ARCHIVED REPORTS_1996_2 - Laserfiche WebLink

Home Browse Search

18. Nature of Activity (Description of PrOJOd. indude a/ features) see supplemental information sheet 0 19. Project purpose (Describe the reason or purpose of the ct, see instructions) T see supplemental information sheet USE BLOCKS 20 22 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason(s) for Discharge The stream channel would be filled to create a stable surface over which landfill materials would be placed. 21 Type(s) of Material Soft Discharged and On Amount of Each Type in Cubic Yards Locally excavated native soil, approximately •0• cubic yar,4p-" 22. Surface Area in Acres of Wetlands or Other Waters F' (sae instructions) 2.895 acres of waters of the United States, including 0.86 acre of wetlands 23. Is Any Portion of the Work Already Complete? YES ® No IF YES, DESCRIBE THE COMPLETED WORK 0 M. 24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the W (if mom than can be entered here, please aftch a suppierwal Gat). [ Isee attached supplemental list 25. List of Other Certifications or Approvals/Denials Received from other Federal, State or Local Agencies for Work Described in This Application AGENCY TYPE APPROVAL IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED Stockton City Council, Final EIR, SCH No. 90020718, certified September 6, 1994 CDFG Section 1601 Streambed Alteration Agreement, application to be filed Reclamation Board Encroachment Permit, applied September 16, 1994 Regional Water Quality Control Board Section 401 Certification, applied October 9, 1995 t California Integrated Waste Management Board Solid Waste Facilities permit, application to be filed Federal Aviation Administration Notice of Proposed Construction or Alteration, filed -;Would include but is not restricted t0 zonft, building and flood plain permilts. 26. Application for a permit or permits to auttiortze the work descibed In this a I t the information in on application is complete andaccurate. I t 1 possess the autwrtty to undertake thewale as my a of the applicant. - `01 C H�J 3 t� 9�, awk- '�A � SIGNATURE OF APPLICANT DATE SIGNATOR OF T D E The application must be signed by the person who desirm to undertake theproposedproposed adi ty (applicant) or it may be sighed by a duly authorized agent I1 statement in block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdittion of any department or agency of the United States knowingly and wil falsifies conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes a uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. •u.s.GPo:9994•5204781320