Laserfiche WebLink
APPLICATION FOR LIOUIO W%wt PERMIT / <br /> SAN UOENVIRO MEAQUIN N AL HEALTH DIVISIONPUBLIC HEALTH RVICES OC '+— IL// <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 V <br /> (209)468.3420 I <br /> MGM-REFUNDABLE PERMIT EXPIRES I YEAR FROM BATE ISSUED I 1 n 6fJ lvL <br /> M."leM 6 LlFMmI <br /> KATION M NEPEIV MAGE TO TXE BAN.RIAWIN C01MIY PoR A PENAR TO CONBf/1VCT ANDAfl MHTHL TM WOIK OE6CI0eED.TMB AALf.ATpN IB MAGE IN COMRIANCE WITH EAN <br /> AAWINCOVMYOEVELORAENIT CN.VIEIIB ILIO.SAND}/.THE BFANOMmB OF EAN AAdRN COVNfY RIeVC XFALTI 6�F/RVICEB.ENNIbMMR1FAL HEALTH DMBgN. /1 ,. <br /> ME AOONE 88/Ofl ARI/ r� 5/// 1/I11�[- /Q.'� �� CITY �r�-` LOT EDE C,S+ <br /> OWNNI'.NAMF� LDI "-E ` ACORC58 RpNE <br /> CONTRACTOR '/t4 t"' ✓`- AOO6E66�Z� C• L • I `IlC1 YZ�� PNOHF�( <br /> ANA EIACONFMCTOR AOMS 1101 FNONF <br /> TYPE OFEEPEIC SIDES NEW INFTAWTION❑ 1:EPMWAOdT10X Odl11UC1PN❑ <br /> MO.EMM 6YSTEMRAVTTEO IF FMUIC BEWEfl IE AV/JLABIE WVHIN L91C TdT0111MOR'A1AMYyy � <br /> �// A.WsB.nF Art <br /> " I IyILI'.I <br /> __. INPTALLAl10N WILL ERNE IEBIOENCE ICI COMMENCIAL❑ T.E.❑ —I <br /> XVAEIAOF/MND.1. / NVA6d,OEF E FON/.... NV .OF RARO.2� <br /> G%C �JT�EX OF SOIL TO A DEPTH OF 3 FEET7,9&Z WXVMP SOIL CHARKTER',y 'MATER TABLE CEFTM <br /> `:RtOGNUTMEmxEAEE!IMP ❑TYPFIMe�.//Yw[„�yL cAPAcm 1(nPN1 NO.COMPAJTIRNE6 <br /> / /�-qN3OAQUILI CGUN t'i <br /> DIT <br /> nwNT 13 INSTANCE TDNEUEST: wuLSO l-Y FC—A— FN RIO4ER^'LLNE�BLIC HEALTH SERVICES <br /> r IRT STATOM❑ SITE TYFEOFRMI/P ,` SAND OE RPAMTOR IENCLOBED XYBESSO F IINRONMFNTAL HEALTH CIVLSI1W <br /> IFLINESIFACXNORXE VIN(.ENOTN OF LINES /SYN E�rdXTfNCETO NFAReI:WELL-s��VNDATN)M�FRJIERTYYNF S <br /> RLTFA BEO "PGI WIDTH LENGTH DEPM dBTANLE TO NFARFBft WE11 PoVHDATKN�PRORIDY'lME <br /> MOUNDED ONODTN IfNOTN DEPTH OISTWiCETO NENEST:W'FnLL' � FOUEDATpM�ML'IPERry ME <br /> - <br /> ..I RTS �PTN .� ff SRE NUMRR 01 INSTANCE TO NEAIE”:m..��y� FOUNENOCH '^�NvbfuT HNE .ST <br /> EMAry ❑WIDTH IENOTH ."TIL—DISTMJCETOMARSR WELL�PoIIIIOATKN�NFJPENTY IME <br /> d6PoEAL ED... ❑YOOTN IFNDTN DEPT1 DISTANCE TO NEAREST:WELL PoUHOATION N1]PERTV LME <br /> I HERBY CENrSY THAT I HAVE PREPAID THIS AMICATION ANO THATTHE AFTW WILL BE DONE IN ACCORDANCE Y T SAN MAOUIN COUNTY ORONANCES AND STATE LAWS.AND RULES <br /> _ AMOROUTATbNSOFTMEB AOIANCOVNTY.HOMEOVMERMMENBEDMO 'XBNINANRCFMFNBTMROLLOVANO:'ICENT WATINTHEFFROMIAHCEOFT l"IRFORNMCII <br /> TNIEPFN.Irt MOM 1BNALLWTWNOYANYRRBUNMSUCHAMANNERASTOBECOMEEVBIECTTOW MMAMSMMPENBATIONLAWSOFCFL MIA.- COMTMCTOR'BHNSMOR <br /> BVB{OMTMCTMO SMNATUR CENTRIE6 THE FOLLOAN NO:I GENTRY THAT IN THE FFTOWANCE OF THE KOM FOR WNICN THIS RNAIR IB ISSUED.I MALL EMNOY PERSONS 6UWDCT TO <br /> KOMMAN'B COMpfNESE�I IAW.OFCAUPoNRA.• TM ANT MWT CALL N Mp IN AWAXCE M.AU REOM M INSPECTONS. COMNFIE DRAWING BELOWJ. J <br /> N.M.% //�� II /1 TITLE: / f2L —/ DATE. 2 L O L)/ <br /> TF <br /> T RAT FTAM/DRAW TO BCAUT BCAIE_ Ie <br /> S OF HTERS M MADS NFARFSE TO OR SOUNDING TFE NtlPEMY. E.LOCATION Of HOUSE SEVAME d006AL SYST W OR FMFOSN <br /> OVTUNE OF TM THIRTY.WITH dMENAONS AND NORTH..N, E%l...OF BEWME del .SY... <br /> MENTONED OUTLINES AND LOCATION OF ALL E%I6TM0 MLO RIOMSCO STRUCTVR6, X.LOCATION OF WWN <br /> ELL. NN RADIUS OF ONE HUNOPFD RFTV FT.ON <br /> MCLVDINO COVENS.AAEAB SUCH A.PATIM,DTVAVAYB.AND WAEXB. THE NIOPENTY OR ADJOINING PIgFFMY. <br /> �J <br /> E� 0 <br /> �J lhzeX <br /> /PC f F <br /> CIO 30 <br /> .. o <br /> -r'C 'S,<irleF TA-T T <br /> I IL- <br /> ,1LA/�/)�L(�L' AR1MExr VSE ONLY <br /> Am ATION ACCEPT!.eY "'_ f'" " r 1 ` ` DATE, `� Ir ANTA' <br /> TANK,flT ON NMP SHIPS. .BY DATE / / yy�C�N�A-^MICFECTIOH SY It <br /> .ATF <br /> See <br /> TNINN IT ENT: E I Ab I� rI YYv.�I � 'YGL.E/V� <br /> l — -dam" <br /> ACCOVIIRND DMY: FACA <br /> See <br /> OOE id INTO UM PLMITFO MCN/KASN !EC COST DATE N/RSA!NLMSRI INVOICE/ <br /> ry� 335 ao = 5 <br /> a Pub.HeBRh Sew,-Emim.174(3196) <br />