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APPLICATION FOR LIOUID WASTE PERMIT SAN'JOAOUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O.BOX 988,SW EAST WEBER AVENUE,STOCKTON,CA li.i'201-88 1209)4113420 NotREFUIDABLE PEINT EXPIIEI I YEAR FROM DATE ISIVED tCEIgYE Y TTIpRn1u) APPLICATION IS 14FPWBY MADE TO THE SAN JOAOLRN COUNTY FOR A/EENT TO CONSTRUCT ANDA)"INNTALL THE V00W OESCRIED. THIS APPLICATION IS MAGE IN COMPLIAME WITH SAN JOAQUIN COUNTY L`EVELOPMENT TITLE,CHAPTER 9-1110.3 AND THE STANDARDS OF SAN JOAMIN COUNTY PURI:HEALTH SERVICES.ENVIRONMENTAL HEALTH DMMJN. ATSADDIESSORAFTJ.`R. Mondavi Winery, 5950 Woodbridge Rd. crtv Acampo _LOT/&cres+ OWNER'S NAME ADOIESS PHONE cDNTFIAc1OAMorton septic ADM"121 E. Churchill St. StkuC/444225 _ 463- 3 SUS CONTRACTOR ADDRESS PJC/ PHONE TYPE OF SEPTIC WON(: -EW ONITALLATaN EX RIPAWADOMON 13 DwTRllrnbN❑ SO SEPTIC SYSTEM FFRNSTTED IF PUBLIC SEWER IS AVAN-ASIS VVITHIN 200 FEET OF MA-DIN4I.1 PWRC 1EBTIN;I I NOW MANY �y ARFBNRYNw S INSTALLATION IRU SSRIM RESOENCE❑ CoR.EAETICIAL IXX DTIER❑ HUMMER Of LIVINO UMTS: NtA"=.7F I630I0OMS: NRA+YIofe"LOYBS: 30-40 CHARACTER OF SON.TO A DEPTH OF O FEET:_ FITSNAP SOIL CHARACTER: WATER TARE OEPTFL—�-- SWIM TANK/oSiASE TRAP 13T1FEnAf cQDcrete/ P&L cAPACITY 200 gal. NO-COMOARTMEHf S-�T�•L� FEO TIEATMISNT PLANT❑ 09STANCE TO NEAREST: WELt 200' + HRIDATION 2 5 0' PLIOf/! Y tIE 1 V V +— -a LIT STATION❑ SjE TYPE OF►'/M► SMO OIL SEPARATOR IENCIOSED SYSTEM O LEACMM UNE XX NO.•LENIOTH DF LINES 2-9 2.5' 1 1 n es OISTANCT TO REAER:VAIL F„1FpAT10„ 2 5 0'+P,,OP�,I�100'+ NLTM BED ❑WIDTHLENGTH--DEPTH DISTANCE TO NEMER:WELL _FOUNDATION A10PE' Y LIE MOUNoIO ❑TETwwm LENGTH DEPTH OWANCE TO NEAREST:VAML fOUNDATIOAI�-TTS R10PERTY LINE. SWAM WTS XlDTN 25' @Lm 4 2” __Ruwm 4 mTANCE TO FEMEn:WE1.L�T-_ FOLwOAT1oH-z'J V }PROrvrtY 11L 1yy + SUM FS ❑VVOTH LENGTH DEPTH ONITANCE TO NEAREST:Y1ELL_4 FOUNDATION FFO►ERTY LIZ bMFOSAL FONDS ❑WOTH LENGTH D&TH DIYTAP"TO IZAEST:vAu FONDATIDN PIOFTRTY L11E /HERESY CERTNL'THAT/NAW PfWrA M THIS ArON AND THAT TTY WON(WIL Sf DONF M ACCOIOANCE'NTH SAN JOAOUIf COWT✓ORON/AHCED AND RATE LAWS,AND IWLES (D AND IEOULATIONS OT THE SAN JOAQUIN COUNTY. ME OWTIERORLICENSEO MENTIS SIONATUIE CERTIFIES THE FOLLOVANO:•I CEFTIPY THAT IN THE PERPOISANNIY OF TEWOW FORYAWH THIS Pf E NIEV T EMPLOY ANY H M SUCH A MANNOT AS TO BECOME SUBJECT TO WOFAMAN'S COMPENSATION LAWS Of CALIFORNIA.' CONTRACTORS MEND OR S IAO ONA IFTES THE FO NO:•I CERTIFY THAT M THE PENOIEAANCE Of THE WOW.FOR YNSCH THIS PFNAT IS ISSUED,I SHALL EMPLOY PEIEOfNS SUBJECT TO MAN' NSAT LA OF APPLICANT MUST CALL 24 HOURS IN ADVANCE M R.ALL FA OLISM INSPECTIONS. COREPLETE DRAWING 1Et.OW Oz Mark A. Morton Tom. Contractor DATE:-'S••-24—.96 PLOT PLAN ORAW TO SCALE]SCALE •M I.NARES OF STREETS OR ROADS NFAIEST TO OR SOUND"THE PROPERTY. 4. LOCATOR OF HOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED 2.OUTLUNE Of THE PROPERTY.WTI DBNENSONB AND NORTH DIRECTION EXPANSION OF SEWAGE DISPOSAL EYSfFM/. ]. ONNENSONED OUTLIVES AIN D LOCATION OF ALL EIMTO AND PROPOSED RIIUICT UPE S, E. LOCATION OF V.VUA MITTEN RADIUS Of ONE HUIDPM FIFTY R.ON MCLUDING COVETED MEAS SUCH AV PAT".DIEVEWAYS./IND WALKS. THE POFERTY OR ADJO MA PFE)P1 TY. Al, 4A.0- T2-OLILA l 4 :. ..... .......: .; .. :...... y Lov, ftit : N JUHI a J 4 BLS ri ' NTALHE CES (,E9cwt„ rtJC •:ELT DI{rISICf•T FOR DIPARTMWT USE ONLY j/- AU-MICATON ACCEPTED VY GATE: L��.CJ AREA:�� DATE£ISLE -.iINAL INSPECTION BY pA'TE � ADDITIONAL CCMMFNTS: S_ p- ACCCIINTWD ONLY: AIOI FAC/ fE CODE FIS INFII.. AAOLINT RPO ED /CASH RECIUVEO SY DATE M/P♦•FET 001111Ss1 NVOICE S