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APPLICATION FOR LIOIIID WASTE PERMIT <br /> SAN JOAOOIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIMISION <br /> P.O.BOX 311,416 N.SAN JOAQUIN IT,STOCKTON,CA 162014365 <br /> 90)482-3120 <br /> 11OF119VOIDARLE FERMT UNRK 1 YEAR FROM RAT!ISSUED <br /> (a"Imr V Tdpb@W <br /> ANUCATLON IS NMfl7V NAGE To THE SAN joAam coum 1•FOR A PY.11f TO CONSTRUCT ANDAW NST ALL TM WOOL M CPrED.THN APPLICATION N"ADS N GOMPI LIMCE VAT"SAN <br /> JOAdIN COY!T'DEVFl WNIENTTr�TIrLE,CCHAP ER B•1110.3 AMC 7fE.T/UDAII 8 OF MN JOAat1N COUNTY FUMM IEUTM W V10EE. M <br /> lPMWIEMTAL MMTN <br /> RiOfVIrON. , J <br /> JOB AODSNR AFM/ `-' 9/ O STh IUf� tY D 6E�C c" / <br /> Aa/.NC <br /> OWNER'S NAPE IJ! FMM!__er, / <br /> cc ADOWN LIC/ POM. <br /> EIN cnNrw.croR C AODIEM �F.9L�; _D� / <br /> TY E W SEIM ATOMIC. WW SISTALLAMN❑ IMPAMADORNIN OEUTNUC71011 E3 <br /> TIO SEPTIC SYETE I FERFAf M S PLIRLIC AEWEPI Y APAP-QUE WNTHM 200 FEET OF BURDDIc.V I�IC T1STN1 I)IN'M MATT <br /> �����///// 1 APNB�IFIP I <br /> �STAIlATNM IYIL NN , PELOOS.F COLYClAL 13OM01 EJ S <br /> MUSSw D►UVNO MT•: a E1 <br /> B1dIOVER: ` SIMARM OE wOw1�: (J� <br /> CHAICTIH OF SOTD A OF 7 FEET: R� Il17YUM► <br /> NL r9 SOL CH WATM TANI DENfN V <br /> .&T O TYYU1rtYE THY ❑TVFcomp CAMCITY NO.COMPMTMaRB <br /> NLA TIiA11 mT PANT❑ SYTAMCS TO MEMEET: WELL FOUNDATION FROHf1TY las r�►, <br /> 1/T 17A7OM❑ SIZE TYYE OF RANO 11L/ETMIITORD SVSTBEI _ c VV <br /> LiK/Mp RNIB 1j�,�y�FID.i LbNM OF t11E._ DISTANCE TO NFAAM:NEL MOATION FIIOFFlRY UNE rE <br /> PLTN IND {J MATH LENOTN_ DFMHY_.___DISTANCE TO NUVESF.WELL FOVIPMTV" PROPERTY LINO f_ <br /> MOUFIOo ❑VAOTH EENOTE DEPR/ owANCE TO/NJVIEST:WILLPOLSOATDN PnDrunY LE <br /> 1lSa RTS ❑DEPTH ftn NUNASN DISTANCE TO WAIEST:MALL F./NDAT10N PNDRATY UNE f, <br /> S14w ❑WPDTtt-LEI/STH DEPTH DISTANCE TO NEATEST:WDL POL%MT7DN PIb/EITV LA <br /> NAPOAAL Nomm ❑VAOT11 LENOTL _DFR71 DIRANCS TO NEAR[ST:IAEU__KKINDA110N PfOPINTY NMF R' <br /> 1 HEFESY CERTIY THAT I HAVE NIEPAMD TNN APPLICATION AND TWT THE WON(MAU.BE DONE N ACCOTOANCE WITH IAN JDAOUIII Cl'1VNTY OIOIMAMC[S AND STATE iAMN,AND PLOD <br /> AND MULATIONS OF THE SAN JOAOAIN COUlTY•NONIE OWNER OR WENSEO AOEMY SMNMTUIE CEATIFES THE FOLLOWING:'I CETITEYTHAT NT1EPtlIOIEW4CE Of THE WORT[POR WHSCH <br /> THIS PLFWT N ISNUW 1 WALL NOT LL/lOV ANY PLNSON N OUCH A MAWER AS TO SECOME SUBJECT TO MFWMAN•S CCMPDIAATION LAWS OF CALNUMM�' CAIRMCTORY NLEq OR <br /> WIBCONfNACTMO SISNATISEE CENTRES THE FOLLOWING:'I CEKU FV THAT IN TIE FEMMMANCI Of THE W M FDR VASCH THS MIN OT N YNYO.I SMALL INI LOV PMBONI BUBJ[CT TO <br /> VJDWMA"OOLWENB ITADNN LAWII O..FF CCAL"WA.' THE APPLICMT YVAT CALL 34 HORNY IN WVANCI MR ALL IEOINm NNfBCTgNS. COSE4EM OMiNSWI[SELLO7WW.. <br /> 7RLE:_�. -SATE:,�D <br /> PWT PLAN VFAW TO SCALE)SCALE N <br /> t-NASNS OF STREETS OR PODS NFAFAW TO OR BOQNDINB TME PROKRTY, A.L TON OF HOUSE EWAOE DISPOSAL SYBTEAI OR P10POSED <br /> OUTLINE OF THE P110PE7RY,WITH DIMENSIONS AIS)MOWN DIRECTION. EXPANSION OF SEWASE DISPOSAL SVSBAS <br /> f . <br /> 3 <br /> 2. DIEENSIWfn OITRNEA AND LOCATION OF ALL FANTINO AMD M10POMD STFMTUQN. E.LOCATION OF VYRM/N <br /> LS ARADVA Of OW HUMPED PSRY IT.ON <br /> W RIUOB/R 00%W&O AM"SUCH AS PATKM DF7VFWAYS,AND WALXA THF PLIOPWIM OR A1110NW PRDPENTY. <br /> wp <br /> m <br /> .. PAYMENT <br /> R� <br /> POS <br /> . � AUG 1995 <br /> �;'ar�:roac7urNH <br /> NMC EALNTS <br /> SER <br /> I—/yGcS Tq/Uf+. LAl. EALTH. V 5101v <br /> LIQ... <br /> POR DOOR/►IMT DB[ONLY '� � (' b�G-7APPLICATION ACCEPTED BY A + '�' DATE: AREA: Q�� <br /> TAMIL.PTT OA SUM►IN ffLTION BY I DATE ! 1 PBIAL BNPLCTION SY NTE U ! J!7 1 <br /> AOORIONAL COMMUTS. <br /> ACCOWTIRO ONLY: Alli FAC. <br /> KcoTA7 IN W-0 UNT RDATTID .A. RECSVt0111 BATB I PEMET■YiNNI 111RA7IOE0 <br /> 10�/ <br />