Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 388, 904 FMT WEBER'AVEME, STOCGKTON. CA 9Mi- 88 <br />9" 461.3420 <br />M-REFUNDACLEFEMW EXPIM 1 YEAR Egg DATE 1131110 <br />Ee.mipowle IB Trwmwi <br />'P#PUCATHOk IS HAY L"M TO THE SAN JOAOUN MWIN PDR A PERM To CONSTPEICT A/OMA INSTALL THE WORK DESCRIKD, THIS AFMCATION IS MADE N COMPUANCs WMHI GAN <br />.wAmm cow" OSIHBLOPSMTFT wrL.E. cuorm 0.1110.3 wOQTHE 11TANDAPOG OF ww JOADUN CourtY PUBLIC wLLTH SUNr.EIL ENUEC/FMe+rAL NULTN OM@mL <br />'JOS AOOPnVVF ,4T[r -eL J�ii� f�1 / I CPIYT �i4Rr (y+- f LOT -A-�L <br />--4— AOOFEw Po ie Q x 1p SO uc# jn n� rH*H 7 3j== <br />`loSCONTTIAGTOF. ADOHEM LJC/ M/Dw <br />TTR of worm wom; HMW wsim ARSB ❑ FrABDABOrTHON DFITS4CUOr 13 <br />NO SVT1C BYSFEM PERMITTED F F%IMJC EEWU1 IS AVAAAW WffIEN 200 FW OF BUILDING.) PMIC TBRkF 1 1 HOW YAM <br />I APHS�MA # <br />rrSTALUTISN TSEL SDINC PESSJUH.:E 0r" Cd1AB1G/LL. ❑ OTHrA ❑ <br />'WAWOM OF UVINS MEfs: I PIMUMt OP FiaS/JDWs � N WMm OF wAnpv O: <br />pIMAC1U1 OF SOIL TO A OEPrH OF ! 1QT': SC-Ld MT/VWP SOK CHARACTFk WATER TAKE OEP K <br />X10 TABRAAfA/S TRV ❑ TYPsl6va CARACTTY NO. COhPAREid1T'/ <br />PRG THMATLSMTT PLAIT ❑ DISTANCE TO NEMdT: HIIIEl FOUNDATION FIHOPETTY Ilk <br />wr STATION ❑ we TYPE OF PUMP SAND OIL SEPARATOR *Ncwsm sYSTEAI <br />LIIICISNO LIME O NO. S LENOni OF LFks_ DISTANCE To NEAMEST[ NRJL FOUNOATIOF FI OPER Y IN <br />1LLTMI BSD p'WIpfH�.�f LaJsrH_, t I --j-&_ OISTATICE TO NEAP09T- WIMLj} FOUNDATEJN__W PROPERTY llk !Q` <br />MOIHr1OSD O WIDTH LWSTN_ DEPTH/ DIRANCE TO NEAREST: Wl1L_ FOUND#rWff MLOP9M LINE_ <br />SAASM MES ❑ DEPTH s@ _ _ PRAISER DISTANCE TO NEAREST, WQL TOIMJATIOM PROMMY LBM <br />wA$PG ❑WIDTN LEWIN_DEPTH DISTANCE TO NEAREST: WUL_ POAIMAVWN PROPERTY UNE <br />6upooAI FONDS ❑ WIDTH LUJOTHI _ D@rrN DISTANCE TO NKAA T: WEA rOUNDAnON !POPERY LBM <br />1 HERESY CWIPY THAT I MAK PWAND THIS APPLICATION AND TENT THE WOW WILL W 000E M ACCOFOANCE WITH SAN JOAMPH COUNTY ORDINANCES AM RATS UM11, AND ISFLES <br />bM ENAATIDNt OPTHESMJOAOVINCOUMY. HOLMOWNUHONUC,TNSEDAGENT'SSI WATIMCERTFESTWFOUGVMIS:ICERNYTHATINTMPOBOFMANLEOPTEMWOIOIPORWMHCH <br />TM PUSkT IS moLmD, 1 SHALL NOT O LOY ANY PEROPI IN SUCN A M.W*R M TO SECOLM sUtJ[cr TO WOMI&AN'S CCAMEISATIM LAWS OF CALIPOMIA.' CONTRACTOR'S HSRSIS OR <br />QISCONTRACH110 sISNATIFE CERI'FES THE POLLONMJO: 1 CERTEY THAT IN THE PUIFORFAAMCE OF THE WORK FOR ~414 THIS POMT IS MSUM 1 SMALL CMJDY PERSONS NISJECT TO <br />WOMGMIWY COLRE SATION UWft OF CAJL(/F}O.T�MOLL�'/THE AAPPUCANT !SWT CALL JM HOHAY N ADVANCE FOR ALL P"APIS/D.MWECTgNs. COMPILM DMWFA WOW. <br />MONO ig l A i �(JE� TTT1E: GI f In� ! G4�6 DATTx <br />ROT PLAN WRAW TO SCALLI HICALE _ to <br />A. NALMS OF STREETS OR ROADS NFJVIVIT TO OR SOUIpIB THE PROPERTY. <br />!. OVTINE OF THE PI10PE11TV, WRH DOAD MONS AM NORTH DIROCTIM. <br />s. D M6ISIONED OURIIES AND LOCATION OF ALL 008TOM AND PRONGED SRIUCTlXIM <br />SICLUOIIq COYEED APEASI MICH M PATIOS. OFBVEWAYS. AND WAUCS. <br />LOCATION OF HOUSE $!WASE OI$T'OUL STSrom OR PROPOSED <br />WANSPDN OF SEWAGE OMPOSAL SYSTEirL <br />LOCATION OF W &W WSEMI ROAKIS OF 01E HSAIOF® FIPTV FT. <br />THE PROPERTY OR ADJOMIq RIOPERY. <br />��� ��j �/l�� ^ (�' !OSI DPIISITFiff IISB ONLY <br />APPLICATION ACCEPT®SY rT ^'r•T"` VAC i DATE: {�~ ^ Y / A. <br />TAISL PR OR SUM► lISPECTpN SY 6. DAT[! MNK IN. <br />04DW ONAL COWA9(TR <br />AOCOLBrTNS 01111.1" 1 AID* <br />PAC# <br />K CODE PH INFO APMMIRDAITED l(CHw!2EAm I FEc lr I DATE /PESHST BPV F <br />1 VO ,-u.Q=t I I I 40P7Iu-Aaa og37q;. <br />PWC. H65M Swv. • EiMro. 174 (3/9e) <br />N� <br />V <br />A <br />