Laserfiche WebLink
4.&ICATION FOR UaUIa WASTE PERMIT <br /> r SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES` <br /> ENVIRONMENTAL HEALTH-DIVISION <br /> 304 EAST WESER AVENUE,STOCKTON, CA 95202 <br /> (209)468.3420 <br /> NUIENJUNDABLIE PIRM9,EMNISTjfiR FRDIR DATE OWEDJ <br /> fcmplob;n T*o"trf <br /> LICATHON IS HEREBY MADE TO THE BAN JOAOM H COUNTY FOR 1,PERMIT TO COAST K=ANDICH NSTALL THE WORK DESCWBED. THIS APPLICATION IS MME W COMPLWXF WITH BAN <br /> OMN COUNTY DEVELOPMENT TWLS.CHAPM 9.1110.3 AND THE STANDARDS OF SAN JDAOUW COUNTY PUBLIC HEALTH SERVICES.ENVSION UNTALL HEALTH DIVISION. <br /> ADDRESWM,PHW! <br /> VERB HAME :Ul Z4_) ,.G" <br /> CONTRACTOR AOORESB L1CI FN/ONE <br /> E OF sorm WOR": NEW BVSTALLATNNV if <br /> PWA MADOINON 0 DESTRUCTION 0 <br /> SEPTIC SYSTEM PEPUrnr D IF P'USLIC SEWER IB AVABJLBLE VATUN ZOO FEET OF SURDINO.1 PERO Tinto I I How MANY <br /> AFplwAm f <br /> rALLATION YFILL SERVE.. RESIDENCE COMMERCIAL oTHER D <br /> )SER OF LIVING LRIN'TS:_-�_ NLMN/SEI)OF SEDR9OMS: .3 MUMMER OF EMPLOYEES,• <br /> AACTER OF SOL TO A DEPTH OF�3/FEET:AA�� PITIMOV SOIL CLIARACTER WATER TABLE OEPTN <br /> RC TANKOWASE TRAP crwmwl__,p CAPACITY C��JII. _ NO.COMPARTMENTS <br /> TIIYAvmw.PLANT[ DISTANCE TO NEAREST)-. WELL�rY' FOUNDATION .gEe'o':;"_ FWPERTY UNE�'rJ` <br /> UFT STATISM I]-WE TYPE OF FVMp BAND OCLSEPARATOR&MCUM=SYSTEM) - <br /> WHINO UNE Wi O.l LOON OF LINES c'$ �/ FT - DISTANCE TO NEAREST, ;DUWATIDH, MMI LNLE� �7ii4 1 <br /> 17L S� 01hAOTH LENGTH DEP TF_ DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY LINE <br /> SLD® . 13 wmTLI_. LENOTN- DEPTH. DISTANCE TO NEAREST:WETL_FOUNDATION_ �FIWFERI V L1HE <br /> ►AGE PITS I]DEPTH am �Hi1MSEA DISTANCE TO NEAREST:WELL FOUNDATION PROPEIRYUNE <br /> DS Q WIDTH. LENGTH- DEPTH- OISTANCE TO-NEAREST;WELL Fa1NiFDATIDN PROPERTY LlW <br /> *SAL PONDS ©VVWH LENGTH_ DEPTH_ DISTANCE TO HEARESTI WELLL FOUNDATYOH PROPERTY LINE <br /> RIESY CERTN'YTHAT i HAVE.PREPARED THIS APPLICATION AND THAT THE WORK WILL INS DONE N ACCORDANCE WITH SAN JOAOUN COUNTY ORDINANCES AND STATE LAWS,AND RLR,E$ <br /> REGULATMOOFTHESANJOAOUNCOUNTY.HOMEOWNER SHGNATURECERMIUGTHEFOLLoM :'ICUMFYTHATLATHEPERFORMARGEOFTHEYAMFOIWHICH <br /> I PERMIT N ISSUUX I SHALL NOT EMPLOY ANY PERSON N SUCH A MANNER AB TO WOOME SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CMEOHMBA_: CONTRACTOR'S HMO OR <br /> 4rDNT R NO SIGNATURE CERTFIES THE FOLLOWO ."1 CERTIFY THATNTM PEIFOR PME OFTHEYIOIK PORiWHwwTHSS FERMI IS MMA 1 SHALL EMPLOY PERSON$SUBJECT TO <br /> SKMAWS-COMPENSATION LAWS OF CALPOWA.'. THE APPLICANT MWT,CALL.BN HOURS ADVANCE FOR ALL NKRWW INSPECTIONS.COMPLETE DRAWINO BELOW <br /> IED X G ze6c �yt / ,._TITLE: & OATE;� <br /> PLDT PLAN(DRAW TO SCALI:1$GALE 'Le 1 <br /> TAMES OF STREET&OR ROADS NEAREST TO ORS-THE-FAOPEIRY. - - 4.-LOCATION OF-MOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED <br /> RMWE Of THE PROPERTY.WnWVffAEN=NS AND MOWN DIIIECTIQM.' - EXPANSION OF SEWAGE DISPOSAL SYST1E M <br /> NMBBSOWO OYTLSSMO AND WCATIOMOF ALL EXOMM AHD PROPOSED STP=TUME. _ 6. LOCATION OF WELLS WFTHN RADIUS OF ONE HUNDRED RM FT.ON <br /> C UIDDHG COVERED AREAS SUCH AS PATIOS,DRVEWAYB,AND WALKS_ THE PRDPLILTY OR AMMM PROPERTY. <br /> .. -- - - _-_ -. - .. .. .. ... <br /> ............:..,............-... .... . ........ .... ........ -. <br /> y' <br /> •3 <br /> : <br /> n <br /> .......:......:.............. = .. <br /> ` I- <br /> �`.4. <br /> W <br /> :...............,...... ......,.. ..................: 19:4- <br /> ... <br /> z <br /> . . <br /> I. <br /> ......i......:......:...... ............: ............v............. i..... :.....[ .. .. .. ...�.......;...... .. .. .. .. _ .. <br /> _ _ - .. <br /> ......:......'....-.:...... ......:. ......:..... ......:.... .. .......... .. .. .. .. .. .. <br /> {a .-:. .-.......a.. - <br /> ............. EN <br /> .... <br /> ........ <br /> .. . <br /> ........�a... .,..�.......... <br />