Laserfiche WebLink
APPLICATION FOR LIQUID WASTE PERMIT , <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> Off ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)4683420 <br /> RDMREFVXDARLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> fly ICFInIIFM M TIEpr.w) <br /> AIRICATIOM Ie N(RFfV MAGE TO TXE ARM JOAWIN COVNTr FOR A FENAR TO CONRR T.MO R MSTALL THEM M M6CWRE0.THIN APRICATION If MADE IN COMRUANCE'MTX MN <br /> MAWM COUMV MVEIORAfM THIT CHAPTER 8-1110.8 NN THE STANDARDS OF SAN AAOIMI COUNTY MOM NEMTH N'S..EN OETEFMfMK HEALTH DINNMN. <br /> JMADaN.eMn '116 -10 N Q 2L1 1 f Sfi cm �c�../,.n LOT ME <br /> 30 14� <br /> _ owN.Ms xun. LjF-415 MpNBe <br /> RIOM T6 <br /> CONTMCTOn Gr AO RESSN pri &)K ton) S,ON,2- <br /> MEOD. 111Acr. ADDRESS Llcr FHDUE <br /> TYR M F[FTIe NEW IXFf..❑ I EPMR/ANDOUN ILII DnTnMTIOn❑ <br /> ONO WPM SHOT MIIMIRED N MOM ORNER IS AVARANLE WNXa 200 FEET OF MILDING.I READ TOSTIH(I NOM'MARY <br /> �.y/ AFHlwtee' <br /> IN[TAMATpX IN F. REEAE.1 CI EOMMEEEUT❑ OTHER ElM <br /> NI [a OF MNN OMTt: i INSUEROFSEOROOMN:�....M EMFLOYFFI � <br /> OffCMNUCTFn OF tOAMPTX OFOFEET: -N4 NT/VM¢ P60R CMAMCRR: c.G1,J WATFR TAME DEPTH <br /> F9RC TAN I.. ❑TYPFMw CMAC fTr NO.COMPMTMEMS <br /> AND lI1FATMENTANT❑ pFTANC[TO AMAST: -I FOUNDATION FOOS[RTr UNE <br /> UFf RETAIN• DSyRENOTYPE OF POMP NANO OR SEFMATOn IFNCLO$O NYSTEMI ( 1 <br /> MARCMNO USE .N I£NOTN OF UNES_ 1- 4L1 .. <br /> • OUT .TO NFAPE sT:WIIL iAI FOUNDATION FSHSFErUNE j <br /> _ <br /> NLTa t[D OLNOTN IENOTN DEPIMpSTMFE TO NEAREST:VAL FOIINUATION�RIORERTY IIM <br /> MOUNDED 0 IENGTM DEETM DISTANCE TO NFMEST:WELL FOUEEATION_FMPEIRV UNE <br /> ..A..SETS 13 DART. SEE NUMNES pSTANCE TO NEMOTE:WELL <br /> FLMn � , �r <br /> � 0I �ROPEFF"UHNEE <br /> P.,,D IWRGwunAR1D1EnY� E <br /> 30 <br /> s OUNNTAL FOND. QWIDTII UENTI METH DREAMS TO NEIJFST:WELL_wIMOATRNJ REESPERY MEE <br /> 1 HERESY CERFIFY 1 4AT 1 HAVE SYPA E.THIN ARRUCATSIN AND THAT THE FROM NMl AS DONE In ACCOMANCE WRN SAM ANTERN COUNTY OFERNANCES AND STATE...ANO MRF9 <br /> AND PEOURAMN11 IF THE SMI MAWIN EOUMY.HOME DINNER DAMENSE0 SAUDI SONATURE EMOTES THE wLIDWM0:9 ISIDNE TMAT M THE FRANDSAMICE OF THEVA1N MSW H <br /> THIS R,AME M RE&M.1 SIALL MET DEPUTY ANY RNpN M SIGN A MANNER AS TO BECOME SRJEOT TO ESIMMAN't CO ERENFATpX.M CALF(SI IA.- COMMCTOR'f.1.-- <br /> EUS{OWPACTEmb FORUNTURE CERTISEN THE wLLOAUN :'I CEATEY THAT In THE FEINOSAANCE OF THE MW FOR WHFN TMO PERMIT If ISSUED.I SHAH,NUMOY PERSONS SUIMCT TO <br /> _ MARMAN'S COME HiSATION UWB OF CAUMRNIA' THE ANIMATE MUST CALL EA MW IN ADVANCE fO11 ALL SEEME/DD INSFECTMNS. COMPLETE DRAWING Yl <br /> ...ED x TITLE: 4 E 00�I S(i f(!� OAT.: ✓- <br /> PLOT PIAN DRAW TO BCAILI WALE_'I, <br /> 1. S <br /> NAMES OF HT S OR FOODS NEAREST TO OR SOUNpHO THE FOJFERTV. S.LOCATpn OF HOUSE BE 1...4 SYSTEM OR...ED <br /> / <br /> OVTUNCOFTHC FELT'.WITNDIMENSMMOAMNOMHUMCTpN. F.TPAMSON OF SEWAGE ORMHOL BTHRMN 4 <br /> 1. DEANONSED..1 FII AND IDCATION OF ALL SANTINO AND PROPOSED THEMIVPEB. S LOCATION OF NEUS WRHIN RADIUS OF ONE HUNDRED FIETY FT.ON <br /> INCLUDINO C0SM.O AREAS NN AB PATIO..aDVEWAYB.AND WAIXB. THE R10FERTY 09 ADJOINING MJFERTY, <br /> JAN 2 81998 <br /> IP✓ry(,UH Ty <br /> 111ILLCFH SLRVICE, <br /> NAL{AI.HEALTH OryIS )N <br /> G <br /> J, <br /> I <br /> � <br /> wF <br /> FOR DEFRO MENT USE ONLY <br /> AFnrc,AnoN Accw Br <br /> C :AT,.. AREA: <br /> 'ANT.FD OR.0, FE.".N SV DATE NM ; UH IN SY <br /> A..H.N.LL COMMI ITS:� <br /> ACCOUXTIXO OXYz AID' <br /> FE CODE RMFO I MAOVNTROAITER EINC AI RECDVFO FY DATE SE,11 TNLM.B1 INVOICE• <br /> Pub.HBaAh S.M.-Enviro.174(WEE) <br /> 1 <br />