Laserfiche WebLink
T-.' - '3 er, - Y" 'zaYii ,X•ti" r; _ - _.�,�_ =��_,a:� ,�f� ,-....���y �sZ�ics4.�s R _�C �� �-�e. <br /> y <br /> '-PPL ICA,IGti F; rrr1IIT <br /> :ALN j,3AQUI:i COUNT'.' 15ERVICES, <br /> NVIR0NMZNTAL ., <br /> P 0 Bog 2009. :TZHON. A 95201 <br /> (209) 468-3. 47 e <br /> ?ZEXPIRES e 7EAR - OW DAla—I-SUED <br /> Appil:tt:o» :e nereay _.aae :o Sea ;oaaula C_,• V <br /> C_'—Icy - e pW <br /> er : •,n.etr•_ r <br /> a^eler _ ata:yl�`! dLTIlFA n._es <br /> ■7PLlca::.a .a :nae :r -'=liarce v:tn San c&gw%n �_:wi y ;ra:aanet .1o. &.a -.b2 and thiERW, �yrr "40n■ o: ion <br /> ,;caqul» �cu.n:y Y�bi:: r.eai:; Serviece. "•�f"G'J <br /> ✓ 1,1_2 r /—,'P t,•l V 4 _.:v__-^'tint t wt Slier Acrcag: <br /> y <br /> Owners Name Addicts <br /> /. l��l-� ��•r I_], p-!,'-4•cwt - �f� �-�.....^ ,hnne ;J/C�I aZy�-.ti <br /> _ — -_ - _� _ - <br /> A/e' <br /> CenlractOr �t0i�/ r�rr/ dr[ss�_ se .�� �• ^ �. - �� <br /> TYPE OF:iELLIPU AP NEW WELL :JELL REPLACEMENT C w;UTRUCTiON La �:ut b: Semite tiel.L <br /> 7UMP INSTALLATION SYSTEM REPAIR OTHER yl Man1[ar:nq toil � � <br /> DISTANCE TD NEAREST: SEPT[C TANK SEWER LINES ::SPOSAL FLD. _ <br /> -_ FOUNDATION r 'ITSISC3APS ,..� <br /> AGRICUL-URE VIELL ETHER WELT <br /> '+TENDED USE -'?PE OF WELL ?ROBLFM AREA _C"JSTRUC`.ICN SPECIFICATIONS , <br /> " ;haus Ulal .. :pen daftcm _ Manteca :.a.or Neil Excavation n.a. of Wed Casinq <br /> Comosuc+Privete T Gravel Pace . Tracy -.pa at Cattniq 'L�`I"0 r.:`C_._ Saecaficaaur•ll�9 4o ✓ ----- <br /> wwrJr r.-• <br /> Ptiellc other = DelDaatn al Grpul Seat 1 - r Type or Gmu' <br /> Irntletian Depen �: Eastern Eunice Said Instadra pv— v - <br /> Repair Wort Done Tfpe of Pump H P. State Work Dont <br /> l <br /> Well Destruction 'Nall Diameter Sealing Materl" & Ceptri i <br /> Depth Tiller MacerLLi L Depth <br /> TYPE OF SEPTIC WORK: NEW INSTALLATION i.� REPAIRIADDITION Z. DESTRUCTION ..tia tactic system permitted if pirDllc sewer It <br /> available witnrn 200 feet.$ <br /> Installation%mil ane•. Reticence` Commercial•,•_, Other <br /> Number al living unit=:_ Number of bedrooms <br /> c <br /> Character of Sail to a depin of 3 laet: Walat tab's deotn <br /> SEPTIC TANK .. TY9erMfp =a pagi✓ __ N0. Compartments { C <br /> PKG. TREATMENT PLT. Method al Di"Aal <br /> I Cistance to nesr"i: ',Veil Fdunast,dn� Property Una <br /> .EACHING LINE 'to.6 Length at imes '�:ra• engl:vs re <br /> FILTER BED :�istarlce to nearest: :yell cauneatien _ "rererty Lune <br /> SEEPAGE PITS Depen Sire Number E <br /> SUMPS Dislanca to nearest: Well Founaahon Property Line ! <br /> DISPOSAL PONDS <br /> I ne1110y c6Rlty,tnst 1 neve DisDarea this aa0lication Ano that the war■ will De sone n acccioance wlln San Joaautn county ordinances. state laws, and <br /> rules Ano regulations of trio San Josautn County <br /> Home owner or haena.a agent s signaiwe carufes the Igdawrnq: '1 :erlltV that to!no Denor-ahcs or lne xOrk for which this cofmn is issued.15hsd nal <br /> emd'ov any osteon to sucn mAnnar as to oecome luaieat to workman s corneemation'ow%ct C-iomia.'CznSraclor s nirrrg or suo•contncung s.ghatun <br /> c6nities the tallowinp:"1 renlly that in tela oerlotmance cl in,wort or w Icn;his corm-1 4 ssueo.I shat employ persons Junl6at la waramaft s COrrtaehiS• <br /> tion laws of Cj1dornls." <br /> �1 <br /> The sooncanLniust til lot 64"liquire ms cy�+s Complete drawtnq on rever�a tae. <br /> S,gnea X �%'L�� Title: ]ate: <br /> r <br /> l 1 iJf ! FOR DEPARTMENT USE ONLY <br /> .... Adphcat:On Actsolad OV l' .G ii Cste -' Area <br /> Pit or Grout Inspocimn oy Cate Final lnsdactlan ov W __ Date <br /> ddtUonal Comments: _ <br /> c=plea to, SA.4 JOAQUIN COL47Y PUBLIC HEALTH SERVICES <br /> I-r. <br /> LiVIRONYF_NTAL HEALTH DIVISICN PEMIT/SERVICES <br /> 443 Y 5,L4 JOAQUIN, P 0 BOX 2009, STUCKTCN. CA 93201 <br /> EE ! auOUNt DUE aM[7UNT R1MiTTEO E tU gpCEIVIE3 By I DATE PERk4il NO. I <br /> HFd N <br /> w 77:1 ttt[V <br />