SU0008695 - Laserfiche WebLink

Home Browse Search

i .. APPLICATION - AGRICULTURAL EXCAVATIO SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PA- Excavation Characteristics Excavation Area(Acres): 6 .Zs Fill Area (Acres): Existing Site Elevation (Average at 100'Intervals): Proposed Site Elevation(Average at 100'fntervals): Perimeter Elevation(Average at 100'Intervals, 100'from Property.Line): Amount of Material to be Removed(Cubic Yards): g 0 W131 C, Will topsoil be replaced? Yes ❑ No IN If no,a soils report is r aired. Proposed method of Financial Guarantee: 0 A Surety Bond ❑ A Trust Fund with the Community Development Department ❑ An Irrevocable Letter of Credit Approximate Start Date: Approximate End Date: Hours of Operation: -QO --3; Average Daily Truck Trips: Surface Trans ortation Assistance Act STAA trucks Will STAA type trucks,over California Legal length, be used as part of the proposed operation? Yes❑ (if yes,the applicant must provide a letter requesting designation of the proposed facility as an STAA terminal.) No AUTHORIZATION SIGNATURES OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. Ppoperty owners or owners of surface ri hts list all owners Name: Address: I Phoneme f 2— t ' Signature: Date: Name: ,Address: Phone: Signature, Date: Name: Address: Phone: Signature: Date: Name: Address: Phone: Signature: Date: Name: Address: Phone: Signature: Date: ENoe: All Legal owners of the property(s)involved in this project or their legal agents must sign the application thereby fying that the statements contained in the application are true and correi'l. If a legal agent signs the application on h�propertyowrter,writterrc7oriserrt-fey-tHe--ownertst-aeeomPart'f-t+�-applisa#aet3:--- __ ---------..._- - F d ROEVSVCtiPlanning Application Formsl Page 4 Of 15 Agricuitural Excavabon.doc.(Revised 02-03-10)