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SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT N: < Itis ; ` FILE NUMBER: PA- IQ Excavation Characteristics Excavation Area(Acres) -r Fill Area(Acres): Existing Site Elevation(Average at 100'Intervals): 24+V FE'S - 646Z-JAfiOaS Proposed Site Elevation(Average at 100'Intervals): 4NGra5 - J, s�_ Perimeter Elevation(Average at 100'Intervals, 100'from Property Line): SEE (-A?A&dra C P"Jd Amount of Material to be Removed (Cubic Yards): 97 000 6u61G *4.45 -tVtAG Will topsoil be replaced? Yes ❑ No N 561F ABLE 2 O 9C6 If no,a soils report is required. Aem 2G DP TDPSerL✓� OQ E+t 11G ul + Proposed method of Financial Guarantee: 0 2 ❑ A Surety Bond ❑ A Trust Fund with the Community Development Department ,;�-An Irrevocable Letter of Credit Approximate Start DateM(_ W11 I Approximate End Date: A16 (/L,Ih 4!r f10 Z/ Hours of Operation:6p419AM• 61b40A Average Daily Truck Trips: Z , /541 TR I tOS Surface Trans ortation Assistance Act STAN trucks Will STAA type trucks,over California Legal length, be used as part of the proposed operation? Yes❑ (if yes,the applicant must provide a letter requesting designation of the proposed facility as an STAA terminal.) No AUTHORIZATION SIGNATURES OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. Property owners or owners of surface rights list all owners Name: s Address: 12 Phoni2n �/ Signature: r Date: Name: 1 Address Phone: Signatur + tis_ Date: Name: 4// A A/ Address:5Z22 41e />73Gfl Phanezz )GGp- I41gl Signatu Ajz&( Date: Al / zo/ T Name: Address: Phone: Signature: Date: Name: Address: Phone: Signature: Date: Note: All Legal owners of the property(s) involved in this project or their legal agents must sign the application thereby verifying that the statements contained in the application are true and correct. If a legal agent signs the application on behalf of the property owner, written consent by the owner must accompany the application. F:\DEVSVCWIanning Applicsfion Forms\ Page 4 of 15 Agricultural Euavafion.doc.(Revised 02-03-10)