q ;_ 111-$� - - 171�j !. q,: �r'.�rfh ' �� € - I-r.•. i it tn r n � ..?r rl.>E
<br /> 1 r r3 T S a r i
<br /> P' Ji�rt p'fj'It'i,
<br /> r.r}! ,. F,+3t�,€J� '1�� , nr,�1�Fy[
<br /> 7r•1�i�Fi'M�>K �'�.� ..f�4'EavM�'r a
<br /> �:�'��,J�'iYt•,r�a ""Lw"w`,.+1�
<br /> I ! .; - ..lcUu�.xx,.,r!.t'M,3+ 1 I,,r �J�:se-gyl4+k€•'rE•?k+r uax r � F i[r t r!'I
<br /> �Ir.j# 4.111 "I�QR OFFiMIISE .'>.,• ' .,.,f - , �3F•.1. 1i '3..[ I }' t .I
<br /> APPLICAI'ow F611 SANITATIO PERMIT ' t x s J jf W�N'
<br /> ;c 1 Permit No I .. <f} �C
<br /> (Co'rnpFeta FnTtrFpiFr ata} e: I } 1: 1. a` 4 'Rr 1
<br /> , �` �
<br /> ?! r'-_"4
<br /> ssruacd
<br /> rP "ra•, A :.l yr. i..rl,. s' �� +. ,- ! ,_. •n' :.h k `F its I?'
<br /> ' #,Application,isherek�y,ri�adei#o the San Joaquin Local Ipalth:District for!ii:'pemiEt to_constr6r.t;and,install #hb v►!orkhhbreln
<br /> �!irdos&ibed',,This;;a 13cr'troi3 is mad® 3n`com l;Inco with Count ,Ordinb'hce No 549 and'existln :Rules ond'Regulations.v
<br /> !< p. -Qp 1 -' 1q. It». p _!t,I.. Y. I 's; `F'a .r•- a >;, J�w .A .n a3'rG Ae .,';� '+rM� -"- ,''�
<br /> '•�G .!a '&.).1�l. F•", r7'.�//.
<br /> `��iAR�k I�1SUSrT�'ACf
<br /> 1103 ADDRESS/LOCATION 1' }I�r1t'R71si4 �4Lt rs stt .
<br /> ' .:... Phone r'h+.7 1 K t � •
<br /> Owners Name� [
<br /> r } i^ 6.1 $ �. 1 r' I a ° T A a [ - _^ � '.3 ill�'ll•4..'•� € �,
<br /> lElf'a Address,�j * f r,"�' Clty
<br /> C 9: isJ t x 4 J r F ! , paffIF-,,.
<br /> ,€ -6I Ix t t.I _ 13 I. , 5 i- , -. : a_ I n 1'tw .fir .
<br /> 1 1�Contrbctor,s Name G?t(.�r[lf<�.. E, l;cen e _. Phone T
<br /> , y .. n r ,v` ;t!, .,f - ,..R f 4 1$€ 4r
<br /> - i}i Sf .S,[ .1 , 1 rrfiM 3 ;is !
<br /> 11ht<'.;;Inslovation will server r':��� I Reside'nte3[}'Apyiir'nent Houseo Commercial ET,
<br /> railer CoelrtR"wr
<br /> VAR d , k , + .# .. ..... • Y{! 'MOYeI r,}lCr _ , ( 31 ,+ ;{f y,rN firr }k1k,r+ i-lli3li !
<br /> 3tiJumber of living,unitsr :Number>o ,b�iroomS� Garbage CCiinder ' r Lot r311Ce('s t fA��4 'F(4........#i
<br /> �.:,ry a r. a , � ar r t r a a k � t •Y - -t+ t Fa r �.r t i � ''�`�t�`�� `�` IE '�.
<br /> ..........€< rJF, I # r I Pfivater �i slur h
<br /> a1 Wa4eiS'ii 1 'Pdbiic 5 st®m aria name [
<br /> ,il - , r 'kr �
<br /> lClia aclel�;af soil to'ciepthlaf 3'fact r ,Sand�j G Q Clay, Peak C"j 'Sandy i Dari © Clay Loam tir 1
<br /> 'i � 'I Ci 1 al.Y NF �a " . t t f,:;rF ! tf ,- al
<br /> w{
<br /> ' - •-.4 f`"a '�3,k FiLd�i.f..'�r}fFr'1 I,3 ,' '{� 11#"larl�P n❑4' '1Adol7e•flhrFi11'hhaterial .
<br /> ,l:II I + Ihrc), . r '.oma h oJ ,F..0—l"
<br /> `r .Nyi1 pc fl,ilkki ' 1 rap.P+ I i .
<br /> f••rae�. € .-, ,.-9, i- fel, iia"Y+,•SHr'slk
<br /> `" loflt�Cinti-rshoviir ilsize bf3J�ot; logia iori'of`:aystam`in€r�iation•fta Wells?jbulid ings, etc mus4';be plac ci�,,on_feveruN' Idi t
<br /> r i•Iv •+,'"� .�, nl. �•, r s , ,,r .. .....t.f+.x r...:.. i � a•.- iK `,� r r1 .1
<br /> t :_I ar ! It emitted�Ef ubilc`sewer is avai#dble withiflZ .A; 7� ", '4' + .!
<br /> sefiLEW IPtIS�ACLEITFON3 lut[iVo septic t��nk or. ileepage p p .�P s � , ,1 �',� :
<br /> y,. E ��_ i c.r.{ fl.. f i' gi=ek ht r [.f' -1rr �,Il�k°� {�i �lfepfl
<br /> [ S"
<br /> PACkXdE TREATMENT,, [r7 S P7iCliA1;1K# } J q ept
<br /> ,.I ,�r, } �� 4
<br /> ya'r,�YF@flip'l'"Z°1"+r,� t p s}Is -.Ia}Mit .w. �I• is Materiel 7 w-..xw fi'.. NO +Ccmper�fnen�>g 'I is } ....°7
<br /> I d� ll t4 l d � if k i Capacity . SI' Type
<br /> d rA v 1r �It 1. �€ YY'",4 why€;r ''
<br /> > T e k .yt++
<br /> ��'I,L i ! , aY ,a - � +r
<br /> Ile, Distance€ter nearest Well �lw,xl ['.Fvundrition � . ProfF":Line, �a nY ,•
<br /> nc x'„ !! >> a ..-• r� •, ,r >i :�.; a�' �r ,�;t` �? ti ai
<br /> �r. �.r t ^'T�rS,!° tJ• � �" >7} $is �
<br /> !� r,.,?LbACHI�lG LiNE•'r[�}' .Nb o�l,'Liri�sr........ iL�rigthkof,�;eachr»line�kf ,� ''� F, Foi'al,tiler�gth�� ��;' 'y�• a°'
<br /> �i
<br /> '131ir�;l�����'[�lt,.j,,u�,,,��r�.�p, gax��� .w7ypr3:.Filter Material :#Depth,IFiher Matenal,�. I ..............................r ,
<br /> ,�
<br /> I�t rnC ta'lledreS WCII IJyf 4} �E i FaVfldatidrl f (' Property-L14
<br /> ISD s I' M'
<br /> IH•a�" € 3
<br /> rill €,', rilDe till .'u'1 t fry ..i"` Diari�eter -'`` } -'SNuTn,l?�f - rl47e --K- ROCk,Fi�fed`�,Yes [�rly,lt'I�IO:EL �s „!r„
<br /> 1! . SEE�AGE3PI71i [ j i P
<br /> t c ,I� tfal�S iii}n: "fr;-rrl,}r5 I '" �..,. KI - ' !- 3;t°+.`,i-r•T a',f-.._* , S.I, �,f. f „=r ,�y�C �,�, R• 'r, ';.,�
<br /> ,P-,: ! r ..Rock Site ...
<br /> f,k' 11 rr- Ir I 1 vy71 l - p VJbter,7a le tiDdpth 3 �� q i r r k
<br /> liE :E r➢ 'r ,,r - I•, r�r.� ,l,y v3 i.7I, C4- ..s<1
<br /> r.-Foun ation° {Prop-rLlne .. j
<br /> Distance�,1'a nearest Well a y 11
<br /> {. d
<br /> f fl rad �J �,r34 ',•1 n r «,-� 1 91,c,r
<br /> ,14-4 I;i 3'.. '_,..•� It fi r t,• ",F;'•:.,��?.� I Err 3�'- � �r 11 !a i�-, Ddt9 I� i:„ f s
<br /> �EPAIl AD111Ti�N(Prev:Senitaficn,itermlt,4`� ... Wit.
<br /> lis r
<br /> aniC';S 6C
<br /> X11<Requirertients)@IY!^�'� .l C }TS ".t1Jq
<br /> .'•f jit I p t pJ s1�
<br /> a T ...........
<br /> `...... r lir{ f
<br /> Y l.l.,r ° rk. a 1 Ur t r r zl '
<br /> •u �-�,;;Dis osai Field;(Specify:�Requlrerrienis} �'" �I I •� , f , +�}„���„� �!,�`��, '�t'��
<br /> I �l?-0.! p t1 �Ii I
<br /> i. !il'I�'1'f
<br /> wF rt rti* fidi J ilE'a ,*t ?t,'UIr''3 ' �;4J�sL
<br /> tier-ai�j l!'ll(� i! Fl-S`r lr r'f,.-,I!7n ] k - "`x - : _ Pt. 1 ' ..s h }T= 1: �s .. "
<br /> j �� Ik�[-.-��rlu f(! '.,'Ilrr{Drove'existtng';and required-addrtion on ravefse spiel 1,r dl� }Fr :g €ri',f,H i'Qr I '
<br /> 1!gyp A.ley `li,!li 1§NF',Ili'' j!I{� �: !•,jl!. r, F ' h. -Lt
<br /> ,hr b�ru enMify{h�kfi�t�l h"";06 piipdred this ldppiiiiiHin,and-thal�atha Werk w[II�l�e done+in :actertlac+te-+MitFr�San._Jaagyln
<br /> E M Ipxr1 .-. 'w r^r1'di"+}r.M �1. I..y,r.r 4 _
<br /> rt! Ryles and'Ra uldtlons!of'.th`s San p�enqu#n Coca1 EHeblih 1)Irtrld Hoene mvner �I' I#eeii-
<br /> .Nouhty;,Dr'diiian=:srrStatr;taws,,a e 9 t , a
<br /> . 'llld{I Q91t!lF.:r,Nliirsceit#Firs rtlii.fol3wing° r - r °S t - , -rf,, C•'5+,4. i+ r'f. 'I o, '`q.'`rn !+>r�M'r; :rE'rr r -s.'r T j -, +is.t c s 7+�'
<br /> 1..�. .trg �..'s 4 �„ ,•s r at �� y rirtlr - a _T, ..:,, L.t ,l. sy. , i t r rs
<br /> "" v •-
<br /> i '!Fac rHfy fnof in;ltha perforraianee thi�werk forfwhlah this permit is iss�ad, ! sh*al�l riot employ ony psl?sen in such rs�arin h�
<br /> i { • .. * ll omld r 44;
<br /> i 41i•tb { 'lt,,t W�+orkifi it' nsatien;lawA fwd R��•. '-- 7x`'! i �t,;r= t x'''#.31 ,ii '� ..�' _G6^irh ��l3 sry' 'lir ' ,'
<br /> 1.... ......... -t-A �'x�11VneF!F + ��'{ h€f' rd.l l+5 to)i �n3' .'' '{'l•If.-w.'t;! 1;J �?". ; 'r y
<br /> ° - = Igneri..- . .c 4. + l I. r „rl, 1 ! #. h 'C}''i n 1, J .., r. d•rr^r.x}'., ;
<br /> - 11 ",rl yI Rxf r�4-F "t ,�' ,,+�� a -'>< d!9•ty. •`;otos - .:?€'era d 3fl;�iA
<br /> .,r l` .k f r1 3N �1{• n7 1 tl x°.r,h I �F d'r l- <.s r s'1 `" - :,r �� t� f - ?s._.•, _ a h !, c,�p� t j•! a.. I��
<br /> .p� e...,ti 1 r u' . € �.3 ...
<br /> biz ?' r,n'�F'"" }d 4' 'Af i
<br /> Il�R'I 1 i..n elf 1 1. Tk
<br /> 1 ar'� I€ i r I ' I 1 I
<br /> Ii1€14 , " t f IiII M'!u� 4 €is I ' �I i , [.11 y:.+ fdRd DEPARTMEWT a USE ONLY, w" lli 3 tom. ,t t t 14
<br /> ,!, ,!
<br /> I.. n 0.a7.,,. ,.,'' s' h
<br /> ,r-I_ �.. J`. I, - a ,J.. ��! DATE,.f�h-rr - x�r
<br /> k�tAPPLiCAT!ON, ACCEPTED;SBYrr �Hrl � /� ,'
<br /> " :BUILDING"IPERMET`,ISZED€ ! r
<br /> s
<br /> ' ADDITIONAULC&MMENTS
<br /> ti r-. a. 1 .. s+- 1 a' •r', �.. .'wap h.�' r .. s �I;��
<br /> , , [ 1{ �, { r ,,.,^`. ,rel" 1 r 71k'.} qty'. - r,s - 1 , M !• f r S n.� ?"*.t 7s
<br /> ........................
<br /> -hr I,IIIIZ _ I[YlrJr.s -I I•hy a, rrr1,. 'S h t r...[ °to ,r } s -.. i 1
<br /> r , r
<br /> >, sr I &'°�i'r.:�:'. :J r nF q h'. i , -J /'( W♦ [yy,,tpr
<br /> s'ltt' ,t,i. y F yr,+. 11 y4 '9 r'�Zr,a•a:;1ii .. ' �r
<br /> I +e'FII'[dl!!ns action b r r ,r.'; a� -r „ •+ +1 !..- ;; 5
<br /> € _
<br /> !} 14� ,: (I i�l�';b•,€ , . ?� (!r }' �3 w)I�ri SAN'JOAQUIN�1'LOCAt�'HEAL H iSTRIC#
<br /> 1+'!1? - x,`�t,kN-. , �j,� I nlr-.,.s r x'j , -i al •t. 1 E 'i
<br /> ',53 Ifl I € y r �1, I y '} _ c• s 'y I e
<br /> 1' ltil 2:.
<br /> E. H. 9.1�'I.E" `68RBV FJrM i 1 1 7'tr
<br /> 1r..4.ws n h*rk+MrYn fMA N'alt ,�1� €xr! :�e'S 1 'Ni''< r{ `ill+� FiiLl'i r4'W. ,M4tVF.Ii'f,'aitf �w, ,I _ Elm
<br /> 1 - ? ctx�'�.133tjhcr?Carotr?,rN�rl .� .,1, ? i't's"'F4'{�7i
<br /> >t c,
<br /> I.1 A'u I 4Y}e '6[".yr9tl i,I•.�ffy'
<br /> ���g4My,. � '•Fr..'�r� �ry -:ral�� ..'rj' f111. P��'•!!�,l. t �!� "41'� i- 'n r i _ 9r.Plr �4 �iAy ip�,..y�� r.�r{, '�w�Ri}
<br /> „err ; : x t g I If S , 1 �' F rj 441v '' r' fq ;X 7 2 Ty ti•
<br /> J'. '3;�r'n`ys; R� gr• gr,i•5-`,`lj�l:il - ri"�'Ji11Jk. y ! {" W -I?4 F ,r ,€''^ I ',�I., 5 1,� 3! ri{ �i.: I .f I:.;'S ti, ��..11',.i� i?�r r-'r'r ^ - r 'rj'
<br /> � liy5 I;ka�!: : t4 r t 4, wr r4'} 5' 3� Y h"`Jill �k,. $� f s w s ,}•r9i y,t ap T,.h��, a-y;Fl �
<br /> r�`' s-�i } ii:� J� r ! - � -4`, .��.� , 'l : 1 �i!ry�j,•Sl,•!?;� ,'ds sr.�� r'.,n(!-,.
<br /> � < k I!t 'l�rin .• :t k p�g3+t�.r� -[,f+sr r�- �1rr
<br /> r��;�� ��i�r�i^,�,7:,;7�a.r t Fr�lli`li,t"�! 4� ,,,.1•'-=�•ti3.r,tirr r,.i .!,� _ _ t:'!4.
<br /> I
<br />
|