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SNW

PERMIT APPLICATION FORM TO OPERATE OR MODIFY


A SOLID WASTE MANAGEMENT FACILITY

Southern "Mila HARh District


ForSNHD

I
I

Use Only

CONTROUPERMIT NUMBER:

o Minbr Modification
o Temporary

o Major Modification
o Revision

o New Permit Application


o Variance
1. Type Of Solid Waste Management Facility

0
0

Class I Disposal Site


Compost Plant

0
0

0
0

Public Waste Storage Bin Facility

I23J

Construction and Demolition


Waste Short-Term Storage Facility
Recycling Center

Transfer Station

Waste Tire Management Facility

Fictitious Firm Name (dba)

Mailing Address

Not Applicable
Street Address

City, State, Zip

14330 Garza St

Las Vegas, NV 89054

Telephone Number

Emergency Telephone Number

(702)733-2453

(702)355-3811 - Galen Stockton

Street Address/PO Box

City, State, Zip

120 W Delhi Ave

North Las Vegas, NV 89032

Parcel Number (s)

Contact Information

3. Name of Facility/Business
Owner (Legal)
Mailing Address
Telephone Number(s)

4. Name of Facility/Business
Operator
Address
Telephone Number(s)

o Class III Disposal Site


o Materials Recovery Facility
o Salvage Yard

American Eagle Ready Mix, LLC

2. Name of Facility

Facility Address

Class II Disposal Site

191-19-301-005 & -006

Jurisdiction

Zoning Classification (e.g. M-1, M-2, etc)

CC Unincorporated
Name Edward Stockton

M-1

Phone Number

Email Address

(702)355-3811

gstockton@americaneaglerm.com

ie Corporation, Sole Proprietorship, or Last Name, First 1ame & Middle Initial

American Eagle Ready Mix, LLC

Street Address

City, State, Zip

120 W Delhi Ave

North Las Vegas, NV 89032

Telephone Number

Fax Number

(702)733-2453

(702)733-3011

ie Corporation, Sole Proprietorship, or Last Name, First Name & Middle Initial

~merican Eagle Ready Mix, LLC


Street Address

City, State, Zip

120 W Delhi Ave

North Las Vegas, NV 89032

Telephone Number

Emergency Telephone Number

(702)733-2453

5. Design Parameters

(702)355-3811 - Galen Stockton

Inside/Outside Area (Sq. Ft)

storage Capacity (cubic yards)

1710,000sq ft

250,000 cubic yards

Processing Capacity
(i.e. cubic yds/day; tons/day)

19,100 cubic yards/day

6. Solid Waste Types Proposed for Acceptance


Complete Attached SOLID WASTE CATEG<pRIES AND TYPES TO BE PROCESSED form

Permit Application Form to Operate


February 2013

a Solid Was~e Management Facility


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Days of Operation

Hours of Operations

7. Operations
Open to the Public

6:00 am - 3:00 pm

Monday-Friday (Saturday if needed)

Hours of Operations

Days of Operation

Not Open to the Public

Not Open to the Public

This application form and supporting documents, as required by the current version of the Application Guide for this
facility type, are hereby submitted to SNHD to apply for a permit to operate or modify a solid waste management facility.
We understand that receipt of this application does not constitute an approval to operate or modify the facility. We
understand that this application must be approved by SNHD and a permit issued before the operation or modification of
the facility. We certify that the Report of Design supports the Report of Operating Plan. We certify that, to the best of our
knowledge, the information contained above and in the supporting documents is complete and accurate and complies
with the requirements specified in the current version of the Application Guide for this facility type and the Solid Waste
Management Authority Regulations for this type of Solid Waste Management Facility
8. Certifications
~~..

G\NEA

~W1

. 0

(f)

~
JAIMEE
'v M.
~'" 0
\YOSHj~i\fA
-n

'V-U.if ~

,J,.!i)

O~~VjL..;.;_
~
4' -~x-:-<.,~-~~
~>~~'"

~;;

Signature of Applicant Agent


(facility owner or operator)

~~4IWt~

~~~

Printed name of Applicant Agent


(facility owner or operator)

&/.)/~A ffr;-~/th-

Title of Applicant Agent


(facilitv owner or ooerator)

Pn~s~Jt'..T

Telephone Number

702- 3!r-3BI(

PE stamp, expiration date,


Date of Signing
signature and sianature date
9. Receipt of Application (for SNHD use only)

1\ -4-1 L\

Signature of SNHD staff


Printed name of SNHD staff
Title of SNHD staff

SNHD date stamp


10. Name of Property Owner

Date of signing
ie Corpo'!!.tio:;, Sole ~ArshiP'
p;Last NamlYLirst Nahi & M~tial
AAJII--':r J(UIl.I
'.I::r::
--"'"
/ if

At

~O""

Telephone Number(s)

(702)39.4. ii

Address

Street Addressi'W
AnAn

W~

Last Name

GWEConsulting Inc

Telephone Number(s)

(702)405-6241

Address

IVV

Walker

Company

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~rt"

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11. Name of Consultant

Email Address

rlK;:""7

t;

~'

State Zip

Vegas, NV i9'Hit
'~

fJi

First Name

Middle Initial

Julie

CeJlPhone Number

(702)370-6890

Julie.gweconsulting@gmail.com
Street Address

3311S Rainbow Blvd, Suite 148

I Las Vegas,
State,
NV 89146
City,

Zip

If any portion or all of the Permit Application is marked


'CONFIDENTIAL,' mark in Table of Contents.
Permit Application Form to Operate a Solid Waste Management Facility
February 2013

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