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APPLICATION - USE PERMIT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT is FILE NUMBER: UP- 4FO'RH -/ Other Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structures): None. Assessment already conducted for current composting facility including entire 20 acres. Describe any on-site or off-site sources of noise or vibration (e.g.freeway noise, heavy equipment, etc. : The facility will operate within the County's noise ordinance. Describe an on-site or off-site sources of light of glare e. parkinglot lighting, or reflective materials used): one Describe any on-site or off-site source of odor(e.g. agricultural wastes): The site will operate within the parameters of the Odor Impact Management Plan as approved by CalRec cle. Describe any displacement of people that will be caused by the project (e.g. numbers of people, housing units): None AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): ® Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) involved in this application, or ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their behalf., and that the fore oing application statements are trueandcorrect. Print Name: Signature: Print Name: Signature: Date: Print Name: Signature. Date: Print Name: Signature: Date: Print Name: Signature: Date: F:\DEVSVC\Planning Applicabon Fonns\Use Permit(Revised 02-03-10) Page 6 of 9