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APPLICATION FOR UOUIO WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, STOCKTON, CA 95202 <br /> (209)468-3420 <br /> PON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> ION N ICAfOY MARE TO THE BAH bAO1RN COUHIy EOq w WBRIPIIb V TE*Rat.1 <br /> N C0IRITY OF17gOH1Bp m1{CHwPTER 8-1110.3 Alp 111E i0 CONBFRUCT A OM TINA M AMN IS <br /> MADE <br /> O IN COMp(IANCE MIfTN BAN <br /> ' ANOAIpa OF 9AN A BERNCEe <br /> ODgE68AN1 APH 2PUSM <br /> ,�y pp����Envl��bN��MExrAt nExrN Ulvlean <br /> ITS NAMELl1L(_1 <br /> AOOREas ` LOT.w <br /> ONTRACTOR Ut �_xTJ fL� ANIl4_?� •v-1.VCC_I'� <br /> AOdE4S <br /> 1F lEPi1C WORD NkW MtiA{(AipN 11Cl Pi1DHP <br /> REPM/AOMM' <br /> :PfIC BYSIEM PEgMTTEO F PVBIJC SEWER I6 AVARAREE WRIM 30D F£Ef OF BONDypJ OFATRUCTIOM❑ <br /> P TE8TH11 1 NOW DIMLY <br /> UATNIM WNL tEIME RESR)ENCE� COMMEgpAL p OTHER❑ T' APPB�Io:I B -- <br /> MOF IWMO IRIiI:�� NiTMF/t OF BFDNpOMB: .,,*M •m*/y�y}�}�� <br /> ' ITI OF SON.TO A OFDFH OF 3 FEET: N11MlFF1 OF OMPLOYFPI: elFll'E Jv�Q V ll�LE)il{'F E y <br /> TANKIOIEAFE TRA. p PR/6IILv BOIL CHAP111M yy� p, T M Will <br /> F? ..�L :: • 16N <br /> 11ATMFIIT PIAN,11 MITANCE TO CAPACITY <br /> REAREOT: WF11sAN <br /> :. 'h <br /> OFF 1TATION❑ f U, TYPE OF PUMP FOUMIi I _-. PROPERTY LIME <br /> Iq UNE 6'AIp OL SEPARAT ENGLOBED <br /> ❑ ND.1(EHOTH OF UNE6 au aYaIO'PI <br /> BFO ❑WpTll IDIOTR DISTANCE TO NEAREaF-WELL FOIMOATbN <br /> F❑�WIOTN LENGTH MN DISTANCE TO FIE ,,,WELL FO�A�N PFIIME <br /> Ems /".pEpFFly� �BEG: /I LSI DISTANCE TO NEM ":V F �AT� FIE <br /> ❑WR)TM IA9IBER ONFTANCE TO NF U,,mT:WELL PROPERLY LMc - <br /> F0UN0ATMM / <br /> LLL POMOI ❑Wp1N LENOTI O�fH DIeTANCE TO NEAIEBF:WELL E01R10A3FOn <br /> OEPIH DISTANCE TONWIEB,;WELL PPIDPERTY NvaNE <br /> FOUNDATION PIIOPE/RyEINE . <br /> CERTFy THAT 1IMVE PREPAIVO TN19 APPLICATION ALIO TN11T TME WpgE WBE RE DINE M <br /> _ O BOWLED a1FAly FpT COFR(TY.MMEOWWROVIUCEPISMAGE ,BIFiNA EWFEN MN AAOINN COFMTY OFOHAIICFD LVA"An IAWB.NO <br /> MIgWCIBIO BIMIAIVPE EOROY ANY PEIbON M NpI A MAflWit AO TO sec„,E CEPgREOT{EFOUOWOIIt ICERTFFYTHATMTNE W/OClis <br /> MANSfYl PENBATgN1AM�T OIF sCµOq CER,IFY TNATM111E PEI1FOq•EAHC D Ey W'F� M,NMP�I{JANFO nom_ PEIMMre SISI <br /> SUaUIr TO <br /> AMINAMI MUST CALL N M ,,U, <br /> FEOUMm RIlPUC1IOMl, COMPIEIE MWWMO <br /> PLOT FEµ GATE: l <br /> IORAW TO aF%AlD BCAIE -, <br /> 8 OF 1ROEFl OR IIOADs NENgRT TO MOOUNMNO TILE PFFOPFRTY, 'Iu <br /> NE OF THE PROPEIRY,WITH DIMFNSMHIB ANp MITTH ORVCTION. 4. LOCAT10I1 OF HOUSE OEW <br /> _MONEO.OFR114B ANO LOCATMM OF ALL M",M E AICIgF1 OF SEWAGE �aTEM Oq PlpgaED <br /> LWNO COVBIFp AM”"a"H N PATIOS.DIWWWA".AND WAFXI£O aFpIFCT11REa, i. LOCATION OF WElL MBPOBAt OyOTENeWFIMIF <br /> . __.. ._.. ..-..•.....-_...- TIE ROPEgTY OR ADJOOOFAI IRINOREORFTYFT.ON <br /> __� -_....._...._... �Y ONE <br /> z <br /> --e <br /> ....¢._L <br /> -- - _ <br /> 0... <br /> I . <br /> . 9 <br /> o. <br />