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MC TUTU* I I NOW MANY Applimilen • TYPE OF RUMP SAND OIL SEPARATOR ENCLOSED SYSTEM! LEACHING UNE >10 NO. A LENGTH OF USES 3.- Sea ' 1:-..._,--.. DISTANCE TO NEAREST. WELLKO En 't FOUNDATION 4,-.,C ' RUGS BED 0 WENN LENGTH DEPTH DISTANCE TO NEAREST: WELL FOUNDATION MOUNDED 0 WIDTH LENGTH OEPT1T DISTANCE TO NEAREST: WM_ FOUNDATION SE/PAOF PITS (Ail DEPTH 2c., ' WE .(4:5 ' ' NUMBER 3 ourrnnce ro NEAREST: KW. ,••• 0 FOUNDATION - --,- SUMPS 0 550TH LENGTH DEPTH DISTANCE TO NEAFIETT: WELL FOUNDATION DISPOSAL PONDS El morn ttworn DEPTH DISTANCE TO NEAREST: WELL FOUNDATION INO SEPTIC SYSTEM PERMITTED IF PUBLIC SEWER RI AV LADLE WITHIN 200 FEET OF BUILDING.) INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL 0 OTHER 0 NUMMI OF WINO UNITS: / NUMMI% Of SEOROOMS, NUMSER OF EMPLOYEBE C OF SOK, TO A DEPTH OF 3 FEET: FE4•21€4/r/EF.A., PITATUNIP NO CHAILACT ,c WATER TABLE DEPTH 76; / - C TA EASE TRAP 0 TTPERIAFOLfil&Q.4-X-E -c(-0 t51- CAPACITY 14' 0 ND. cOMPARTMINTE PEG TREATMENT PLANT 0 DISTANCE TO NEAREST WEU. /00 FOUNDATION C,C• S PRowErry UNE UFT STATION 0 ITIZE PROPERTY LIE UNE S-C) PROPERTY UNE PROPERTY UNE PRENERTY UNE PROPERTY UNE PROPERTY LINE TYPE OF SEPTIC WORK. NEW INSTALLATION REPANI/A0DITTON 0 DESTRUCTION 0 el WED X : 7<d, i•••• . . : ..... . .. .... PAYMENT . :RECEIVED -4 .' Ep .. 1997' H • • .6AN,i0Asuit4.0;:A.Rire .• PUBLIC HB91-71-1 sEtiViES El1NIROKMENTALHEALYROISAISION APPLICATION FOR mum WASTE PERMIT SAN JOACHIM COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O. BOX 388, 304 EAST WEBER AVENUE, STOCKTON, CA 05201-388 (201) 41110,3420 RION.KFuNDARLE PERMIT EXPIRES 1 YEAR FROM Dm IRMO (e...put. In TrIpllestal APPLNATION IS HERESY MADE TO TY* SAN loAcAliN COUNTY FOR A PERLIN TO CONSTRUCT MIO/OR INSTALL THE WON( CESCREND. THIS APPUCATIONIE MADE IN COMPLIANCE WITH SAN JOAQUIN COUNT' DEVELOPMENT TITLE. CHAPTER 9-1 I 10 3 AND THE STANDARDS F SAN JOAOU COUNTY PUSUC HEALTH SERVICES, ENVIRONMENTAL HEALTH DIVI54014 JOB ACORFEIStOR AM, 1.: ,,, 5 TS' P• ...,..)•4 X . C ITE (//fle--57C174 C'1:7 LOT 1312E.P.....'---- OWNER'S NAME ....--- A i 1- 4 2-4 v2., ADDRESS c(14-‘4Al2- Rit)NE 3(0-q37? cDETTRACTOTI ....Ale') leVEN.- 571'4 'B., ADDIEEIS / 2/EC.' arCEAr.; Z.. 7/ 5.1e, ME c/Ve7z2s- PHONE 416 3- 5-1 It ? SUS CONTRACTOR AOINIES6 UCO MOM t HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE AND REGULATIONS OF THE SAN JOAOUIN COUNTY. HOME OWNER OR LICENSED THIS PERMIT IS ISSUED, I T MEM ANY PERSON IN SUCH A MANN( RUE-CO 0 SIG TURE CERTIFIES FOLLOWING, 'I CERTIFY THAT WO AN'8 CO N ION LA APPUCANT NIUE !T. IR WILL SE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES MTO STATE LAWS, AND RULES ITT'S SIGNATURE CERTIFIES THE FOLLOWING: 1 CE RTIFY THAT IN THE PERFORMANCE Of THE WORE FOR WHICH -.••-• A TO Income SUBJECT TO WONCIAAN'il COMPENSATION LAWS OF CALIFORNIA: CONTRACTOR'S HIRING OR T PERFORMANCE OF DE WOW( FOR WHICH THIS PERMIT IS ISSUED, I MALL EMPLOY PERSONS SUBJECT TO „ CALL HOURS !PI ADVANCE PON ALL REQUIRED INSFECTIONS. COMPLETE DRAWING BELOW. TITLE: DATE: 77 PLOT RAN IDRAW TO SCALEI SCALE NAMEe OF STREETS OR REINES NEAREST To UNDING THE PROPERTY, OUTLINE OF THE PROPERTY, WITH DIMENITONS AND NORTH DIRECTION. DIMENSIONED OUTLINES AND LOCATION Of ALL EXISTING MA) PROPOSED STRUCTURES, INCLUDING COVERED AREAS SUCH AS PATIOS DRIVEWAYS AND WALXII 4, LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED EXPANSION OF 8EWAGE DISPOSAL STSTEms, S. LOCATION Of WELLS WrTHIN RADIUS Of ONE HuNDEST3 FIFTY FT. ON THE PROPERTY OR AIIIENNING PROPER', FOR OISPARTMENT USI ONLY 6K62)0/1 SOME INSPEcTION B1T .41.-1 7124 ° APPLICATION ACCEPTED BY / ONTO (.90g'. 7F1NAL INSPECTION BY r.aie 27r 1 I.FLJ DATE _a_ I 3.o/ AEON IONAL COMMENTS, [ ACCOUNTING ONLY AIDS FACE Pe COOK FEE INTO AMOUNT REMITTED (EITEtht,2)CATII4 RECEIVED ST DATE SA I PIRACY IMMITER INVOICE • 1 Li a 1 I (IS I K 0 aq-45-- C/4#1...AL, 4/30/7 0/ ,1‘.'2_6 04093 ( 51Z-0013'irOce, DATE; 9- 3 7 AREA: 2/ 2_