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•� a SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O.BOX 988,304 EAST WEBER-AVENUE,STOCKTON,CA SLMI.988 120314911-3420 NDR.R M110ARLE PERMIT EXPIRES_I TEAR FROM DATE ISSUED M=plete IN TrIFUNt.) APPLICATION W REPERY MADE TO THE SAN JOAM/N COUNTY FOR A PFTCOT TO CONSTWICT AMO/DR NSTALL THE WORM OEFSJ®.TR29 APPLICATION M e1/!O[N COFAPLIAt=MTV..SAN JOAOOLN COURT'OSYELOPMan TILE,CHAPTER&1110.1 ANO THS STIIPDARmO OF BAN JDAOV W coV M HEALTH 62 CCH,ENVOb10 NTAL MAL.TH OIVIIDON. JOS AOIDtE68AR.4PN! ) C CRY S k""e •—� LOT Owl`•�Fuy� OV.TtO1'HNAhM It" � O�I�j//N.:`•Q AD"" CONTRACTOR_ P DREee Llp PIIOFIP�_ Lea CONTRACTOR ADDREee U(J PRLOW: TYPE OF SEPTI:Vmm NEW UOTAILATION❑ ReFAmAJ mmm❑ ODiTRICTCH❑ NO DTII: PENRTTUO D PURL:RDNFA M AVAHARSF WT 200 FEET OF RL"N0.1 FOLD TFaTFFI 1 11IOW MALFr APPEmSw, STSTAUATION YL'RL SDHs: emem ❑ COLLME:n 1 ❑ OTDA❑ IFIllB61 OF UVMO UNITS: RRe q: DP 9FOomNIB: ARXIME t OF BAPLOYBU: CE1ARACTER OF EOE.TO A DFYTH OF 3 FEEL MIUL AP BOIL CHAMCTUtB �! WATER TABLE OEPT�_ Q E>PTm TANM/ORASS R TRAP ❑TYmum cAPACY 120c)OO g./ NO.CMI ARTMWT'd__ Z f\7./✓,l`I PRO TaATAIRM RANT❑ DISTANCE TO NXAA aT: WELL FOUNUATION PROPFRTY UNE. UFT STARON❑ ame TYPE OF R^^MtENP I I c BAFD OIL SFPARAMR Oam RYSTEW URAOHNO LIME IR BID.•IFNRTH OP IINFS_A Y LiA WUTANCE TD N[AREeT:WEIl FaDfmATbl� PImlFRIV IDR FaTm RED ❑wDTFI LENUTH DEPT!! MUTANCE To NEAFCRT,WELL roUNDATrrn PROPERTY WR ALOU1LOm ❑WOTH URNOTH OfPfN D:-ANCE TO WARM:WELL - 10U .MN PROPFTf LDR 6L0'A0E FR6 SI OEPTTI�3 SUE��NOMGEry�ODFANCE TO NPAIE8T1 WE1L PoUKJATION RmPEFTY L01E ells[Pl ❑Wmni LENOTH__owm OISTAlSE TO N➢AREGT,YY PoUlIDATION PROPERTY LINE OtSPO4 Fe— ❑WOTI LENATH _O2PTN O ANCE TO NEAREST,WF11,_FOUNDATION PROPERTY LOM I l VWff C4RTNY THAT I HAVE MPAE.D TM AMICATWN AND THAT THY Y,T)R7C WILL RE DON!N ACCORDANCE WTTH GAN.;OAOUM COUNTY ORDINANCES AIDSTATR LAW@,AND RAPE ANDINSULATIONS OF TROAN JWL/W WCOUNTY.HOME OWNFAOR LICENSED AOENT•B WONATULE COrtF OTR Fotto"10F•I CERTUYTAT M TE FERFORMANCE OPTHEWORKWRWMCH jVVV< TIM PEM/T i916&1Po.I SHAD.NOT EMPLOY ANY FERGON N GUCH A M.WNFA AS TO BECOME SUBJECT TO WORKNAWS OFi3O'FNSATEON LAWS OP CAUFDRU 'CONFPACTOR-e XMNO OR HUDCAJNrRACTINO We NATAL!ClNTV®THE POLLDWHA:'I CE ITOY T %T N TR PEI60FPAANCF OP T9!WORK FOR Y,=t ,m FRIMT M m .I BfIALL E?dLDY PE9BONG SLMMM TO CO WO/IL/AART C'OMRH TTON U PCAD�mc&- �APPUCANT M IIOURe IN AOYANOB FOR ALL iBO'JMW NSPU7710 M.COWPL TE ORAWNO MOW. CLJ GrOIQD A T11L• . 171 DATE / PLOT RAN DRAW TO GCALLI SCALE T.NA1�S OP 6FT6k 9 OR ROADS NLVKST TO OR MUNDM THE PROPERFY. mC LOCATION OF HOU GEWME OrG O BYGFEIr OR RWPOSED 2 OUTEING OP TM PROPFRTY,V.'1TH WAENRON9 AND NORTH DODLTRJN. IXPANS O OF @WARE EXUPOBAL BYRTEYS. O.OfMVN&DNEO OUFFILO ES AND LOCAT W N OP ALL DOGTIMV MID RmPOem ST UCTU R, S.LOCATION OF WELL.G VMUN PAO=OP ONE HUNORF D iFF fY FT.ON IJCLUDNO COVEFOD AFUF.AS SUCH AS PATIOS,OMVEWAYB.AND WAU(B. THE FMFEIRY OR AOJDO@D PROPERTY. I - - - 1 ......:......`_... .. ..}......._... .:... -.............I.,...e...- .� Z_'A..>p K_i'-....q...:..�.«...1 ....-�.._:._...q....-�.._.:.. -_... T ,I ............�......'....-i--"3-........ ' I - - : t �' Yf � i �1 i I ; •`...bv.....i!.....Tv..........?!t............<ti............:!-..........1i... : •.•.•..3t .-_.i.._..r_.......-:- ...._p...•_. ...._....r_..... .- ,... E ..... y .... ....i_....��_p......,.._... : > y! ' I i ! : ' ...._..._e...._i.._....._........ .._�.._ - : r t ( c .................. ......... ........... _.......... .................. 14 jG UI11i _.. ERVIOM e$TWHO'hi i,'' L FiE........... LIC R4 H DIV1Sl4e OEPART4®IT Lae GTar APPLICATION ACCEPTED 61' •� OATS: `e A�' fcJ TAMC RT OR BUMP NRPECTraH MY SATE ! / FNAL O,M EL MYN BY D ADOMOMAL COMMITS: JIOCOIDYTRTO O'aLYt ADT FAL/ MOODS FTP DDO AMOYNT RMUITTD C 2AM RECETVEOSY DATE SR I Pan"RLROBL RNVOICEI Pab.Heats Bary.-Em iro.174(3188)