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SAN.IOAOUIN COUNTY PUBLIC HEA 9ERVICES <br /> ENVIRONMENTAL HEALTH 0, N <br /> RO.BOX 988,304,F-AST WEBER-AVENUE, ,JCKTON,CA 95201.988 chSCANNED <br /> (299}488.3426 <br /> NOWNEFUNDUL"SINIT EXPIRES 1 TEAR FROM PATE ISSUED <br /> F,"tm%In TPipHcatel <br /> A"UCATION 19 HERBY MADE To THE BAIL JOAOUIN COUNTY FOR A PERMIT TO CONBTRUCT ANDIOR INSTALL THE WORK DEBCPOBED.THIS APPLICATUON 18 MADE IN COMPLIANCE WIT"SAN <br /> JOAOIAN COUNTY DEVEtOPMEENIT TITLE.CHAPTER 5.1110.4 AND THE 01ANDARR119 OF BARN JJOAGUIN COUNTY PUBLIC <br /> PPUUBLIC HEALTH BERNC/Ee,EENNVV= AL HEALTH DIVISION. <br /> JOB ADORE88AR AMR eL`� i �Al CI r`� 7� _�-__— —_C,TY �L?C,`S+-1 -� .. LOT B2E, A'*^�T <br /> f OWNEY6 NAME �57,AL�1- �'�_ ADOREGS -jr <br /> J <br /> CONTRACTOR•;,, .�'1 C+-i%n C ADDPE86�7/ - chl. .1✓!� IICs, II775` PIt07iE�G,77- .7Y 7 <br /> BOS CONTRACTOR ADORENICO PHONE <br /> TYPE OF UP=WOR1L• NEN INSTALLATION REPAIVAOOFNON O OSLTmwrm E7 <br /> ONO SEFILC DYSTEM 1+@IMIT7FO N PUBLIC eEWEH 16 AlIkILASLE WITHIN 200 FEET OF BULDINO.1 PEfC TESTHI l 11aDW MANY <br /> AIIPBFaQPA f <br /> INSTALA"ON WILL SERVE:- RESIDENCE Lh'COMMERCIAL 13 OSSA 13 <br /> NUMBER OF LABNO UTOTS: I NuNom of■ OMs: NUMBER of EMPLOYEES: <br /> �TO A vWfN OF 3�1 PIITTICUMP BOIL CHAMCTERCy� WATER TABLE DEPTH �P Y Tl <br /> r TRAP {p1.I Tf'w 7�T+� cMACfIY r � NO.COMPARTMENTS <br /> TRBATMOIT PLANT 11 OIBTANCE TO NEAREST: HELL a2 I A FOUNDAnoN l.ri I PRDPHRY LB@ <br /> LIFT STATION 11�p9ETLE' TYPE OF PUMP RAID OIL SEPARATOR VXLOSFO BYETEMI <br /> 1 LEACHING LINE p M.A LENGTH OF LINEB,•��"•tI L'}1 I r l� S DISTANCE TO NEAREST,WELL/E1?L'r FOUNDATION 20 `x"rwmATY LINE a <br /> FILTER an /((WMTH LENGTH DEFTN DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY LINE <br /> MOU1llm O%wTH LENGTH DEPTH OLSTANce TO HEAREBT:waj, FOUNDATION PROPERTY LINES . <br /> SEEPAGE FITS )ryU DEPITi <br /> 2S• 8� �Gj�< NUARBFR 018TANCE TO HEIUEBT:WELL l L 3�f FOtSftrAtfoN_�OL� PROPERTY LITE (oC` <br /> SUMPS 1..1 WWH LENGTH DEPTtI DISTANCE TO NEAREST:WHO. FOUNDATION PROFERrY LINE <br /> DISPOSAL PONOS E3 WN1TH LENGTH OEPTEI D7RTANCE TO NEATEST,WELL FOUNDATION PROPERTY LINE <br /> I HEREOY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WOR:WILL BE DONE IN ACCORDANCE WITH SAN JOAOUIN COUNTY ORDINANCES AND STATE LAWS.IVIG HOER \, <br /> AND RWVLJITNENS OF THE SAN JOAOUNCOUNTY.HOME OWNER CEHBED AGENT`8SIGNATURE CERTIFIER THE FOLLOWING:ICERTOYT"AT IN THE PERFORMANCE OF THE WORK FOR%%%=H N <br /> THIS PERMIT 18 .IBM Y ANY PERSON IN A AN TO BECOME WLWCT TO WDIIKMANTI COMPENSATION LAWS Of CALIEOM"-'CONTRALTO"NImHIi OR W <br /> HA E :I M iNEfHKORMANCE OF THE WOW FOR WHICH THIN PERART IB ISSUED,I SIIALL EMPLOY PERSONS SUIW CT TO N <br /> VAM C 811 LA O THE CALL 24 Not"IN A43ANCe FOR ALL REOURED INSPECTIONS.COMPLETE DRAWING BELOW. [� <br /> SODA 7R <br /> FLOT RAN(DRAW TG SCAM SCALE In <br /> 1.NAMES OF STREETS OR ROADS NEAREST TO OR BOUNDINO THE PROPEFITY. 4,LOCATION OF HOUSE SEWAGE WBPOOAL HYUMNI ORPnDPOBEI - <br /> i <br /> 2.OUTUNE OF THE PRDP EfTrV.WITH DIMENSIONS AND NORTH DIRECTION. EXPANSION OF aEWAOE DISPOSAL SYBTE:MS. <br /> 4.DIMENSIONED OUTLINES AND LOCATION OF ALL EABTINO AND PROPOSED STRUCTURES, E.LJTCATION OF NELLB WR111N RAD1V8 OF ONE HUNDRED PoRY PT.ON <br /> INCLLIDm COYFIRO AIP.AS SUCH As PATIOS,DR1hlVAY6,ANO WALKS. THE PROPERTY OR ADJOVIIIO PROPERTY. <br /> .. .... ..:............. ..... ... ... .. .. ... - - <br /> t F <br /> 0 <br /> :... <br /> - _ <br /> L. <br /> A <br /> Cl.... . <br /> rtc�J 5 i�,�} <br /> . '`� t �� <br /> J c <br /> . -- - - -- <br /> r ...... .. ... <br /> Cf <br /> 3to, f S <br /> jVELjT <br /> .. '. 1 <br /> .,. JO lliN Ct1NTY -- -- <br /> run OAARTME NT USE ONLY - <br /> 1-4 <br /> APPLICATION ACCEPTED BY C • ... _ GATE: 43 <br /> TAMC,ITT OR SUMP WBPECTION BY DATE•r„/ I FINAL INSPECTION NY DATE& Ll <br /> ADDITIONALCOMMENT& <br /> I <br /> ACOOUNTMO ONLY: AREA FAC/ <br /> PE COOS FEE IRFO AMOUNT RENBITEO CLIC /CASH RECCrVEO BT DATE <A 1 PMMIT NUMINK MVOIGE f <br /> I <br /> 1 / <br /> j Pub.Heatlh SBIv.•FsviPD.174(3J96) S P\ 4 U `-L fl 69 <br />