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i - APPLE6 1ON FOR LIQUID WASTE PERMIT 4600 <br /> SAN JDAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.D.PDX 189.445 N.SAN JOAQUIN ST.,STOCKTON,CA 982014388 <br /> 12091 468-3426 <br /> / E'•C�� (� v✓ �A NOMREFUNRABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> ICEMPIPB I.THPUB tEI <br /> A UCATXDN 19 HEMAY MADE TO THE SAN JOAOUIN COUNTY TOR A MANDIT TO CONSTRICT ANGIOS INSTALL THE MW.DESCRIBES.THIS APRXATgN 19 MADE IN COMMANCE WRN 9b <br /> JOAOUIN COVBT'DE PAENT MI F,CHAPTER 9-1110.3 AND THE STANDARDS Cl SAN JOAWIN COUHTY WBPC TX RVILEB ENq"IpNMEMµN TM MVISRON, / S <br /> Joe AooREssuR APNF 3> SAL K. . �� �LO I•�YOJ/ Im <br /> ovmm-s HAMS kg bOPERS 4,/.S �rE&& go PONE . 37_LZ.3 <br /> coHf'RAcroP,�y(rJ D, 4n.!�I(cL)d A.�55CC AooWae .?.� .t)- <br /> 111u14-1 1A uci ALE d4c lYONSPHE 47)-/Of'/ <br /> SUN LONTFACTOH —.W. LIC! FM10 <br /> TYRE.OF 6EPPC WORK: NEWIXSTµV+T10X L3 RV.VWbM}X1X 13 ESIMB ETHIN❑ <br /> IND RIK SYSTEM 1MPU EO IF P O.C..ER 18 AVAl.1MNW MO FEET OF BWIDINO.I 16X.T4TW I 1 NOW MANY OZ <br /> PPWntlon i <br /> IM1>1IAPOM WILL NEXJE; PF.I.FNCK❑ C...EACIµ❑ OTHEA❑ <br /> ....OF WINO UNITE:_A. SFOWDM6: XIMNI OF EMROYFN: <br /> CHAPACTfP Of SOIL TO AOSPIH OE S FEET; RP6UMP MIL CHARACTER: WATER TABLE DEPTH <br /> 6EPM'IA.RHHR Ei.E TRAP ❑'.FS CPPACITV M.COMPARPR EMS <br /> PM TH......Pt.T 0 ARTANCE TO FICARD : WELL_ FOUNDATION MO ERTY VHE �. <br /> LIFT 9TAROR O 62E TYR OF PIMP BAND ON SEPARATOR IENLLOSEO SYS 1 <br /> IF .. WC ❑ NO.61d .P.NE9 pSTAME TO NEARER:WELL FOUNDATION PROPERTY UHE R< <br /> FILTER SED ❑WIDTH IENGTX DEPTH INSTANCE TO NEAREST:Wfl1 MVMATION—PMPEflTY LINE <br /> AMIYNO® ❑'ND LENGTH___01 DISTANCE TO NEAREST:KAM FOUNWTON PROPERTY UNE <br /> SbFve4E Pln InF+ NUMHER_ DI.TPNCE TO NEAREST: U M.MATON WDRAIV UNE <br /> 6WPi UWIDTH MMUH DEPTH_DISTANCE TO NENENT:WE11 M. PROPERTY UNE <br /> RSPoSLL MX08 ❑W,nU MR.TN OEPM DISTANCE TO HEARST:Vll MUNOATKW MOPPRV LINE <br /> I XFRFACEPTIY,Ia I HAVE PAPPAREO THIS APRIC H AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN DAWW COUNTY ORpNUKES AND STATE IAM.AND R111E9 <br /> Nn AEC.•-''1:10X.."-:'+I S:.N•OAOIJINCOIRPY,IbMEOWNFAOfl ULENSFO.AS HATUIECENTIFNRTMMLLOW 'ICERfIFYTHATINTNEPKOPMMICEOFTNEW WP RWWCH <br /> HI6HI:NO IS IISIur. Oi EMPLOY KRM. ER ON A MAH TO COME MBJERTO VgNLMAX'e[OMRNSATHN.OF CAUFORRN.- CONTRACTOR'.NOING ON <br /> 6U@+:OfROlC+IN4 aI0N<InPIf fM IOWING:'I[EM T X FORMPNCE OF THE WLM MR WXMH TXIS PEPMR IS I6MM,I BHµ'EMPOY PERSONS SUBJECT TO <br /> WON.NaI On+.rFH.A-I.HN TNF4 C C 501M11IRS INADVANEE PoR ALL BEOIAI®IXSWC�P'ONS.0 Z.DM1OMNO BELOW. <br /> er' /CG <br /> POT PAH RgMW TO SCALPEL MAUE <br /> NPMESCFl-Ill.F—wORNlANMT MOA... <br /> MING THE POW"IY. •IA4.LOCATION OF HOUSE SEWAGE pD µSYSTW OP MDPoSED <br /> S.OUTUNLOPINE ARI.1. A.NORTH pIRECTOq. CAPANNOH OF SEWAGE HM.SYSTEMS. <br /> •. N.U:+E::t;"I r•u .'JC.ATON Oi PLL EX16fING PNp P1•DPoRM STRIICTIXrte, 6.LOCATOR OF WELLS WMEN....1 0.XUMCRO FlFTY 1.ON <br /> NN:I UUIN.C+CO\LULUI AFIEAS SUCH AS PATIOS.URVEWAY6.ANO WALNS. THE PROPERTY OF ADJOINING PROPERTY. <br /> NI F0.]/O IMN PWL <br /> 5 :r'M4) S 6511'36'WR) 6EOEO'(U)(4eBO.OsDO LS 53PO:B) <br /> Ja:Ge SXI.oC 1 <br /> - A <br /> x x <br /> pA�fNE > <br /> 1 1 133 <br /> s R Sail :;JAQUiN i:D1Ui <br /> X I. E.NV UllkIC HEALI"H SE p <br /> ;S PARCEL 2 - IRONMENTAL HEALTH <br /> _- PARCEL 7 <br /> _ -0159 AC.•.CROSS 4N4'hA <br /> Aa / R Y <br /> A.5 O AC.RC*5'P!N M1.jJE AC.NST / <br /> YIeiS W!I.'T A91:W)1 _�^t <br /> f <br /> ❑ <br /> c.1c'Tn.-A 2 TO.5/4'NCN WE �_ <br /> .-..i <br /> ry, f. <br /> I11I` ^-eca' LIVE UAK ROAD 5 <br /> HSP-I-I <br /> ` <br /> ----+s 3} <br /> FON OVMMFXi 1YIE OXLY .J ' <br /> APPI CATION ACCMIM NV C � DATE: <br /> I.,PI OR SUMP W.WECTDN BV �! DATE / / /FMSµSHEMOTON BY O �f DATE <br /> ADDITIONAL COMMENIe: ` `9 �� S ,EL/ e/L_'/YY —0— <br /> OxLY FPC. <br /> PE OODE FE DW. I AN.VSKSKENETTED CNBC REFI I DATE M/pgNXT XUMPA <br /> 2 <br /> ffl�-tom �� T <br />