicant regardless of the type of facility.
a.
Maximum Daily Tonnage or Cubic Yards:
The
						maximum amount of solid waste and other material the applicant is authorized by
						the EA to receive through the gate per day as part of normal, day-to-day
						operations (include information on all other material authorized by the EA to
						receive in the Report of Facility Information (RFI)). This amount shall be
						expressed in tons; if tonnage is not available specify the amount in cubic
						yards with a conversion factor. This amount must be consistent with the
						approved SWFP and the approved RFI. Applicants for new SWFP and/or WDRs enter
						zeros (0) in all items of this section. Note: The two amounts in (1) and (2)
						below must equal the maximum daily tonnage.
1.
Disposal/Transfer:
The amount of solid
						waste that comes through the gate and is disposed of on-site or transferred
						off-site as waste; and
2.
Other:
That amount of all other material
						received at the site, including, but not limited to, material that is recycled,
						beneficially reused (such as ADC, road building or other on-site projects),
						stored or processed.
b.
As-Designed Daily Tonnage or Cubic Yards:
For landfills, the maximum amount of solid waste and other material that the
						facility is designed to receive and process on an ongoing basis over an
						extended period of time (e.g., on a daily basis over a calendar month) based on
						appropriate factors including, but not limited to, size of the operating areas,
						vehicle traffic, hours of operation, personnel, equipment operational limits,
						etc. For other facilities, the maximum amount of solid waste and other material
						the facility is designed to receive and process on an ongoing bases over an
						extended period of time (e.g., on a daily basis over a calendar month) based on
						appropriate factors including, but not limited to, vehicle traffic, facility
						size, hours of operations, length of material storage, type of equipment and
						movement, personnel, equipment operational limits, etc. This amount shall be
						expressed in tons; if tonnage is not available specify the amount in cubic
						yards with a conversion factor. The as designed value may be equal to or
						greater than the maximum daily value.
c.
Facility Size:
The area that encompasses
						the entire area on which solid waste facility activities are authorized by the
						EA to occur. This includes the area of the facility in acres to be used for
						specific purposes such as receiving, storing, processing, disposing of wastes,
						and managing equipment, or any area that is required to maintain compliance
						with the design and operating parameters of the facility. The facility size is
						the same as "operating area" for compostable material handling facilities,
						"permitted acreage" or the area within the "permitted boundary" for
						transfer/processing facilities and landfills.
d.
Maximum Traffic Volume Per Day (vpd):
The
						maximum number of vehicles authorized by the EA to enter the facility on a
						daily basis. This number includes all vehicles, laden or empty, entering the
						facility gate, including vehicles transporting solid waste, personnel vehicles
						and vehicles transporting cover material or material intended for beneficial
						reuse. This number must be consistent with the approved RFI.
e.
Days and Hours of Operation:
The days and
						hours that the facility is authorized by the EA to operate and the hours of
						waste receipt authorized by the EA if different from the hours of operation.
						This information must be consistent with the approved RFI. Any activities that
						are limited to prescribed days or hours should be fully described in the
						RFI.
2.
Proposed Change(s) or Information Applicable to
						New SWFP and/or WDRs:
This portion of the Application must be filled out
						by every applicant requesting a change to any item(s) listed under Part 3. A. 1
						and every applicant submitting an application for a new SWFP and/or WDRs (see
						Part 3.A.1. for a description of the terms used). The requests must be
						consistent with an RFI submitted as part of the Application. The EA will review
						the requests and establish the terms and conditions of a proposed SWFP for
						those requests that are supported by documents submitted by the applicant. The
						RWQCB will review the requests and establish the terms and conditions of
						tentative WDRs for those requests that are supported by documents submitted by
						the applicant. Use the "OTHER" section to describe design or operational
						requests not already specified in this Part 3.A.2.
3.
Additional Information Required For Compostable
						Materials Handling Facilities Only:
This portion of the Application must
						be filled out by the applicant if handling compostable materials is part of
						this Application.
a. Total Site Capacity:
The total capacity
						in tons or cubic yards of all material that is received, processed, and stored
						on-site at any one time.
4.
Additional Information Required For Landfills
						Only:
This portion of the Application must be filled out by the
						applicant if a landfill is part of the Application. All sections of the
						Application must be filled out
completely
.
a. Average Daily Tonnage (TPD):
The
						estimated average waste tonnage expected to be placed in a waste management
						unit for each operating day on a yearly basis (calendar year) for the next five
						years. Do not use non-operating days in calculating the average daily tonnage.
						This average daily tonnage can be equal to but may not exceed the maximum daily
						tonnage. Report as tons per day (TPD).
b.
Site Capacity Currently Permitted (Airspace) (cu
						yds):
The volume contained between the excavation plan surface and the
						final fill plan surface (i.e., from the bottom of the excavation to the top of
						the final cover) taking into consideration design slopes, benches, and other
						design features, as authorized by the current SWFP. Site Capacity means the
						same as Total Site Capacity or Gross Site Capacity.
c.
Site Capacity Proposed (Airspace) (cu
						yds):
Additional site capacity (airspace) requested or potentially
						resulting from this permit Application.
d.
Site Capacity Used To Date (Airspace) (cu
						yds):
The volume of permitted site capacity used to date. See Date of
						Capacity Information below.
e.
Site Capacity Remaining (Airspace) (cu
						yds):
The total volume of permitted site capacity remaining, not
						including any proposed site capacity. If the remaining capacity information
						provided is based on estimates of capacity used since the last physical site
						survey, please explain the methodology used in preparing the estimates, e.g.,
						weight-to-volume conversion, in-truck volume, etc. See Date of Capacity
						Information below.
f.
Date Of Capacity Information (date):
The
						date as of which the remaining and used site capacities in Part 3 were
						determined. This date may predate the Application date by no more than three
						months. Amendments of the Application including more current capacities may be
						required.
g.
Last Physical Site Survey (date):
Date
						when the last aerial or ground survey was conducted upon which the capacity
						information presented in Part 3 is based in whole or in part. (see Part 6,
						Section B for more details).
h.
Estimated Closure Date (month and year):
The closure date estimated based on remaining waste capacity, average disposal
						volume, waste-to-cover ratio, days of operation, and other appropriate factors.
						Please note if the closure date is controlled by factors other than waste
						capacity (e.g., conditional use permit date, etc.)
i.
Disposal Footprint (acres):
The permitted
						area where waste will be or has been placed. This will be referred to as
						"permitted disposal area."
j.
Site Capacity Planned (cu yds):
The
						estimated additional site capacity (in cubic yards) based upon any planned
						expansions not currently proposed, whether within or outside the current
						permitted boundary.
k. Provide one of the following:
1. (i)
In-place Waste Density (lbs of waste per
						cubic yard of waste).
The in-place waste density is the estimated or
						measured density of in-place waste material achieved by mechanical or other
						means in the development of the current lift of the current operating waste
						cell, and
(ii)
Waste-to-Cover Ratio (estimated)
						(volume:volume).
The waste-to-cover ratio estimate is a unit-less
						expression of the proportion of the volumes of waste and cover that comprise a
						volume of compacted fill material, e.g. 4:1. The cover portion of the
						waste-to-cover ratio estimate should include only soil or approved daily or
						intermediate alternative cover that is not considered a waste material, i.e.,
						payment of fees to CalRecycle is not required. The waste portion of the
						waste-to-cover ratio estimate should include only waste material for which
						payment of fees to CalRecycle is reported, or
2.
Airspace Utilization Factor (tons of waste per
						cubic yard of landfill airspace).
The airspace utilization factor (AUF)
						is the effective density of waste material in the landfill. The AUF is recorded
						as the total weight of waste material passing over the landfill scales that is
						placed in a known volume of landfill airspace in a given period of time. The
						waste portion of the AUF should include only waste material for which payment
						of fees to CalRecycle is reported.
___________________________
Part 4. SOURCE OF WATER SUPPLY
(This is
						water used for any purpose at the facility)
A. Municipal or Utility Service:
Give name
						and address of the water purveyor.
B. Individual Wells:
Identify those wells
						that are not part of a municipal or utility service.
C. Surface Supply:
1. Provide the name of any stream, lake, spring, etc, if
						identified.
2. Type of water rights: Check appropriate box to
						indicate riparian or appropriation.
3. If a state permit or license has been granted, give
						identification number.
D. Other:
Enter any water source(s) not
						identified above.
___________________________
Part 5. COMPLIANCE WITH CALIFORNIA ENVIRONMENTAL
						QUALITY ACT (CEQA)
A.
Check the appropriate box(es) if an
						environmental document was, or will be, prepared and circulated through the
						State Clearinghouse (SCH) to comply with the requirements of CEQA.
1. If an environmental document was prepared:
* If an environmental document has already been prepared
						and circulated through the SCH and there is a SCH number, please write this
						number in the appropriate blank following the box that is checked.
* If an environmental document has not yet been
						circulated through the SCH and no SCH number has been assigned to the
						environmental document yet, please check the box for the type of environmental
						document that is anticipated to be circulated through the SCH and write N/A in
						the appropriate blank for "SCH#."
* If the "ADDENDUM TO (Identify environmental document)"
						box is checked, please provide the type of environmental document that the
						addendum was prepared for along with the SCH number.
2. If an environmental document will be prepared, enter
						the name of the lead agency for preparing the document, if known.
EXAMPLE ONLY:
If the environmental document is an environmental impact
						report (EIR), write "EIR" and include the dates that the EIR was circulated
						(i.e. from what date to what date). Also, please provide the SCH number for the
						EIR.
B.
If an environmental document was not, and
						is not planned to be, prepared because it is not required to comply with the
						requirements of CEQA, please provide the requested information by checking the
						box to indicate why an environmental document is not required under
						CEQA.
* If the "CATEGORICAL/STATUTORY EXEMPTION (CE/SE)" box is
						checked, please provide the CEQA Guidelines Section number and citation for the
						exemption.
EXAMPLE ONLY:
A class I categorical exemption from the requirements of
						CEQA might be cited in the case of a minor repair to an existing facility.
						Therefore, check the box that says "CATEGORICAL/STATUTORY EXEMPTION (CE/SE)"
						and write the following in the blank after the box: "CEQA Guidelines, Section
						15301, Class I Categorical
						Exemption."
___________________________
Part 6. LIST OF ATTACHMENTS
(Fill in the
						date for each document checked)
All attachments are necessary parts of the Application
						and are incorporated herein.
A.
Section A must be completed by all
						applicants regardless of the type of facility.
B.
Section B must be completed only by
						applicants for disposal facilities.
* Operating Liability Financial Mechanism: The date the
						demonstration was last modified or renewed. That date must be within the
						preceding twelve-month (annual renewal) period. For example, a Certificate of
						Insurance (CalRecycle 107) has an "effective date" identified on the
						certificate and must be within the preceding twelve-month (annual renewal)
						period.
* Financial Responsibility Documentation: The financial
						mechanism is a document, (i.e., letter of credit, surety bond, trust fund
						statement of value, enterprise fund value (balance) statement, etc.)
						identifying the current dollar value of the demonstration and the date of the
						stated value. The date of the stated value must be within the preceding
						twelve-month (annual renewal) period.
* Closure/Post Closure Maintenance Plan: The closure and
						postclosure maintenance plans are those plans required by Title 27, sections
						21780 and
						21865 as applicable.
* Known or Reasonably Foreseeable Corrective Action Cost
						Estimates: A copy of the water release corrective action cost estimate and a
						copy of the non-water release corrective action cost estimate, as required by
						Title 27, sections
						22100 through
						22103.
* Landfill Capacity Survey Results: For disposal
						facilities permitted to receive more than 20 tons per day, a ground or aerial
						survey is to be prepared at least every five years or more frequently as
						determined by the EA. For disposal facilities permitted to receive 20 tons per
						day or less, a ground or aerial survey must be prepared at least once every ten
						years. If not previously submitted, survey results must be included with this
						Application. Survey results must be submitted as a CADD or vector graphics data
						file including at least two strata, i.e., 1) a stratum showing the base and
						finished ground surfaces, and 2) a stratum showing the existing and finished
						ground surfaces. For disposal sites where a change in permitted volume is
						proposed, a third stratum showing the base and proposed finished ground
						surfaces must be included. For each stratum the following information shall be
						included: site name, stratum name, surfacel name, surface2 name, volume
						calculation method (grid, composite, section), expansion (cut) factor,
						compaction (fill) factor, cut volume, fill volume and net volume. All volumes
						shall be reported in cubic yards. (Title 27, section
						21570(f)(10)). If
						the base ground surface is uncertain, the operator is allowed to provide the
						best available information as a substitute for the actual as-built contours. If
						selecting this substitute method, the operator must provide an explanation of
						the basis for using the substitute base ground surface.
For the purposes of this section the following
						definitions apply:
1. "base ground surface" - the best available excavation
						plan surface that existed prior to the placement of any waste;
2. "CADD" - computer aided design and drafting;
3. "compaction (fill) factor" - the factor used to
						correct for expected compaction of fill material; this factor should normally
						be unity (one); if the factor is not unity (one), an explanation must be
						provided for the basis of the volumetric correction;
4. "cut volume" - for any stratum, the volume removed by
						a cut of a lower surface to achieve the upper surface;
5. "existing ground surface" - the topography that exists
						at the time of the subject survey;
6. "expansion (cut) factor" - the factor used to correct
						for expected expansion of a cut surface; this factor should normally be unity
						(one); if the factor is not unity (one), an explanation must be provided for
						the basis of the volumetric correction;
7. "fill volume" - for any stratum, the volume bound
						between the upper and lower surfaces;
8. "finished ground surface" - the final fill plan
						surface as shown in the approved closure plan for the disposal site;
9. "net volume" - the fill volume less the cut
						volume;
10. "site name" - the name of the disposal site for which
						the survey information is being submitted;
11. "stratum (plural: strata)" - a particular volume of a
						solid waste landfill bound by specified upper and lower surfaces;
12. "stratum name" - a descriptive name for the stratum
						for which volumetric information is being submitted, e.g., total volume
						including proposed expansion;
13. "surface names" - names for the pair of surfaces that
						define a named stratum, e.g., base ground surface and proposed finished ground
						surface;
14. "survey" - a comprehensive examination of the
						disposal site under the direction of a registered civil engineer or a licensed
						land surveyor for purposes of determining the topography of the base, existing
						and finished ground surfaces, and the volumes bound by those surfaces;
15. "vector graphics" - computer generated images
						comprised of lines and shapes of given origin, direction, thickness, color and
						other attributes;
16. "volume calculation method" - grid, composite,
						section or other method approved by the EA.
C.
Section C specifies additional documents
						required for the type of facility to be covered under this Application as
						required by the EA or RWQCB. Under "Other," identify and list any other
						necessary documents not specified above but that are required by the EA or RWCB
						under applicable law, such as, a lease or other agreement documenting the
						operator's interest in and right to use the site as a solid waste facility or a
						contract between the permitted operator and contract operator.
___________________________
Part 7. OWNER INFORMATION:
Type of Business:
Specify if the owner of
						the facility that is the subject of the Application is a sole proprietorship,
						partnership, corporation, or public agency.
Owner of Land:
The person(s) that owns the
						land on which the facility is located.
Address, City, State, Zip:
Provide the
						address, city, state, and zip code for the facility owner(s).
SSN
or
Tax ID #:
Provide the
						SSN or tax identification number for the land owner(s).
Telephone #, Contact Person, Fax #, and E-mail
						Address:
Provide the telephone number, fax number, and e-mail address,
						and print the contact name.
Address Where Legal Notice May Be Served:
Provide the name and address of the person authorized to accept service for
						each owner of the facility.
___________________________
Part 8. OPERATOR INFORMATION:
Type of Business:
Specify if the operator
						filing this Application is a sole proprietorship, partnership, corporation, or
						public agency.
Facility Operator:
The person (e.g.,
						individual(s), partnership, corporation, or public agency) to whom the approval
						to operate the facility is granted, and who is responsible for the overall
						operation of the facility including but not limited to, complying with
						regulatory requirements, complying with all applicable federal, state, and
						local requirements, and the design, construction, and physical operation of the
						operating area, and control the activities at a facility.
Address, City, State, Zip:
Provide the
						address, city, state, and zip code for the facility operator.
SSN or Tax
ID #: Provide the SSN or tax
						identification number for the operator.
Telephone #, Contact Person, Fax #, and E-mail
						Address:
Provide the telephone number, fax number, and e-mail address,
						and print the contact name.
Address Where Legal Notice May Be Served:
Provide the name and address of the person authorized to accept service for the
						operator of the facility.
___________________________
Part 9. SIGNATURE BLOCK:
Signature (landowner or agent)
: A person(s)
						authorized to sign on behalf of the owner.
Signature (lessee):
A person(s) authorized
						to sign on behalf of the person leasing the land, if applicable.
Signature (facility operator):
A person(s)
						authorized to sign on behalf of the operator.
___________________________
Part 10. OTHER:
Attach additional sheets to explain any responses that
						need clarification.
1.
						Editorial correction adding inadvertently omitted Appendix 2 (Register 97, No.
						50).
2. Repealer and new appendix (form CIWMB E-1-77) filed
						12-13-2004; operative 1-1-2005 pursuant to Government Code section
						11343.4(c)
						(Register 2004, No. 51).
3. Amendment filed 11-10-2015; operative
						1-1-2016 (Register 2015, No. 46).