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APPLICATIQA FOR UQUIO WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> 304 EAST WESER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> NOMREFUADARLE PONIT EXPIRES I TEAR FU DATE psOED G' <br /> Mwg1Gu YI TrIPRutGi <br /> AIRICATION ID REREaY WADE TO THE GAN JOAOVN COUNTY FOR A PERAfT TO COWTRICT ANOOA IIHTALL THE WORK OF -MM- MW APgJCAT'IOM RI WADE IN MINONCOMPIJAML'L WITX GAN <br /> JOAOUIN COUNIY OEVROPWEXT TTTLI_CHAPTER B•1110.3 THE WANOMVG OF SAI JOAOUIN COUNTY PU11UC HEALTH SERVICER. AL HaALTN dNtlDN. <br /> • © / S L/ /+ CITY / 1 VJT GLLEV R` <br /> Qrh� +� L G1 Cti <br /> JOG AUOfEGBR)q ArY�N,� <br /> ORKE <br /> 01%.gW1 NAIAE 0 }7�r A.W. + PNPHONE <br /> Q + idS7 695�R1ONE <br /> CONTRACTOR ✓�' N ADOIES6 <br /> suGCONTACTOR AOORESG LKS FNONE <br /> TTP1 OF SEPTIC WORK: NEW INSTALLATION 41 REPAWADORION❑ OEATRLICTION❑ <br /> DIO sU'TIC SYREM PEFAOTTED IF PUa1JC GEWEII IE AVARASIE WTTXIN 100 FEET OF ERALDIN0.1 ►EPIC T"1TMI(1 NOW WANT <br /> AAFae.S-I— <br /> INSTAILIDOR 1SLL SINE: FIEWOENCE 10 COWLACLAL❑ OTHER Q <br /> N111/8L Of UIVNO URs: 7—,,.IN/A91 OF V OP009":,4 NwM Of BMIOYEEL. <br /> CHARACTER OF 1104 TO A DH'TH OF f FEET:_ PITtsuur!_OIj�CCHAMLTER WATER TABLE DEPTH. <br /> SWIM TANKAXIEASE IOAP ❑TrTfJWFM1 f f"� C'-d7Cr�1�CAPACITY �Dn n_ (Q a / NO.COLi•ART.IENTTS y)17 <br /> NIE <br /> PKO TRFATMDIT PLANT R DLSTANCE TO NEAMT: YVRL� / FOUNOATION�_ Y .L1E[-� <br /> UFT"TATTON❑ SIZE TYPE DF F WP CAVO ENL SEPARATOR ENCLOSED 1YIFEWI/ <br /> UU.CNMO DME ❑ ND.alENOT"OF LURES PMMAT <br /> ` T `7 a ' d1T ANCE IO HFAI/ER:WEllja,._A ION ^a ,PROP'PNY UNE <br /> RLTDI am ❑WIDTH LLFGTH DIPEN DIST ANCE TO MEREST:DELL FOUNDATION PROPERTY UNE <br /> MOINGM ❑WIDTH LINOTN_ Do" DISTANCE TO KAJEST:%,WU KIU DATWM MOVER"LPNO <br /> SE90[ARTS ❑oErrfl «EE14 wAasM—!L'—D77ANCE TO NEREIT•y11[LL17 O FOUHDATKIN _fL10P0ETY llll.� <br /> auk" ❑T�T WIDTH UMTH _OATH 1RRINCE TO NCAKBT:WELL _FOUNDATION R <br /> r"U"` YLINE <br /> D"OSAL PONDS 0 VVVTH UNUTH DEPTH DIRANL-E TO NEAREST:WELL__.,FOUNDATION R1pPERTY LIME <br /> 1 HERESY CERTIFY THAT 1 RAVE PREPARED TWO APPLICATION AND THAM THE WORSC KOLL BE DONE N ACCORDANCE VATTH SAN JOAOUIN COUNTY 010IMANCES AND RATE LAWS,AND RULIS <br /> AND IEOULATIONa Of THE SAN JOAOUN COUNTY."OWE OVA"ON LICENSED AOEW T'G GIONATUE CERTOUS TE FOLLO'MI10:'i CENr1FY THAT N THE RRPORa"AXCE Of THE VMW FOR"=" <br /> THIS PF7YT 11 Wa1IED.1 wEALL NOT DOWY ANY PERVION N SUCH A MANNER All TO MCOME fUBlECT TO VVOIRMA'"COME"SATION L.AVM OF CMOOMMA' CONTACTOR"N"m OR <br /> 1.0 CONTRACTING"IONATURE CERTlES THE FOLL(IWELD:'I CERTIFY THAT N THE PERFKHWANCE OF THE YIONL FOR WAC"T1RS PIJM(T IS MIUED.1 B"AEL VAPLOY RII/OPN NULACT TO <br /> i SgNW X � J ALL IRaMM SMC7IOM.COL6LM ORA" <br /> A GROW. <br /> IMF- DATE: <br /> WOKAN1 CDARMSATIOX lAQA' M musTCI14" U1SIKAVAN[f011 <br /> , <br /> PLOT RwN OILAW TO KALI)"GALS -10 <br /> 1.NAMES OP 1T/EET"OR ROADS NEAFlR TO OR 10uF4aw0 THE P'ROF9tTY. .R.LOCATION OF IIOL/SE WNAW MwOLAL 11YSTEW OR ROfORD <br /> _.OUTLRK OP THE PIgFERTY,WETH CIMQ11IONa AM NORTH OOECTION. EXPANMON OP WWAOX OUPOfAL 1r1rn a. <br /> J.ODEXGIO MD WRJI G AND LOCATION OF ALL EXIll"NO AND P110PO8ED STRl1CTUNEa, f.LOCATION OF M As WITHIN RADW7 OF ONE f1U11W®F7FT`!Ff.ON <br /> NCLUDINO COY[FED REAS MICR AS PATIO",D1IVEWAYS,AND WALRB, <br /> TIRE ROPFRT"!OR ADJOaMLO/11DPODY <br /> ....... <br /> ...... .......... .... <br /> ................. ...................... <br /> ,._..... <br /> :....: ................. .........._ <br /> • <br /> .......;... <br /> X101.. �... ..:..... <br /> ....... <br /> ............:..........:. ................... .:........... <br /> RIM;ENT <br /> ....... .: .... ........... . ^ <br /> .: AV � <br /> :. ....... ................. .................. <br /> • .......'... .. ._ . ..._ c'rdV06NAbE 511 1(7ES <br /> . _. .. ..... M _.I ... <br /> L DEPAPTMDIT USE ONLY �] Q <br /> DATE Ap.M <br /> ART-ICATION ACCEPTED BY N a f <br /> NBT�(CTION DATE C I IAL MBPECTIDN aY <br /> J`"'/7 RT OR TULIP <br /> ADDITIONAL COWS"9: <br /> FIFACC 111-10 ONLT: ADS FACT <br /> It CO'JF fn TKO ojpSRR IIB.KITED K/ /JH R[C6V®1Y DAT[ <br /> aA!P011Ei XIM/1 1rYO1CS I <br /> 97-1 <br /> Pub.FIGGRII SEN.-EnYlro.174(3M) Q <br />