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Maximum amount of surface disturbance, including drill pads, <br /> trenching, access roads, etc. : 240 Acres New (67 . 1 Acres Existing) <br /> If any canal, pipeline, railroad, etc. , will be crossed, explain: <br /> No, none exist on site <br /> Identify State or Federal agencies that require permits, leases or <br /> licenses, and the type to be issued: <br /> Potentially required permits, leases and licenses include the <br /> California Department of Fish and Game Streambed Alteration <br /> Agreement (for the widening and upgrading of existing haul roads <br /> across the watercourse, with installation of culverts) , and the <br /> California Regional Water Quality Control Board Report of Waste <br /> Discharge (in the event of discharge of process waters to <br /> watercourses or drainage courses) . E1 Rancho Rock and Sand, Inc. is <br /> investigating the necessity of obtaining each of the above permits, <br /> and will comply with any applicable requirements and regulations in <br /> the construction and operation of the quarry. <br /> Signature <br /> I certify under penalty of perjury that I am (check one) : <br /> Legal Owner(s) (All owners must sign as their names <br /> appear on the deed. ) , <br /> Corporate Officer(s) empowered to sign for the <br /> corporation, <br /> Owner's legal agent (attach proof of the owner's consent <br /> to file the application) , <br /> a at the foregoing is true and correct. <br /> AAW9L ` z 5` l a 2r�v 4 . c uyi <br /> ure) (Date) <br /> (Signature) (Date) <br /> (Signature) (Date) <br /> 8 <br /> CONDOR <br />