Laserfiche WebLink
c <br /> � 1� hL'C�'A�FOR LIQUID WASTE PERMIT <br /> U NVALI�E(�►LTIJ r4JW� UIN.COUNTY PUBLIC HEALTH SERVICES <br /> "WVANMENTAL HEALTH DIVISION <br /> N.SAN JOAIIUIN STJ STOCKTON,CA 96201.033 <br /> VI+�•E �„(7�++ (209)468• O °. <br /> M*IEFUNIAlIt.E PERM EXPtle;1 YEA.1111 UATE ISSUEP <br /> ICw fists i.TnpinBN <br /> AFFUCATION PS TO THE SAN JOAQUIN COUNTY FOR A POWR TO CONSTRUCT ANJMR INSTALL THE V/00S DEOCPLSED TWE AHLICATION to WADE N COMPISMICB SASH SAN <br /> JOAOUN COLWry DEVELOPMENT TITLE,CHAPTER 8.111110.1 AND THE STANDARDS OF BAN JOAOLNN COUNTr MIBLIC HEALTH 6EIVICES,ENVIRONMENTAL HEALTH OMNOR. <br /> JOB AD0ME4+pN <br /> ~ oWNErB IN <br /> CONTRACTOR <br /> .oOFtFeB ^T��/ ���' ticl nRotr <br /> SUMS COWM04TOR J L J FDOPE <br /> II�L(`- K ABB I J L./1 / /O �.r&,0 L2_UC. PV.OIIE dl7 <br /> TM OP Sww WDRK: MSM INSTA"'nolt❑ <br /> MSAIUApO1 T10N pff OISTRIACTIOY❑ <br /> W SEPTIC SYSTEM PERPYTTED N=FVSUC QVAVR IB AVAJLASLE WTIIN 200 FEET OF SUILDNOJ PEW TYTW I I mww M"T <br /> AAMgYSeA A� <br /> IMSTAtLA71ON WSL— RESIOE.X,'E�t Py COMMERCIAL❑ OTHER CI <br /> NIIYa OF UVRRO 10474: If NUMSER OF SEDMOOMS: 13 X1N61 OF NPWTSif'�''^ <br /> CHARACTER OF BOIL TO A DEPTH OF i FEET: IV D ICT!UUIP SOIL CHARACTER y JJ V yyATFA TAIL!DEPTH_ <br /> 4t77PC TANXANtgA••TRY ❑TYPLWFO <br /> CAPACfTY NO,COMPANTAP�NT/ <br /> qP.6 T1LIS TYER ❑ OMTANOE TO 11EA.WT: 1NELL <br /> 17FORJNOATION TROPV"UNE <br /> LIST 4YATTD4,N 0 amTYPE.OF PUMP SAND OS SEPARATOR IEICLOSED SYSTEM _ <br /> ,. 1"CH NO LME ❑ NIG.1 LENGTH OP UXFs_ OISTAIICE TO NEAREST:WELLH'OUNAYION <br /> PROPERTY UNE <br /> NLTMISSD ❑WOTH LENGTH. OWN DISTANCE TO NEAREST:WE" MUIOATON P"DPEKT'Y LIRE <br /> oPOEAAO� EJ WwnH IENE A.N <br /> OEPTH OISTCE TO NEAREST:WELL N NE <br /> NURSEFOt-NOATTOW[WIERTY U <br /> fEllA�PRf <br /> 12 DEPTH SI2E p' R d <br /> �/- eTES <br /> ANCP TO NEAAT:WEyLJUNPATgN FmF4RTr URE <br /> (DEPTH <br /> I � X �rTM�J- DEPTH _bIBTANCE To NEAREBi_ l!.•FpUNMtT%F/lr�_rR10PE1TY VIE ,7/'C� <br /> .� OMIOS111 MIO4 ❑tyETTN tERDTR _OEFTN =TANCE TO NEAREST_WIU FOINEOATMIN PROPERTY USAF <br /> O L HERESY CERi'IPT THAT I HAVE P"EPAMD TMB ARtW l--AND TUT THE tMTRK WILL BEDONE N ACCOPMAACE WITH SAN JOAOUII Cowry OFAWANCEN AND STATE LAWS,AND IEA ES <br /> AMO REOUTAT'ONS OF THE SAN JOAOUN COUNTY,HOME OWNER OR LICENSED AIM,We 0UIIECERTIFIESTHEFOLLOW"G:•IConIwyTHATNTREPEEOIWMAMCEOF TI#WORKFORWASCH <br /> THIS PERMIT IS ISIUWAW PE <br /> .t SILL NOT EAMILOY ARSON IN SUCX A!n'ARNEA AS TO BECOME SUBJECT TO WORKAIW V CUMPM"TIpN LAWS OF CAL/FORNA_' CXINTRACTOWS HSWQ OR <br /> SU&COWRACTNO SIONATUE CERTIFIES THE FOLLOVJINO:'I CERTIFY THAT IN TME P CRFORIMANCE OF THE WOW FOR WMCH THIS AE1M!EB ISSUED.1 SHALL PM%XY PERSONS SUM=TO <br /> It I IWAKMAN'S CONEENSATgN LAWS OF CAUFOENIA.' THE AAALICA/R ANA i CALL]�NOIR4 IN ADVANCE FOM ALL AELYl1M NBAVCTLONS.COWLETE p1AW SFIDVN. <br /> SmINEO X_ <br /> TITLE'S _ DATE: Z <br /> PUFT RAN m11AW TO SCALE)SCALE [ �T,N1f <br /> I.NAMES OF STREETS ON ROADS NEAREST TO OR SOUNDING THE PROPFMV. 4.LOCATION OF HOUR SEWAGE DEMOBAL SYSTEM OR FERpPOS>D <br /> 2.OUTLINE OP TIE FROPFIEIY,WITH dA@YEIONE AND NORTH tAIECTgN. EXPANSION OF SEWAOE.ONPDSAt SYSTENU, V <br /> �.. 0. DIMENEONm OLRTLMEB Alb LOCATION OF ALL EXISTNO ANO FROPOR®STRUCTU0.'ES, <br /> r, I NCLUDMO COVERED AREAS SUCH AA PAT104•__YS,AND WAUXS. 6.LOCATION OF WELLS WITSN RAONS OP ONE MNDHm EMT/A.ON <br /> THE PROPERTY OR ADJO*WW PIBOPETPY. <br /> PAYME110E�`-_--_� � Z- ,r�►�+AUG :1 <br /> SIaN,}GNApG� <br /> :.14yl atME�JrgL.y�E.AT <br /> d <br /> ted �u� I�� <br /> FXSSS/,,r✓� <br /> 0".-7. ` <br /> TOR OFFARTAI@IT IJS[ONLr y�( _—`fes <br /> AFPIJCATKNE ACCEFTEO BY <br /> DATE: ,FSA <br /> T,W(,Prt OR SVMP NSJ'ECT1pN BY OAT[_µ___FNAL INSPECTION BY TC—�—�*�_,_���41 i <br /> ADDITIONAL C OMWY,iTs: J <br /> ALCOIJNTW,Y ONLY. ADM FACT <br /> fE COTAE Fa NPOO AMOUNT RMArrrw AEN RECBVEO ST <br /> / OATF N/AEISNT NMYEEE NVOCE/ <br /> E <br /> r SAN JOAQTJDI c,)UN -pMT4r <br /> � : <br />