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PVC TURD / POW MART <br />AsMIMONA • <br />o <br />APPLICATION FOR WOOD WASTE PERMIT <br />SAN JOAllUtt COUNTY PUBLIC NEALTH SERVICES <br />ENVIRONMENTAL REALM DIVISION <br />P.O. BOX 3n, 445 W. SAN JOAQUIN ST. STOCKTON. CA ammo <br />12091 48S-342D <br />ROSREFUINARLE MIRE OCHRES 1 YEAR FRRIA RATE tIVER <br />gasapissekiTesilerial Appuc.KnoN ismeare MADE TO THE BAN NIAOUN COUNTY FOR A FERMIT TO CONSTRUCT ANDIOR INSTALL TIRE WORK DESCRISED. THIS APPLICATOR IS NUDE IN COMPLIANCE WITH SAN JOAQUIN =Lim, DEV13.0FIMENT TITLE. CHAPTER 9-1110.3 AND THE STANDARDS OF SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, ENVIRONMENTAL HEALTH DIVISION. <br />JON ACORES:Roc APR/ 70 70 }dlJecc iri... 2e.e7 <br />CTrY a+SCA,Sa LO1 oWNEIVE NAME <br />ADOREss <br />puoNE <br />CONTRACTOR ...,44.0•710.4.) .5-e-/C,45‘ <br />SUB <br />nc <br />CONTRACTOR <br />Aou. /2L e- CAL44‘,X,'/I 22 444--uu 9 444 5" wow,t16.3 (1 V <br />SNOT& <br />TWO DEMONIC WORK NEW INSTAUATIoN 0 PIDIANVADDRIoN <br />NO RUNIC SYSTEM PERWTTED IT PUTAJC SEWER RI AVAILABLE WITHIN ZOO FEET Of SU I <br />DIATALLATION WSJ. MEWL RESIDENCE COMMERCIAL 0 OTHER 0 <br />PUNIER Sc LIVINO WII/11._____ NUNREss OF <br />CHARACTER OF SOS TO A DEPTH OF 3 FEET. '4. <br />ARNIIIR OF MARGTElif <br />ROWAN SO*. CHARACTER <br />ROTC TANKRITILARE TRAP CI TYPEmfG <br />CAPAcTY <br />DEPTHI. <br />DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY UNE <br />HUNISER DISTANCE TO REARM: WEILL FO4ANDATION PROPERTY UNE <br />DEPTH DISTANCE TO NEAREST: Wal FOUNDATION PROPERTY UNE <br />DEPTH DISTANCE 70 NEWEST: WELL FOUM3ATION MOPERTY LPN <br />I HEMS, CERTIFY THAT I HAVE MERANO MIS APPUCATION AND THAT THE Wow(WEE lE WIElI NIN JOAQUIN COUNTY ORDINANCES AND STATE LAWs. AND FLUB uCELNEa Meer. soNATuFscEsrstcs THE FoLLGANwri: n CERTIFY-MAT Wow PERFORMANCE OF TIC WORK PoRWHICH MANNER As TO DECOME SULSECT TO WORIUMNI COOMENSATION LAWS OF CAUFORMA.. CONTRACTENr$ MIND OR MAT IN THE TAD[FoRA ANcZ OF THE %NOM FOR YAWN 7:418 FENNO' IS ISSUED. I MAME EMPLOY PERSONS WRJECT TO 3/4 ROMS IN ADVANCE FOR ALL MOMS° WIPICTIONS. COMPLETE DRAWING SELOW. <br />LIC• <br />DOSTRURTION 0 <br /> WATER TABLE DEPTH <br />n(0 TINATIASIST PUNT 0 DISTANCE TO INSIMEST. WELL <br />EMT STATION 0 UTE TYFE CIF PUMP <br />LEACIRm3 URI CI MO. • LEWITT% of LNIES <br />FILM Rai ANTOTN_JIL LENGTH <br />MOIRSOAD CI WIDTH LENGTH <br />NIERAGE NTs 0 DEPTH <br />Wawa 0 WIDTH <br />DISPWEAL FONDS 0 WIDTH <br />WEE <br />LENGTH <br />LENGTH <br />FOUNDATION <br />SAND OIL SEPARATOR PENCLOSED SYSTEM] <br /> <br />DISTMCE TO NEAREST WELL FOUNDATION FINDPERTY LINE <br />AkcE To NEAREST:FOUNDATION 7-S, PROPERrv tair <br />NC. COMPIMITIIIINTS <br />PROPERTY ENE <br />AND REOULATIONs Of THE SAN JOAOLRN CoUNTY. AGATE <br />THHI tsatIED. Rho; r ANY PERSON <br />SONA •FOLLOWING 17)4 ur).A-3511 0 L. 0 1, AGN <br />TRIE a7C-711SLE•12CrI. DATO ( I - <br />ROT PLAN DRAW TO SCALE) SCALE NAMES OF STREETS oil TOADS NEAREST TO OR BOUNDING THE PROPERTY. <br />OUTUNT OF TIE PrOPERTY, WON DiMENHAONs 0540 4405144 DIRECTION, <br />CINIDDIROWED otrTUNLE AND LOC ATION of ALL ouSTING AND PRoPoSED STRUCTURES, NCLuDINO COVERED AREAS SLCH AS PATIOS. DRIWYMYS. AND WHEEL <br />4, LOCATION OF HOUSE SEWAGE USPOSAL SYSTEM ORM:S.0SW <br />EXPANSION OF SEWAGE DISPOSAL SYSTEMS <br />N. LOCATION Of WELLS WITHIN IV0II31 OF ONE HUMERI, Fifty FT. ON <br />THE PROPERTY on ADJOINING PRDPERTY. <br />4.4,2e:&• ,wigee ftd.Afte. <br />4-Ativor- /e..te <br />•-b-- x <br />ARni. <br />447o e",pes. <br />4!: s)eA, <br />T." • . . <br />1 4. 796, • v <br />' 'ICA • • •• 1%,cvtLIE•ki,4.11.:' <br />APRICAT)ON ACCEITTETiT <br />TAM PIT OR SUMP INSPEcTION EY <br />ADOITTONAL COMMENTS FI 4'ed <br />FOR OVIARTMISTT USE ONLY <br /> DATE t <br />DATE , RN481 INSPEcTs3F4 SY -Ftai1/24,741(% <br />—7, 15- 1 LJ 4)' <br />DATE _L I? (0