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APPLICATION- AGRICULTURAL EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDINGS ANQ STRUGTi1RES ' <br /> (this information 44011nn on the, <br /> Structure NumberProposed Use•• Ground Floor Area Highest Floor Overall Height (in <br /> feet) <br /> 0 poste <br /> The'structura number' should be used in identifying the structure on the Site Plan. <br /> If there are two or more proposed uses in a building, make separate listings for each use. For residential buildings, state <br /> the number of units in each structure. <br /> Domestic Water <br /> [Public Service Provider Annex-Formation Distance to Public <br /> Required Water (Feet) <br /> Private Water❑ Existing Well New Well ❑ Well Replacement ❑ <br /> �Kev'rage Dispwat <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal 6 Required Sewer Facility <br /> Proposed ❑ <br /> Existing ❑ <br /> On-site Sewage Existing Septic System ❑ New Septic System ❑ Other ❑ <br /> Disposal❑ <br /> Storm Drainage <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage Required to: Retention Ponds <br /> Proposed ❑ <br /> Existing ❑ ONie: <br /> Private Storm On-site Retention Ponds) ❑ Natural Drainage/No Change ❑ Other ❑ <br /> Drainage❑ <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> A16- JAl ,S/ / r Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yes❑ No❑ <br /> Yes❑ No❑ Yee❑ No❑ <br /> 1;7cca4agort ChSr�ecterkrias <.� s� �'� s s> <br /> . .........:. <br /> Excavation Area (Acres): (a 3 S Fill Area (Acres): ---�' <br /> Existing Site Elevation (Average at 100' Intervals): <br /> Proposed SRe Elevation (Average at too' Intervals): �Q P U NLS <br /> Perimeter Elevation (Average at 100' Intervals, 5'from Property Line): /0-0 <br /> Perimeter Elevation (Average at 100'Intervals, 100'from Property Line): ,S6 9.77) e.X C S/71i <br /> Amount of Material to be Removed (Cubic Yards): <br /> Approximate Start Date: /jI19-) LI Approzimale End Data: M,4 99 (p <br /> Hours of Operation: Pm Average Daily Truck Trips: 3S <br /> -3- <br />