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<br /> APPLICATION
<br /> SAN JOAgUIN ('*UtMY PUDLIC RZALTU URAVIC23
<br /> MV IRONMTAL ARALTA DIVISION
<br /> 448 N SAN J0AQ0ZX, ,AlI 0X2 (209)48$-3420
<br /> V 0 BOX 2009, STOCILTON, CA 93301
<br /> ` rye
<br /> (Ccmmplate in ';triplicate)
<br /> Awli",klon If hlretki ands to Eon Joaquin Ceuael ror a parotic to construct andlor Ins teli tirlx yotrx Tnia
<br /> a iaeeliae
<br /> it WAIL to 9e4140n99 +NSh $A& Ja+{+Irr CeunV 0l.dtn4Lna4 116. $bp ane 1192 APA the Dula 11 sl' Can
<br /> JOMU14 Cour+Z7 thtbltx Saaitll Qas+rtoee.
<br /> Job AdWale w.2W" LAY_s��4gn Luo YSas/Acrs,�u
<br /> Ownaes mama PCO Tin Chem C/0 Triad Pacific Managamont_ Phar+e
<br /> Claazb%rb Conet ruCtif�an hue. LICenxl No. ,�yQ_Irna"
<br /> Contnt►or.,,...,,,, ,__adrsu ._.,�$5.i...Stxnta...I,�o_-..--...-_. .
<br /> Y F - 70
<br /> WELL/PUMPt NLW W(LL M WE1.1 Rf.PLACIMFNT f1 DS U N t b qry • 1
<br /> PUMP INSTALLATION G SYSTlM REPAIR 0 OTHER n ltlmlwranrtG walk R
<br /> OtSTANGi TON AIT; SSPTIC TANK $iWGp LINES DISPOSAL FI,D. _ PAOP. LING
<br /> FOVNDATiON _�,.,.�... AGRICULTURE WELL OTHER WELL PITS/SUMPS
<br /> INTIN�USE ^TYPE�Y OF wt LL M1G8LEiM1AREA CONSTRUCTION 110101ICATIONS It
<br /> I:I Indastrlal C]Open flellsen 17 Manteca Dix. Of Well lgeavallon Dla, of Won C&104
<br /> 00"111,1459) L'1 Growl Pock i'1•TrwvTy"of Caainq..SChedu1P___4 .PYL' Spaeltiesgdne 14 J
<br /> 1'1 PubUo 11 C1haI. t'3 Doits Dooth of Grout Sul _ Tvps of Groh
<br /> 1 I ttrrpallon ..,,.,,Apple%. 0soth t I lissuvri Sw4are Saul Inslaitsd by _...r
<br /> Asp*Work Root 17 Typo ak Pu1np � 14 v. __._ .... ..._.. SIAI.Woolf bona ... ... _ .
<br /> ww"Daslry ,14n 0 Wall Diarr+otar �.,...,.� $ei11aa Naferial i nsyl.h
<br /> Depth__25.248at tiller NAtarial i 178gt;lt ,,.�._._ .... ... _...-..- W
<br /> YYFS OF S[r'TIc wonw—R7 tN{TALLATION t I n9PAUIlA001TION I I 0611TRUCTION I t valid Ill h'al+ pa`filled if pb:alia wwa►la
<br /> Insfatarkm wilf'mm,, Residansle•_ Cornrnsrctsf 700 1
<br /> Nuntbar of chins?units: Number of bedroars
<br /> Charaeler of xxll to a denth-of 3 feet: Water table daplh.,.„,...,.._.
<br /> SEPTIC TANK fa TvDalMla CMpaC11Y------ ----- No. COmWrtmenll .
<br /> Ptt0.TREATMENT PLL L1 Method of 011poeal
<br /> Distance to nearal: Won Foundation Propony Lino .....
<br /> 1.14CHIN4 LING• 0 Nd. • Lsnplh 4f lifts ._.. Total
<br /> i16119th/aias._
<br /> arotProperty Li
<br /> no
<br /> FiLTElI sin
<br /> bEtP1►4EMTS 11 Depth —.—.---�St:s .�••.—•— Number.,
<br /> vumrs Lt Distant»le'rtsarNll Wail...�........ Israundarion. Plar4WV Lina _...
<br /> DISPOSAL PONDS D
<br /> I hsretir asrtliT that 1 hew pr»pstod this eppliveiitnr{.+e!Inst Ihs wpllt will t+6 yens in seeardanes w;tH Son Jnarl+tin rn11My nrdlnanaea,slate uw2,sed
<br /> ntMr&ted raptllaliti is of the Sin Joxqulri CM111167r
<br /> HOW owner of liaMNill pant's alpnalure a„ifias the falowdtgl"I Carbiv that In the 1540112MIns4 a1 the work tot*filch this permit is 4111,10d.I Ohio not
<br /> an+1710r flint 0sr"n In euph fttmnar as tlr bas®mg ovolm io Ymmmin'a cprnpsnlsnon taws of Cailfu,nls.” Crin{rastsr's hinny 0i*ul:cwtua►:th%q ti0nit010
<br /> ssrlills6 IM!0110,; ;"140,10 !hat in 1M pirl*rreinai a/11,9 warlr ae wNlirl thio prrrnil is ipw►d.t shall**opkey parades sobjeal 10 worh11a
<br /> 1n's cornpiALA.
<br /> Ilan t1inv of Cafll a.
<br /> Th*applleant a1N ftn Ifo regal / Inn{. Cernlilnvtla dtanp an leV.r2e aide. A /J r
<br /> Y
<br /> FOR CIPARTMENT USE ON0
<br /> Appllvetion Aosiptad olto .Y......�...-..„........,.�.. eat.. l� A!i•
<br /> Pit or arout Inspeotlan by Oslo .�..�...�... Aral inspoolian by Date
<br /> A11d111Vnel Carrtn+sr{ta: .. \
<br /> Applicant • nnturn all enptne m; Ilan Jaaquih CrA14t,ir 111,4}AY 4401th Aarvtrnn
<br /> BUT 14- slt.r■uoal lliia{lt b+rms�1tt4r+{M�u
<br /> 445 n eah -1oagoi n, 1' 4 Hart 2040, btMu, GA 11e1Y1 . .�
<br /> AMOUNT OUI AMCi+a.TAtM1TTi0 Nsettvan AY OAT! F111111417'No.
<br /> F _._ 3i.._ , / /� // Irfx�a 13a�
<br /> t ru lyn rosy.iia to (� �/ yz� .� 1 �a11� �l 7 L
<br /> IM li.fi
<br /> 5Lc kaTT:: t7EEZ VT 'deg f;
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