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APPLICATION- AGRICULTURAL EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AND STRUCTURES <br /> be shown,on the Site pf$60'. <br /> Structure Number• Proposed Use Ground Floor Area Highest Floor Overall Height (in <br /> teeq <br /> The'structure number'should be used in identifying the structure on the Site Plan. <br /> • H 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 /> rlarieefic d1w <br /> Public Water Service Provider Annex-FormationDistance to Public <br /> Proposed 0 A/0/V Required FWator (Feel) <br /> Existing 13 1 <br /> Private Water 0 Existing Well 0 New Well [3 Well Replacement 0 <br /> ♦rz ani` <br /> � <br /> X, <br /> Public Sewage Service Provider Annex-Formation Distance to Public <br /> Disposal AAW6 Required Sewer Facility <br /> Proposed 0 <br /> Existing 0 <br /> FOn-site Sewage Existing Septic System 0 New Septic System 0 Other 0 <br /> Disposal 0 <br /> 0 ............... <br /> Storm Drelnaye'; <br /> ........... .. ..... ------- <br /> Public Storm Service Provider (if Public) Annex-Formation Terminal Drainage Detention- <br /> Drainage A/0 ALE Required to Retention Ponds <br /> Proposed El <br /> Existing C3 <br /> Private Storm On-site Retention Pond(s) 0 Natural Drainage/No Change 0 Other ❑ <br /> Drainage 0 <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> A101V6 Yes 0 No Q Yes 0 No fsl <br /> Ye3o No&1 Yes 0 No 0 <br /> Yes 0 No 91 <br /> Excavation ...... <br /> Excavation Area (Acres): Fill Area (Acres): A1QAJ6 <br /> Existing Site Elevation (Average at 100' intervals): Is_,7_0 <br /> Proposed Site Elevation (Average at 100' Intervals): GS <br /> Perimeter Elevation (Average at 100' intervals, 5'from Property Line): <br /> Perimeter Elevation (Average at 100' Intervals, 100'from Property Une): <br /> Amount of Material to be Removed (Cubic Yards): 6, 9 <br /> Approximate Start Date: LliPOAJ A#O?AoL/4L 0(,f Approximate End Date: 7"(AJV VZ1442S <br /> Hours of Operation:-<.00/�m 1_6 9:00 10.-4, Average Daily Truck Trips: /L- -) 7 4 ,4O5 <br /> -3- <br />