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APPLICATION F09 LIMUID WASTE PERMIT <br /> M 40AOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)488-3420 <br /> NON-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> (Cmwkta In TFIpDa♦n) <br /> APPUR:ATKON?S HFJEBY MAGE TO THE&*N JOAMtN COUNTY FOR A PEFUM TO COFPJTRLICT ANOAR INSTALL THE W++DIY:DESCMKEO. TMS APPUCATgN'N.MAM IMCOM PUAMC,EUSTM BAN <br /> JOAOUAN COUNTY OlVELOPUPff TITLE.CHAPTER 8•1110.3 AND THE 6RANUAIBIS OF SAN JOAOUIN COUNTY PUBLIC HEALTH SlEHACCCEHL ENVIMWMNFAL UMTN OMMON. w�^/ <br /> JOB ADD'AEaSGOR^Wl--/l� ` }J� , k I Ro_"o LOT 9$ y�. <br /> bWNER'S NAME / .4 e4:2 Vy.AY/IA�I f AJODRE6S PL <br /> PNore iS�'- <br /> CONTRACTOR � � 6i�1LC- !T ADOlEB9 /�C` JJIS �y��l7lCdl� EICi,�e', P1lONEr'S J <br /> ) 1 j <br /> BU6 CONTRACTOR{ ADORI'ES LIEF 7HONE <br /> TVPEOF SBTIC WORK: NEW HISTALLATION❑ RFAARUAZIM"ON OEfT1SJC110N 13 <br /> NO SEPTIC.eYKTEM FEAMIREO F PUIEUC SrAlpt M AVALABIE 1IT1BH 200 FEET OF SUHOINGJ PMC liTIN L i NOW MANY <br /> � <br /> pf 1 <br /> I YA1LATION WKL SOME: REMOEM `RC COMMERCIA 0 OTHER 13 <br /> NUMBER DF UROND UNffa: I NUMOER O►mmow.-*-_ NOMBOI OF BMP4DYm; <br /> CHANCIER OF SOA.TO A DEPTH OF 9 FEET: PIT/SUMP GOM CHARACTER: EA TABU imenji1(1 <br /> Some TANKROWASE mAP ❑TYPEIM'O CAPACITY•---lYc NO.SAMp/iRIiJBITFe. • .-(`�l7 <br /> Mill TREATMENT FEANi.Q OUBTAIIfCB 70 NSAIgT: WE1L ^� FpUNDATION� RgIPpQT.1LAktJLRJ,,— ...1j <br /> UFT STATION❑R�&ZF Tl'KOFFI.IByI,P / SAM OX SEPARATOR)ENCLOSED SYSTEM) f <br /> LCR01SN01N16 N0.♦EENO[N.DF LILIES I~T Ol..E TO NERES <br /> AT:- F'FpU[�pATgH pO{EiOY LAW <br /> RLTIOR BED YRDTJE IFNOTN DEPTH DWANCE TO NEAREST:V/ELL .FOUNDATION PROPERTY LAVE /. <br /> MOUNDED LJ PAPTR EEMOM D[PTII DISTANCE TO NEAREST:WELL fOUHPATION PROPERTY mwC <br /> SLOEPAOE MTs O DwrN BRE FRIMmER IXBTANCE Tb NEAREST:vLRL1 POUNDATKIN FRiOPEITJY UNE <br /> SLMFB jZ / LEND.TN; r DMN1a_L_DMTANCE TO NEAMSr WE71Z,,pVl'rFOUNDAT W e y PROPERTY <br /> 0111414AL PONOS ❑W*TH LENQFIH DEPTH DISTANCE TO NEAREST:V4Ett_FOUNDATION PROPERTY LITE <br /> 1 HERESY CERTF V THAT f HAVE RNEPAREU TH10 APRICATION AND THAT THE WORK WILL SE DONE IN ACCORDANCE WITH FAN JOAQUIN COUNTY omv;NAwuv AND STAR LAWS,AND musMO <br /> AMMOLAATWEN OF THE SIAN JDAOVINCOUKTY.HOME OWNER OIRUCVXEO AGETTT•S SIGNATURE CERTIFIES THE FOUL WO:'I CETTi$YTHAT N1HE PERFORJANCE Of THE'VOOMFORVMSCH <br /> THIS REAMR M ISSUE•1 SILL NOT EKVUW ANY PERSON IN SUCH A MAXNER AS TO KEPONE MWELTTO WOTS WW O COMPENSATION LAWS OF CALWW"A.• CONTRACTORS fMYMD OR <br /> 8116COMAAC•'T1NO MIRATURE CFJLWM8 THE FOLLOWRNG_T CERTIFY THAT IN THE PERFORMANCE OF THE WOPK FOR Vw%"THIS PERMIT M ISSUED.O CNA:1 EAPL.OY PERSONS BUS)ECT TO {v <br /> V/!M CO�.IPBINATOD�NjU1W80F CALIPDRNN.' <br /> THIS APPLICANT MUST CALL 24 HOURS IN ADVANCE FOR ALL AEOIRRF9INKFBCTpNa. MMFLM ORAWDNO SEAW. f <br /> SIONm X i� �� TITLE: <br /> PLOT PLAN KNEW TO SCALE]SCALE__'m <br /> T.NAMES OF STREETS OR ADA05 NEAREST TO OR BOU P410M THE PROPERTY. 1.LOCATION OF HOUSE SEWASE DISPOSAL SYSTEM OR PROPOSED <br /> 2-OUTUNE OF THE PROPERTY,WITH ONACVOOHa AND NORTH DIRECTION. EXPANSION OF GEWAGE DISPOSAL SYSTEMS, <br /> 1 OIMEFIBIONEO OUTUNEN ANO LOCATION OF AL1 EXMTINO AND PROPOSED OTNOCTIMET:, i.LOCATION OF WEUa§WHIN RADIUS OF ONE HUNDRED FiFM. ft ON <br /> O CLUDIND COVERED MEAS SUCH AS PATIOS.DRNLWAYB.AND WALKS. THE PROPERTY OR ADJOINING PIROFERfY, <br /> ..., p } .. <br /> A . <br /> 1 j 1 J <br /> _T ,; fjC� 6J. <br /> ,� l3 <br /> t� <br /> w. . <br /> R <br /> s •• , <br /> w. <br /> !� �ANJi.cuvNTi <br /> R3JB�iGUAYiEaUitALTHSLRVf� .+.... . <br /> PDR OOMTSRIIs DSII ONLY <br /> M ` <br /> APPLICATION ACCEPTED BY r1 DATE. 1 MSA:. <br /> TAW,PR OA WRAP MOOCCTgN SY V' ^.DATE �!f r t PI WSPEO �•-• <br /> ADOTTpNAL COMMEN(e: 'O I..,) ^f, �✓ r4 IY? �`. F� <br /> g <br /> IFO ONLY:m INFO AS awl 1161iRY.TM {, AIH RECEIVED BY PARE M I remw f#.%N R AFVOTC * <br /> C ✓ <br /> GSd2fl�3/CS��S'� <br /> Puk;L HeBAA Swv.•E-rMM.174 O19a) <br />