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,1----�--- —
<br />• ,QUANTITY OF WASTES
<br />i A Ir•,. rU M .,
<br />/ ,l°R�eKNT
<br />OR ROP09 D MAXIMUM I a DESIGN PLOW tN MaD ,'I.. !, f,,•.
<br />I I AVERAaK
<br />,Ia
<br />IjiC ( 't:T',:�tI11�'71'..M I I,IYCii II it 1l�..1
<br />g�®la D'i,V�ABTK b18 ROSh4 I OAII'T OVANTITV - •-- `I TOTAL IN PLACE QU.AN71Tv O, AREA IN WNICN b014 WILL BK DISTURBBD •'i ITpTwL soya ^Raw
<br />1f�(``BfTKrFjtN TONS Oh i� of11t, .I °�` ( (IN ACRK®) 1 I.-il)5f
<br />1 iCUDIC VARDS� �:' 1 •. 1. •.I { 1
<br />' _ .; 1,!. .. :, •1. {i r,)'`Ir it ,1.
<br />VI1, LOCATION OprPOINT,OP OI$pgSAt, OR OPERATION. --
<br />DaS16N AND A7 TACN MAP NRRYrNI OR LOCATION ON U.6.0,13. QUAORANOLft'tMAP, 7.0 OR Is MItJUTK 61CRIKS•) „
<br />L18 T•OIbTANCRS OtT'RUAhINO AND DISTANCE FROM 91[CTION COWP K" OR ®UA hTKh nohNltro; bK(1 T10 N; TOWNS III, rowNe K, ®ASK AND MI[p IDIAN7
<br />/. , ,.
<br />700 FT. SOUTH :and' 3'00 FT. PAST 0f' THE NORTMYEST CORNER``UF SECTION 65
<br />, C M . WEBER GRANT. f
<br />-.... ...
<br />-_-_-__—
<br />44,1
<br />-- - _ V111,•SOURCE OP WATER SVPPt.Y.IcNKeR ALL-APIROAHIATKJ
<br />A CJ MUNICIPAL Oft UTILITY SC VICG: 13, xINDIVIDUAL (Woiti) ` i 1) I ' ;
<br />NAM* 011 wnTRrl
<br />PUNvuv on
<br />t t' C. I —1 sunFACE SUPPLY:
<br />,
<br />.......... .....�, ,
<br />NAME OP $TRKAM. LARK, BPNINO, KTC• IP NAMKO �•
<br />TV Of WATt IB RIONTt WATER RIO104TO PERMIT'OR LIOaN{K •
<br />t_.J Riparian Q Approprlitlon
<br />�- —IX. ENVIRONMENTAL IMPACT REPORT (IRJ ����
<br />fill's nn'@iWbeeii prepaied for this project? i Yes NO e t { I
<br />11 '•Yus'% please Ohclo'se n copy.
<br />It 'No", will an E l Rbo prapored? (� Yes No
<br />Will n nbpotivo dOciarltion be prepared?RE, Yes No ;
<br />If rrYat••, pienSe tlnSWer the f011oWinp: w.io WILL 1•RKPARK TNK NEGATIVE OKCLARATION7 �•--
<br />A►/Rox. DATE OP COMPLETION
<br />SAN JOAQUIN: COUNTY f'
<br />CERTIFICATION
<br />1 hereby certify andel penally of perjUuy that the in'
<br />forMation provided in this application and in any'attach-
<br />irterits is h ue and accurate to the best of my hnowledge.
<br />YANCLLA PROLERT:IES .` LTD._v� _ _ PANELLA TRUCKING'
<br />SIONATUIt OP OWNER Op pACII.IT — _ S1a14ATURK OP OPERATOR OF
<br />PRINTED OR YYPKC
<br />PRINTaD Oq 7T/KO NAMK
<br />1 ROBERT ^A ; PANEL'iLA; _GENERAL PARTNER _ROBERT 'A . PANEL I'2
<br />DATA _._......
<br />.INT'y1Tt%tq Olr ANY AT'IATt11MIt N'1'lll """'""""""'"^• •-•---•• - T
<br />LOCATION ,MAP, REDUX CORPORATION EQUIPMENT DESCRIPTION, ' PLAN' HNVIIR' ONMENTAL
<br />ANA LYS I,S , PLQU IPMENT S CFIEMA'Il :t C . 11,
<br />i•,
<br />14,
<br />You will, be notified of the correctness of filing fee and submittal of any additional ifrformation deemed necessary to complete yoUr'Report of Waste -
<br />Dischnroe pursuant to Division 7, Section 13260 of the State Water Codo,•or to complete your permit application Pursuant-to Government Code
<br />Sact:on 66796.30 and Health and Safety Code Section 25200.
<br />
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