SU0012637 - Laserfiche WebLink

Home Browse Search

APPLICATION FOR LIOUIO WASTE PERMIT SAN'JOAOUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O.BOX 388,304 EASY WE13ER AVENUE,STOCKTON,CA gM01-388 (201) 461.3410 eeM REFU110�e1E PERRIT[XPIPEI 1 YEAH f110N GATE plUEO Mm"w In TTye utl APPLICATION It EVAPSY MADE TO THE SAN JOA UIN CoVNTY NOR A PERMIT TO CONSTRUCT ANDPOR NSTALL THE WORK DESCRIBED. TIM APPLICATION 19 MADE M COPARIAICE%ATN SAN "AOUITN COUNTY DEVELOPMENT TITLE.CHAPTEA•-11 10.3 ANO THE AANoAnDDs OF SAN JOAOIN COUNTY PV/UCrHEE-A71LTH CERN%KIEL$.ENVSgNSEENTAL HEALTH OMP". VO JOS ADOIESSAOR ARIA c-?()-Q(-' I FJ-15-7 1-- • �rlArr- F' `�`�0� � +�j tDr uxE p OVMM-9 NAME /�, C. bbl-CA AComom Z.g-4y Pu rc r'( l -Et/e CONTRACTOR - �G FA4Sn^1() ADOFIX 16 60A /78/SuTTt�iF i�1�" o b7-a5W-k o� 3az�6 tIN coN7TRAC7OR A0011E118 ucE TYPE OF SWITTC WOR: NSW IINSTALATION❑ ION1VA000T1R„I ❑ DUrRLFCTION❑ NO 4F M SYSTEM PERMITTED F KM;JC SEWER IS AVARAWIF WTTION 100 FEET OP WRDNG.1 IML TOTN)L 1 NOW, NUtFSRrSER f F'' I 1 IMSTAULATHON WILL sUrVL RESIDENCE T��PL� COMAERCIAL❑ OTNEA❑ rte.GMw>i�E womm or LIVING LISTS:---L—MLBABM OF IRNIOow: WARM OP ENPLovows: 11117 4 4J T CHMACTFR OF SON TO A DEPTH OF 3 FEET:_ WISIMF SOIL CHAFACTEII WATER TABLE D®THN *11"K TANSNREASS TRAP 11RMPD TYCAPACITY NO.CGIFiARTAENTI RO TIfATMQR PLANT❑ DISTANCE TO MGIIYT; WELL FOUNDATION RLOPEITTY LM P!1R C:Ep.LN SI:R':IC4S UFT STATION❑ NIM TYPE of RUMP SAND OIL SEPARATOR ENCLOWD SYSTEMS 'jr,;TH LNACNNS UNE ❑ NO.S LENGTH OF UNES_ DISTANCE TO NE/JFST:VM I FOUNDATION F ROMM UNE FNLTM no ❑VISDTH LENGTH_,_DE7rH DISTANCE TO YALE__:VM U _FOUNDATION N%DFfRrY UTNE MOUNDm ❑VAOTH LENGTH__OWN DISTANCE TO MEANER:YOM ,—FOUNDATION FIOPER"UNE S1EFAM FITS 13 Om" 817E -NUMBER DISTANCE TO NEA/EST:WRL POUNOATION PIIOIFTITY LIE t1Mt LNylIDT WH LENGTH DfFtH DISTANCE TO NEARESTi WELL--_FMHOATION AROPHRY U1E Ma"GAL FONDS D YAWN LENGTH DEPTH DISTANCE TO NEAFEST;WELL_ FOUNDATION PIIOIERIY LME 1 HEREBY CEATFY THAT 1 HAVE IRFPAAFD THIS APPLICATION AND THAT TIRE VYORL WILL R DONE N ACCORDANCE VATH SAN JOAOLAN COUNTY ORKMANCES AND STATE LAWS,AID RULES AD FEOULAT1O NO OF THE SAN JOACKRW COUNTY.HOME PNNER OR UCENSEO AGENT'S SIGNATURE CERTIFIES THE PoLLOVANO:-I CERTWTHAT IN THE PERFORMANCE OF THE WORK FOR VVHNCH THIS PENNY 18 ISSUED.I SHALL NOT ENIPLOY ANY PERSON INSUCH A MANNVI AS TO SECOLIE SUBJECT TO VM WN ONS MANS COMPATON LAWS OF CALIFORNIA.' RR• ORNIA.' CORACTOS MRSHG OR SUS-CONTMCTING SNGNATURE CERTIFIES THE FOLLOWNO:•1 CERTFY THAT N THE FE FONAANCE OF THE WOFA FOR WHICH TMS F%T"T IS ISSUED,I MIAIL EMPLOY PERSONS SULUECT To Wo1KMAU'S Co"HtATI YN8 OF CA IA.' 7 APPLICANT MINT CAUL z4 NOESIS an ADVANCE FOR ALL RNLNLSD IMSPf noes. Co%wuTE ORAWRM amm. 01 VOWED X Tr•_I: l DATE: D U 'ob ROT RAN RAAW TO&CAM SCALE 'I• I.NAMES b STREETS OR ROADS NEAREST TO OF SOUNOIINO THE FHOPFFITY. A.LOCATION OP HDU!QWAOF DWOML SYSTEM OR PROPOSED 3.OUTLINE OF THE PROPERTY.%TTN DIMENSIONS AND NORTH OIPECTION. EXPANSION OF SEWAGE DISPOSAL SYSTEEM. 3. DIMENSIONED OUTLINES AN LOCATION OF ALL ODSTEM AND FE FOwEG STRUCTISEt, S.LOCATION OF WELLS WfrHWI FAWN OF ONE HUNDRED FIFTY FT.ON INCWOSNG COVERED AREAS SUCH ANNLfIPATIOS.DRIVEWAYS,AND WALKS. THE ROPERTY OR ADJONNS PROPERTY. •• _-.�RTI r- 11 __ - t SITE i 'I "11' El .. .: �. ........ 1 _1__ _f•--1--}_ 1 _ R �I , 1 _ 4—+�-. _L. _ - Ir .. . . ' �- . . r - . -- - OR owARTMEET INE OILY MI KPCAT"ACCEPTFO SY DATE: TAM(,RT OR SUMP INFPECT N TOSV// DA E flNAL INMECTION SY DATE_ I NF ` AOOCNAL CdAMEMI: '--n 4. AccoliNnno oMv r'CODE FEE INFO AMOVII7 REMITTED CNKk/ ASN I.C.SY DATE 1►EM/r NNYOFeE• _yV•l�C Iflol— out '� ?�1 �o oSITGO �7100 ord