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U�<��K ~RoU9VU=U ) <br /> c` <br /> ENV!RONME'@THEALTH <br /> PE R%I\T/��-RV|C E S <br /> ` <br /> APPLICATION FOR DISPOSAL SITE EXEMPTION <br /> & FEEDING OF FOOD PROCESSING <br /> & PACKING WASTE <br /> Name of Property Owner: <br /> Address: IvwaleAl .5-.2,3 <br /> Name ofOperator: <br /> *oonesa: <br /> Name of <br /> Address: <br /> Provide the following information on a scaled drawing not less than one inch equals six hundred feet <br /> (1"=6OO1. Parcel maps that meet this requirement are available atthe San]oaqquinCounty Assessor's <br /> Office. <br /> * Identify the disposal site location, storage and /or feeding areas and specify the number ofareas. <br /> * Identify all dwellings, structures, vva||s, ponds, lakes, reservoirs, streams, drainage courses, or other <br /> waterways within one thousand (1000') feet of the proposed disposal site. <br /> Provide the following additional information: <br /> * Duration of disposal (dates) <br /> * Turnover time of feeding of waste <br /> * Type ordisposal site security (fences/gates/natural boundaries). <br /> • Estimate total quantity in yards ortons per day per acre. <br /> ^ Provide work plan for applying waste to land. <br /> * Describe contingency plans for selecting alternative sites and provide the location of all possible <br /> alternative sites that could be used in case ofind|nnateweather. <br /> ° Describe vector control procedures for storage ofwaste. <br /> I agree to provide the above information and receive authorization from San Joaquin County Public <br /> Health Services, Environmental Health Division prior to placing any waste on this property. <br /> Signature of Property Owner Date <br /> Signature of Operator Date <br /> Application accepted with fee bv <br /> Date <br /> � <br />