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B X / <br /> APPLICATION FOR UOUID WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468.3420 <br /> NON RRUNOANLE PERMR EXPIRES 1 MR FNOY DATE ISSUED <br /> IfbMPVM Y THPIRer.) <br /> Afl AWN IS HEREBY MADE TO TIRE SAN..IN COUNTY FOR A PETITE TO CONBTUCT ANDAR,INATr THE ARW DESCRIBED. THIS Y AWN IB MAOE IN CDMFItANCE WRH SAN <br /> JOACKJO! NlY OFLS U)PSSATI MCXAPIfR O-111JD,./3//y1p THE SIMOAAND�BIOF BM bAMN COUNTY FVSUL IOALTH FEE M <br /> (V1/C[PB.ENNNMEXfN H..DMBgN. (�[� <br /> JIIB AOOBFBBAfl AR1F /-7 / 1a� / LV _CT' /'F -ed LOTPEEy=SIC/f <br /> pW11xt'S <br /> AAD <br /> /V-LI Cl/ NV AOOPF59 RgNE <br /> eoxlRAcrDRIff� S&&its Wf12 ADORES /V-,f �P/.JL/Lr�.J A�__ucB�•} �wroxE c'�fL'f'IT31 <br /> ...NIMCTOR REB. 11[F R1DNE <br /> TVrt OF BO1IC M'OAS: NEW WITALLATMX Eh REARS, ai.XO BYTRUCTOM❑ <br /> DER SEPTIC SYSFEM/[TORTED x PUSDC SSWEfl M AVAMME WRXM Y00 RFT Of BUNDI11 B.1 PF11C TYTM1I I 1 MOW MANY <br /> glyM F <br /> IYTALLATION WILL SEEWI: NFN NCE❑ COMHERCIAE'p OTNM❑ fT <br /> gMYOB MONO MR.:—RAISES.DI' XINM[11w W0.OTm: ��S <br /> 01ARACTMOF MR,TO A VIERI w]FEET: FTTEeUMP SAN,CXARACIFR WATER TAS F <br /> E <br /> -I TAREARD .1 ElTYPNMFO 4z /QlF(T1C —A,,— �rT/]L� �A/IA. 1 ND.cOWAn1MEMe <br /> �] //1 � ' <br /> '� + <br /> TRIO TRYTTAVFr ruxr 11art.LNCE TO nwEsi: W[u t L:JT FDUxBAnox� FIgPErtry uxEl� <br /> UR STA..❑ sue T OF RIMP BAND OIL SEFMADDR IFNCLOBEO BYETEMI <br /> WGMNO YX[ NO.AIENOT..FARC. fl -. /'IO' aETFIILE iO HEARYt VOLL T5�'E FOIMOATION�OVRIgY UNE �CiJLTI <br /> FILTER EEO ❑INDR. IENOTH D.. DISTANCE TO REARST:VrEIL ..A.N_RIORRTY IME <br /> MOUNDED ❑WROTH IENOrN DERH_DISTANCE TO NFASES,WELLFOUNDAMN FWRNTY ME <br /> SFOAO[SITl 'O OFDfN�SEE�INUMEY �aETN<E TO NFMFtr:WEll �iWXOATON��AgRMY MNE / D? <br /> SMMM ONbTN IENDrI OEPTN�DMTABIETO NEARER:WELL-�FOP.DATIDN—PROPERTYME_ <br /> OPPoSAL ENO/ ❑INERT. LENGTH OERN DISTANCE TO NEAREST: PROPERTY ME <br /> 1 HERE"LEMIFYTHAT 1 HAVE PRPMfD TM8 AFPICATNIX ANO THAT THEN9ML VALL R OOR IH KCOROANIf NTTN BM AAW IN COUNTY ORRDI CEB AND STATE...AND IMPS <br /> NAROULATRNS OFTXISANJOAWM CWMV.NOME O FORMFNND ADEM'S SANATN1!CORGIESIMEFOLLOYONO: ILFRTATNATENTHEIETfMeLMICEOf TMWOIRPoR—II <br /> We REMR MOWED.I MALL NOT MPOY AM'PERSON M.ICH A MANNER At TO BECOME SIIEJECT TO LWIRMAN'S COLPENBATpN 1AWSw CAIIfOMI.L.' CONrMCTOn'SXIPNO OA <br /> NB.CA,AN.CMO RtATONLDAS O F STNEFOLLOWLNO:lCLIANT THAT I CASA "DIESAN AOFTNE VOP[FORWNCNTMBRIM"MICONDNEE DRAEMRDYPRbMB SURIfLT TO <br /> LWMMM'E COMRNBAIgN IAN2 fO FCfATJf�O1MA.'�IM AFFIMMT M1MT CALL U"DIES a AOVAXC!IM ALL RMMD IMBFBIYMI COMPETE aOWING BfIOW. <br /> Y/ ;v <br /> MDKOX '7 <br /> TrRE: G,.-✓IA/ DATE:61 <br /> 0.OT MNI..TO BC.KATE <br /> 1.NAMES OF STREETS OR ROME NEAREST TO OR BDUNa1M THE PROPRTY. 4.LOCATXIN OF NODR.1 DIADEM FRED.OR PROPOSED <br /> 3.OVIUXE OFTNEIMPRfY.NST.OIMfNEONB MD NORTH aRCTbN. .,Me..OFS AOE DIEPOBK SYSTEM.. <br /> ]. DIMENSgMO OURMES AND WCATIEN OF ALL EXISTING AND PROPOSED STRUCTURES, S.LOCATION OF WFLLB MTIM RADIUS OF ONE HUNDRED FIfT'R.ON <br /> MCLUDIHO COLS®AREAS SUCH AS PATIOS.DPVEWAYE.AND WNAS. TIC RgP!(TY OR AD.RR.IROPRR. <br /> C <br /> J qQ/�,+faJ" \urs <br /> s . . .z�, ci�a o PAYM�N3 <br /> f s <br /> F SEP 16 3999 <br /> {-� 444A71 - SAN JOAQUIN COUNTY - <br /> �^-T-^"'—'•' "' ',/� �(,ID Zj SUC HEALTH SERVICES <br /> /LE NMENTALHEALT DMSTOA 11, <br /> ir- <br /> EA ... � f- LMIMMT VSE OMLY <br /> wmICAEO : <br /> H ACCFPPO.V DATE <br /> ryryy///',,,YAArrrtititi///E11EF <br /> TAM.RT OR WMP M.PCTAIN SV DATE FINAL W9PCT10N IT, GATE <br /> ADDITg1EAL COMMENTS' I'Z5�1`� 'L O MlK <br /> S _ S•Z�L�G'arUM6 fTIOPDJ Wqt< AIUEOE,P <br /> 4 O CONII)iC✓/.4 M B Go— <br /> e" <br /> RfTNsG/+teD Boxra rup� <br /> KaNMRNOONLV: NO. FACS <br /> RCOOE PEE TKO OIT.11. ICC KN RRLIVEO BY DATE IRA, XISNBBII MVaCEI <br /> yvl6 <br /> Pub.HNWI SeTY.-EnNro.174(3X6) <br />