Laserfiche WebLink
APPLICATION fon P C7 0,4 " <br /> • SAN JOAQU1f4 LOCAL HEALTH 011TR/CT <br /> 1601 E. NAM-TON AVL. STOCKTON. CA <br /> ToNphoM (M M&M' <br /> ►,ERMtT .Xpip" 1 yvAR FROM DATE 199%" <br /> ICwvV*w h T'i *01141 <br /> la a p oma w to am-I ower...M ae ww%%PIe"rreeu�e/M>IW J� <br /> AppNcatlon M ho rnu'a to the Nn Jeed m LOOK Hmdo !er sewer M Ne *a ow was.'awwa anis M �+ <br /> meds in connpGW4*wkh Sen Jogln Cewiw OrdWwm <br /> Loch 1Nwth Dl~. 1 '} j <br /> M lowO _ <br /> Job AddnM / <br /> • At1SeOe � S t— c,�tr�►11.L PW" <br /> Owner'•Norm ��--Address C"L.M[area",✓3114 <br /> Contracts WELL NPLAC11>N� pE>4TRUCTIOM Ej <br /> TYPE OF WELL/PUMP. Itk1N vVKI. 0 — O <br /> /UMP MTALLATM O sYETEM 111~ O P"r.UMI <br /> DISTANCE TO NEAREST: SEPTIC TANK __,So L-sr^w ums*jm ` _ OTS tARIL _PfTS/1KlMPs .-- <br /> FOUNDATION >�q/11CA l 0MS <br /> INTENDED USE TM OF WELL ��ANA �TRUCTIOM <br /> f Martteaa a <br /> �Da-el Won <br /> O dWas Eecows"m <br /> C,Industrial ❑Open lotoe+ <br /> te P O TraY Typo of J1/1 <br /> )<Donie/Privawk <br /> � <br /> Della Depth d QuetA SW <br /> ❑ Public ❑Odw <br /> Depth O Do"Emwgo! , Sed Manrd M <br /> C Inigntion --APP—. H.P. Sim VMrL Ova <br /> Repair Work Done C Type d - Seem ktoww two Wl <br /> WCA Destruction i Well DIM <br /> Depth fuer M/MarMI IMbar 601 <br /> TYPE Of SEPTIC WORK: NEW INSTALLATION O IIEPAIRIAOQfT10N <br /> O DtST11llCTION U 1�� licit pow Won <br /> 0 lea. <br /> In•a"lon will serve: RWdWw*_ Co""11W--- Dow <br /> Number o1 Wng units: N--bw of balm" Wa1ar tat"b0�h_-------- <br /> Ctwww of W-A to a depth of 3 tat C No. Cpnperserte• -- <br /> SEPTIC TANK O Tvpefwo Mothed of ONVOW <br /> PKG.TREATMENT PLT.O Foundation _ PrePertI Lbw_ <br /> OMtartce b rteersat: Wf+d <br /> Tod MrtOdd <br /> LEACHING UNE Distance <br /> C1S Lwgth of erten was fotandade� _ Hopww Line <br /> MIER OED <br /> — <br /> ❑ Dletenoe 10 rteweet- <br /> Muffbw <br /> SEEPAGE MTS ❑ Dov- -- Siit <br /> Fatordation . Pteperly Una <br /> SUMPS C] Olaten0a M WM <br /> DISPOSAL PONDS D ---------- <br /> •ur Sart JoerNdrt aMMP �' <br /> I hereby oerttfy that 1 haw prepMe I this appk@Wn and t o the wort vA to dne M oaoostdo <br /> MAM and npuMllorr of the San Jottpuin LoW Heaps OYubt• opoy Chet In the Polm mta Of the wort Ior vuh d Mda b Yews <br /> thaPOWMA :*I1lorna ow�wr a k►nxJ+ntrrtar o bow w PAOM 10 wodmon'e 1"0"aade^run d CWO"%N." fie M"l W 10 wook,000^9 <br /> errti>toY arw Person 7 eeffw yrat in"perforrtW—d ft waft bis•uhidt this PIN*is bwed.I due a pie or«�w�rM <br /> eeltfllse the foNowMq: <br /> tion Mw•of .. CoffivieM dnwlry an rarer" � <br /> The sp~n �d fq►M ttap•O Dew <br /> TIIYK <br /> Signed POR OVA LIM ONLY <br /> 7 �AtM i <br /> Appoestion Accepted by Pini M1a>taedaft M Odell <br /> J <br /> Pit or Or"Ir+apoctlon r <br /> AdttiondCernntNM �L O YMV Wl I <br /> ❑Isft aft-om Led powWo tl m im W L 101110"1111111Aw.►.Q ow 1 . <br /> Appliew"•Retum M aepra a atwllel HOW <br /> Fat AaXxw Otte AMOMfT <br /> MCw11e0 OR MA <br /> IN WIN <br />