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APPLICATION FOR LI4010 WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL 304 FASTEBER AVENUE,HEALTH CKTON CA 85202 f <br /> (209)468-3420 <br /> MCWHIEFUNDABLE PERM9 EXPIRES 1 YEAR F!Q0 DATE ISSUER <br /> R1GE*IItG In TdiponMl <br /> APPIJCATION IR IIETIESY MADE TO THE GAN JOAMM COUNIV FOR A PER UT 10 CONSTRICT ANDfOR MWALL FHE WONT DESCRISEO_THIS APPUCATIO"b(MADE Rd COMPUAMCE VATN SAM <br /> JDAOLRTI CCUMy PPAU ASPIT TMA,CHAPFM 41110.3 AND THE OTAIEJAIIDN OF GAN JOAOVIN COUNTY MUC HM714 SERVICES,6 NIRCfl1U MTAL NFALTH D1MSI0/1. <br /> JOE ADDERGJOR AP/F� 7 ] 'i!{' /�?_ :�-� � ]�� Cm /A 4 LOT GALE <br /> OVRITA-S NAME 1 "'1141 11"i L.'. ADDRESS1�s �•''-e,.• HF <br /> a \•ry RID _ <br /> AC <br /> CONTRTOR A,Z i"1''LL[�~3•� ADDAE9E 'i UCE fz'j�'�FNOI•IE+ 3f��'j <br /> RM coNTRAcroA ADOMO _LRCS RIME <br /> I'M Of SEPMO WDRA•: him IM/TALIAT"N❑ R9AWAOpMON Ofi71OlCTAN 13 <br /> i pyp eEPfIC SYEEEiA pEgINTtEp E FJIIIC fEWEA I V AVARASlL"-M�TMIN 7DO FEEF bi 11LED1tgJ E HRO TEiTtiI l R IVJIIF IAANY <br /> JIFPE�RSPR I <br /> MatAllAnOY Wlu ERNE: tEabENc4� coMtAOICIJa.❑ CnIER Q <br /> NLMNTR OF UMMo Uwe, MAUM OF EERROOMS:` N.am 00 NMPOT[ES: <br /> a CIIAJIACTM OF SOIL TO A DEPTH OF S FEET:_ Png of FTTMUUO•SOIL CHARACTER: �T TAKE TAE DEPTM-_ <br /> SFIIMI TANKMRM SE TQM► ❑TVPEILIFG CMAC4TY�.f sC/1'rl — MOS.COIMMNT <br /> RAEO 1—p2— <br /> Wo TREATMENT PLANT 13 MRTAIICE TO NEAREST: WELLFOUNDATION FIIOPERTY LINE <br /> RIFT STATNIR❑ GRE TYPE cm"imp smo-OR R[PAMTOR ENCLOSED NYSTELV <br /> LEMMM DNF N0.i FMI6TH a L6VEF�- /'TJ"a•�i�Y DTSTMICE TO MFARWl YPELL".5 a AFWAO.ETION �FROFFRTY 11NE rJ'"� r� <br /> FILIM NED 9 WTOTH LENOTFI DEPTH OIETANCE TO NEAREST:VMDL FCU160ATION PtAWU TY LM <br /> Moulton Q Vmml 1LIIOTN OEFTH ONRANCE TO NEAl1ER: PoUIaAI'IOM PISPrERrY LOIF <br /> $MUM ATG //L�OEPIH�^/RE —'^N141IDER DISTANCE TO NEA EIrn NOUNPATION PROPpDY LNIf V I <br /> ruallS in VMTM�`UMOTFI pEpT♦1 �DISTAME TO NEAREST:WELL 106 Fq UhOATp11 HOWDY{M1_ _ _ �^ <br /> OISR9G.IR PONOS 17 YRorN LEAISTN bEvrJl TAETAmm TO NEAREST:WELL FOUFELATRNI RIorERTY LW <br /> — <br /> I HERESY CT -THAT I NAVE rPEPARID-.AFP ICATFON AND THAT THE WORC WILL SE DONE 01 ACCORDANCE wRN LAN JOAO[IW CDVWY ORDINAM"AND RATE LAWk AND"MIS <br /> ANDtIEUU"TNM60PTHFtMNJOACUMCOUNrY•HOMFORSIEROP%UCUMDAMW'SMONATUF4iCGM MSTHIPLOLlOIiISIO:•ICEIOWYTHATINtMPMOIEEANCEOFTHEWORLOORWMCH <br /> TISG PE RRNT IN ISSUED.I SiA1L NOT EMPLOY ANY POISON M NUCH A NAMNEM AN TO SECOME EUBJWT TG VATISMAWS COMFORMrl=LA%V CP CALN%NVAL•COM1MCF0WR I/rNT OH <br /> MAN-COIMRAC!"NO MM MATURE CERT7M11 THE FCUOWTNO:'1 CERTIFY THAT N THE PIPIM MANCE OP THE WORK FOR IMECHTHIS PONAIT R PNM%1 SAAR.EMPLOY PERSONS S BJEU TO <br /> IA%IMVAAN'G COMPEM"T1�dl{LLWd*OF C^UFO1SIM••TTM AFMICANT MUST CALL 24 HOURR 91 ADVANCE FOR ALL RAMMED 1101ROMON6.COURM DRAYEND 111LOW. ` ' <br /> MaMb%_ !�- //� �rG 'Cry __ _IFrLE:_ DATE: ' `/'�/ '`L—. <br /> ADT RAN 10AAW TO SCMEJ <br /> t.NALEDL OF STIRtre OR PGADN NEREGr To OR Eo{MbM TILE FMOFBRY. 4.LoCATNRN cF HOUSE GEWAOE DISPOSAL EYStEM DM FRoPDAW <br /> s.oUTLJNE IE OF TrROFERTY,WTTN GIMETIMbNG AND NOEITH IMI.ME, <br /> D:AEC7ION. LXPANNON OF KWAOE OOOM NYEI <br /> 3.DSIEAVOITEO OUTLINES AM]LOCATION OF ALL EMOTING AM FRO MAEO STISJCrLStEE, E.LOCATION cF YVEUA PRnNN RAD115 OF DME NUIMMU PETY FT.ON <br /> MCUIIOMO GO%Vft AREAR RUCH AS PATIOS,bpVEWAV6,AND WAMS, THE FIaRIRIYO![APMIMNDIigFWRY. <br /> I <br /> .. ... lig'. <br /> F <br /> 1P?I 4�" <br /> :.. <br /> a.. <br /> c�1(...... ; :...... EN ......... . .. . <br /> MUM. <br /> .. Ek�N�G aEDItN g c Llw <br /> +r— <br /> . <br /> FOR DTPARMINT tRE ONLY Tyr <br /> ArAMONACCLPTEDEY DATE: J WAWA <br /> TARN,PIT OR MAW IIIE MO SY DATE J ! FINAL SWDCFPDN IIT DATE_ 1 ! <br /> AOOTJtlF1AL COMIJIM <br /> AOcoDllydm ONLY: AID/ FACA <br /> 111 K CaOE FEE D" M"LWT N MMM ED IITD JCASH pacwhr 2 ST DATE SII l PEIDAR HINABOR whrom <br /> Pl1b.HGEIIN Sew.•EIw o,174 131967 <br />