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1 <br /> APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. 60X 311, 416 N. SAN JOAOUIN ST., STOCKTON, CA 96201.031' <br /> (2091 468.3420 <br /> � REFUNDAB[E PEAMIT EXPIRES I TEAR FROM DATE ISSUED <br /> ICm mists in Triplsatal <br /> APPtJCA'0N is HEIMES'I MADE TO TNA BAN JOAOAAN COUNTY FOR A PIMNI TC CONSTRUCT ANO.'OP iNHTALL 04 WtOPK OESCROE0. THIS APOt1CAT10N h MADE I%COMRJANCE WITH FLAN <br /> JOAOL!N COLIkTY O,VEt OpM*NT TflEf.C,HjAP`TER$-11 10.-3�AND THEEtSTANDARDS O! S•AN OAOUIN COUNTY RintlC HfALTM SEFAACES.fNVWl JENMk N1AL HLAL7H DtVWOF. <br /> ACI!ALURssb�kPT+i `„ 1- f ,J[ - i 1 p crry FE� ! LA MJ0 _LOT euE�— <br /> OW1FP'S NAr.IE ^_ AOOKSS rTm P►IOfvE _ <br /> $�_ N�+ ADOHESA 3 J' 11 rl ay <br /> :ONTRM:TCP�• , 3 L.L� .DD TR o LJC/ L fY.ONE <br /> CUB CONTPAC TOR AD( ss— LIi;/ �PMOhE <br /> r <br /> TTPE OF SORTC NOP[ NCW INSTALLATION ❑ NPAMAAOOfTIOIf �- DELTIWCTION❑ <br /> IND sEPrIC SYSTEMS AERPAmm'F PUIKJC SEINER IS AVAILIAlIF WATHIN 700 FEET OF sj^xoING I PEEK TLTImi I NOW MMMT <br /> AaPNOSron J <br /> IYSTALLAflOy WILL SONES RRE6IDENCE&--COAMAEACIAL ❑ OTHfR 0 <br /> Ifumam OF LIVIhO uertm TNUMBED 0%SED000NAS ?n %UMb t W gAnorEn <br /> CHAPA/:TER CF SCIt TO A DEPTH Of]MET-,�,aJ� ) P!',SUMP bOIL CHAgACTTR* WATER TAMA DEPTH <br /> ft"C'TAhK.atEAAE TRAP ❑TYPEMFG" ^ ;te <br /> CAPA(ITV NO COAAPNRMEMS <br /> Mt0 TR[ATtAENT R,AMt ❑ fkifANCS TO N[MFjT WT:11 ey 1 FOUNOATIONZ� Plf1pPFRTY LANAI—Af-- <br /> UFT STATION 11 SUE TVP¢OF PV?IP�jI' —3AkC C!.SEPARATOR iENCLOSEO SVITELJt_ <br /> tEACHOW UMf LENGTM OF LINES �% t DISTANCE TO NEAREST.vVULNDAFOL ►ION G � DAOPIRTYLANE / <br /> FlLrQt RED ❑WDTH LENGTH _DEPTH D16TANCE TO NEAREST WELL FJUHOAT1Ofi PROPERTY LINE <br /> +MOUNDED D N,DTN Lf NO DPI" DIRT AWE TO NEANWST_VWLL FOUNDATION _ P"OfENrvLONE <br /> SWAGS FITS CLat*IH�.'2R& l,*UMs;;=DISTANCE TO NEAREST 1NELL�� FOUAAATION li>C�'. "tDPERTY LINE Ty` <br /> ■OWNS ❑WIDTH LENGTH L'fPTN DISTAW-E TO NEAREST:WELLFOIJADATIOh PROPERTY LINE -4 <br /> DISPOSAL PONDS ❑WIDTH LENGTHDE+'TH DISTA!+CL TO NFARFUT: V4LL_ FOUhOATIOh PROPERTY LINE <br /> HERESY COnWY THAT I HAVE PREPARED THIS AMiCATION ANO THAT THE VMft WALL SE DON*IN ACCORDANCE WTfN SAN JOAOLA%COUKfFY ORDINANCES AND STATE LAWS,AND RULES <br /> ANOREOULATION6OFTHE SANJOADUINCOVHTY HOME OWWAORLICENALGAGENT'SFMATURECER"FIESTHE Fq,LO,MAO:•ICERTIFY TYATINTHE KAFORYMtEOFTHE.WPKFOFtWHICN <br /> THIS PERMIT IS ISALED I$HALL NOT EMPLOY ANY PERBOti IN SJCM A MANNER AS TO BECOME SULUECT TO NOFK'AAM'S C041PD4AT10h LAWS OF CNJFOf1MA.' COIITPACTOR't HSUNO OR <br /> %a--9Tf54L CTIM3 SIGNATURE CERTIFIES TIM FOLLOIMNG 'I CER`H"r THAT IN T,IE PEf"PUANCE Of THE WOFV POR WHICH THIO PE#WT is 199UED,I SHALL EMPLOY PERSONS SUILIECT TO <br /> t'AOWMAk'SbCMPENSATM)N LAWG OF C FORMIA' THE APPLICAMT b"?CALL K HOURS IN ADVANCE FOP ALL RFOIM![D lkM4MnOkS COMPLM D"VVM O BROW, f <br /> DATE <br /> PLOT PLAN IORAW TO SCALA!XALC 'IJ <br /> I NAMFB OF STREETS OR ROADS P.EAW5T TO OR SOUNOINO THE PROPERTY 4. LOCATION Of HOUSE SEWAGE DISPOSAL SYSTDA OR PRDPOSED <br /> 1. OVTUNE Or AIH'.PWJPf RTY.:NITH DIMENSjOk&ANO NORTH DUIECrtbk. fJLPAW61ON OP UWAOE Of VOSAI SY*7 FAAB <br /> T DIMENsgMED OUTLINES AND LOC&TION OF ALL.EXICTIkO AND PROMIUD 6TRlAC ryRE6. A. LOCATION OF vALLS WTTIrN PAOMM$OF Oh*HUNDRED f WrY FT.ON <br /> INCLUD440 COV£#9 AREAS SIX At.PATIOS.DRIVEWAY$_AND WALXS. THE,HOPE KTY OR ADJOrdNG PROPERTY. <br /> .. � pQYAr:EST <br /> s <br /> � <br /> n <br /> C' L'� DEC 1 9 7994 <br /> _f.. <br /> $A IN JOA?,-I N c'nc!1!-Y <br /> lit!C H'VLA ;� <br /> ,+ <br /> EH $ltd;t,t NLL14+tilp?� <br /> � ,I_p <br /> T <br /> -�I iAu <br /> Ai <br /> re wN r—r- <br /> - 14 16C <br />