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1 <br /> �' • SAN #UIN LOCAL HEALTH D$IR I CT <br /> 1601 East Hazelton Avenue, P.O. Box 2009 <br /> Stockton, California 95201 <br /> APPLICATION FOR <br /> DISPOSAL SITE EXEMPTION <br /> and <br /> FEEDING OF FOOD PROOJCESSING AND PACKING WASTE <br /> NAME OF PROPERTY OWNER <br /> ADDRESS itia99 �. P <br /> -----r 9� HONE AO 9� / V <br /> NAME OF OPERATOR <br /> ADDRESS 1� uJ — � PHONaMDD ?X <br /> NAME OF HAULER JAL <br /> ADDRESSTV. 2X G S'�3 3 PHONE604) /y, " 41-8 <br /> A. Provide the following information on a scaled drawing not <br /> less than 1" = 600' (Parcel Maps that meet this requirement <br /> are available a0 the San Joaquin County Assessor ' s office): <br /> 1 . Identify the disposal site location , storage and/or <br /> feeding areas and specify the number of acres. <br /> 2. Identify all dwellings, structures, wells , ponds, I! <br /> lakes, reservoirs, streams , drainage cour-r_,ps , „•r- other <br /> waterways within 1000' of the proposed disposal site. <br /> P. Provide the following additional information : <br /> 1 . Duration of disposal dates) .2 . I <br /> Turnover time for feeding of waste. 1 <br /> :'. Type of disposal site security ( fences, gates , natural <br /> boundries) . <br /> 4 . Type of waste to be fed or dumped at the proposed site. <br /> 5 . Estimate total C,+._ant:ity in yards or tons per day an,:! <br /> per acre. <br /> 6. Provide workplan - <br /> �for d p p 8 `:'l Ll(:I W.:;s ! kc• to land <br /> . Describe all 1._ont irigen• v blony fop 1 ec h Loo, j <br /> alternative sites :nd provide ion - <br /> alti•r1iat_.1ve siteE _.houi ;.; we :it:i r:•r • <br /> far -. i <br /> this condition . <br /> J <br /> i <br /> r. Vector Lontrolj aro(: edurey tier c: h - r " iii w i je , <br /> cil:jl'-ee to prCi`Jai.{e t_I'Yp <ti:'uvf:' W-i r:rt ii:;-) i". 1.oh AIlC7 i . <br /> authorization f r-om the San Joaquin Local Hr_k i t.h Di yt.r i n prior- trthe dumping of . <br /> <dl'ly W%d'.o't.r• on thin property , <br /> - _� - _ �- <br /> S.iy ati.i e c:�f <br /> Property Owner 'moi iatiire r f 011--!Pr.-,tor <br /> Date <br /> Application fee of $140.00 due per site, per year . <br /> Application accepted with fee by Date <br />