|
ti: x 4" i `APPLICATION FOR LIQUID WASTE tf T
<br /> SAIF JOAQUIN COUNTY PUBLIC WEALTH
<br /> t= k� ENVIRONMEMW HEALTH DIVISItIN' t•%, Ik
<br /> s d
<br /> P,O "0811,445 N.SAN.filA0U111IT.3TQCKTON.FADb2a�-o311t
<br /> RaS)4tt- 20 v# Last' L fCrj
<br /> J d� 1 IC+eM�r srrSrW d L
<br /> application
<br /> c - ii resit to cantruct ardor ins
<br /> the work described. This ss4
<br /> '
<br /> Application !■ Mreby atadf to the fan Joaquin Lo�nty for a Pe in County Pubtic Nastth
<br /> la nrA in caaplianca with San Joaquin County Devetopeent Title, chapter 9.1110.3 and ths�St Iandarda of San Joe4+ i
<br /> s,-'. � •"t� '1 -Services, Emrlrcrowntel Health Divislan
<br /> City tot Sixs �
<br /> Job Addreaa/or APNM ; /5 v t
<br /> ]
<br /> 5 `` I. 'tner"a Nor I Address W , //fJJ`��g7 Z&— •S/O� .
<br /> fit " _ 4 r
<br /> t ?uAddress !
<br /> Contract ?� - µ Lie#_Pha+s g
<br /> �� - }' p6ier6':%�* 1♦F r.- Sub Contractorr
<br /> ■Ely INSTAILAT)011(1 NEPA Dillan o[STIWCTiD■1 1 fENC TESTW 1] New
<br /> d r z.TYPE of SEPTIC wow 1
<br /> {ib SEPTIC SYSTEM PENMI".TED 1f pWtlC fEYER 1S AVAllRt1E W1iNia 200 FEET OF WlLD1MG.) Wall Vdea#
<br /> lnotaltatlon will ■ervet Aaidrnce _ Comaerclel^xiwber gilt aeployeeet
<br /> t ¢E t ylK { Nnwf+er at I1"inw tn1tS�.` tuber of l motor labla,Depth :_r- i
<br /> '` character of soft to a depth oT 3 fee h T/Soap folt Chsraele►i,_ ,
<br /> u• 1 capacity „•,_No. Compartments` •+
<br /> 7141 c r ices SEPTIC TA�BIOSEIS!TAMP II Type/'Nfg n
<br /> +:dy 1k R r °y.. k>.« ,• .» w Fokrdatlon : - Property Llna�
<br /> ry a PKGTRATYHETI'lA1fT l ], Oisrarxe to#nsaresti Well ntor (enclosed System)
<br /> LIFT STATION(11i Send Dit s slxe— Type of PuP aW
<br /> ! Distance to lisareatt Wit Foendatior�_Property Lit»
<br /> yrs: f' r Jnr 'j1lACRIBS Li><Z` L7 Na, t'tenoth of lines' .
<br /> 6 E . ' r • wall ' "' Foundation per
<br /> - Proty Ltns
<br /> } FlIT�tE4 [1
<br /> Width Length , Depth ,;
<br /> Property Line
<br /> a �R.4t +ate. r a 'M halt / tl
<br /> ISDWIDEo i.TM C] Width /Length I . rr Depth i r af[+�► °il.��..
<br /> �, fixe�[�Nunber� : " tS0F41eIt -Fokaudatiat1��Property Lith } .3
<br /> aR u :�y�fn�ff@AOiOTS Oepth H yr r Lire
<br /> hT
<br /> j g•n » 1 ■ wall Fo rdatlon ops tY
<br /> ?�S�., `' Wldth Length Depth
<br /> k e' 4 t p tyPi" ;s ,11 it o-
<br /> [_■ W1l �Y da+dstfoi�_Pr L1rr ,
<br /> t1Spil"t poAbS i 91 Width Earp Th Depth ., ._ .
<br /> ,I herald errtlfy,that 1 hew prepared thI1 application and that the work rill ba dons In aeeordsnca with San Joaquin Canty t)rdlnmucanq
<br /> a
<br /> Y� Haft ownrrr or licensed sgsnt'a aIW% lure certlfies.the fellow]
<br /> and State Lew&, end 1tuiM and aaguiat taro of the fan Joaquin County.'. rean in such a ttersnr as yl
<br /> -.'
<br /> 74- ,>, . "1'tartify that In the performance of the work for +filch this permit Is Is&ued, 1 shall=no[ Smplvy any ps 4
<br /> FF°oto bteaam subject-:to wortJrrn'r compelts+tion lows of Cetlforr,ir.� Lontrsctor's hiring or ash e*Wto t er signature, certifies wo t the
<br /> + mats subject to morkmr+'a
<br /> followlrug�'"i.cartify that in the perforewuc&of thr tort for Which this permit la issued, I shall aapioy pe T
<br /> G + aaompansatl0n 91
<br /> lswt of Crllfornis.a, '+
<br /> ' q 2l Ip of r�rdre/le�esdese '. eoe¢leta kirwlry Itelaw.
<br /> c
<br /> i.
<br /> Dis
<br /> ti
<br /> PLOT.PLAN,(Drew to Scake) Scale to a rr,, r,: r ism
<br /> t°°+ ia��Kl,y•", , ;' '', f 4. rLocatlan of h"& aew9a dlspossl.,srite�or,
<br /> � n 1 s Navas of,attests of roads"nearest-to;or toured the property ad• {oi of sewage dlspoul systrrs
<br /> r I f 2 •,Owtliiw,af,tha property, with dlaatulons mid North direction. jLoc oa x t& 3
<br /> S. +location of wile within radltat of 130 ft. an
<br /> i c 3 nofama}aped out(inea std location of,sit existing and Proposed ,the proparty or adjoining property"�f" eY`..4� `
<br /> ��•; rp•attsictwraa, Ineltxfltlg covarad area& tush as polios, driveways, . rk'. ffu 4rF
<br /> Z
<br /> 40
<br /> El E
<br /> +r-(i T n�- -�w � •4f' Inas k�'S -4 �.
<br /> '� '�':'�5� Y �:t,..• I i' ll,eY} •.E.jry, moi. .fir r'1
<br /> 'z ry-y R= SA �O til C est $nf
<br /> y•'� , �1er 2 � ygfi ,�. � 1.� r
<br /> v
<br /> �• '`�1 'fii'33�a `" - - .,A ", :''r ,i 1' a+•_ .h-+.. ..�i.'x :r7c.- .- k
<br /> w' - N;t��'. �}�ed(liS� �;�'fi ;' ;y:.••• k:.. -N>.k •., ,. j
<br /> y "'4',V - � / a• •b d>ti". «k�N 'Y vr;f. is i.. .'C[+•f dY.
<br /> 7 •J'. y a '.at i'f1N WFFr' ."•1f. •�'-ry1 'qu„ ::^u e1k'� A
<br /> t
<br /> -fan De/AaTM&T Use otllY
<br /> SKr `�N �' Detei O Arnt�" Z�,Z`
<br /> t '� ,� t ��r �k e.11ppl Italian Accepted by } . r•
<br /> 3-:
<br /> 0"I or fop Irep+ctlon by Dattel Irrpeetion yy' a `PAdl Cakasmtts� ��dr��' to
<br /> r'� � -i i��� «��'4� :-trs a�a.+,.ra•:-, � �r ,°, t C>P r" �,:+s d'iF4n. k ,-�
<br /> '� :se eiurTira Oiler;,
<br /> 'fAL1
<br /> �'' lido'- 'ASIDUKT#SSTTEa_ SII iLC19YEQ BY 4 DiTE .iv'.: �ti 1 Pt�M s a: <.
<br /> 3 PE CDLE. Ft! - ;�olLf l �
<br /> .,,,.
<br /> k
<br /> t ^
<br /> ' 4.^
<br /> 3
<br /> ];.Y * +'�A'ff r� � ''�y5,r�,.+ tiY �^y., �, •* ... �H �:� a psi '�^�+r id -1,lY.l Y. w w-.cx '� r
<br /> to w,. ,!�r:=..-'. ,,,s l'6-,;,�r�N...;-k.ti.�rq,,,.,�'' =-.h
<br />
|