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iPPLK:ATION FOR LIOUIO WASTE PERMIT <br /> t' AN'JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1R ?� BOX 389,ddb N,SAN JOAOUIN ST.,STOCKTON,CA 96ZOI.03U <br /> rr <br /> ��1C'..:.,•• � �� 12091 481•3420 <br /> 1fQ,i•REFUIM"lE PERMIT EXPIRES 1 YEAR FROM 00E),SUED <br /> > ICaagl.w in Trlplo$W <br /> APPLICATION It M V MAl1F TO INE$AN JOAOWN CCUNTY FOA A PEPMYT TO CON$1'RItT ANOIbA INSTALL T11E WtN'w OESCMSED. THIS APPUCATTON t{MADE N COMMANCE WITH SAN <br /> JOAOLAN tOUN'TY N-VttOPWNT TITLE,CNAPTfA SA 110.3 AND THE STANOAWS Of SAN JOAOUIN COUNTY pL"X NEAjrH SEAVICEa,ENVaRON%sEHTAL HEALTH DMIYoN. <br /> ,aa ADOE$$KR � <br /> LOT On NAME��1 h � i -_._.._ L..�p(yl[gdt, �.ll�, l ri t'i. <br /> rcNTRACTow i 824L- <br /> NUS COITSAACTtrii AOONEat ILEA NRIffE <br /> TYPE of sonic wows: NEW INSTALLATION L7 owwwwAODrTWN bulaww"E7 <br /> IND SEPTIC 9MIDA PERW"M V PUatP: 4 AVAN,AW VATWN 100 fWr Of SULDiW—j ow TSAT(A)Y I NOW NSAEEX <br /> S.- ��Lt'�) ASfSwSFA y <br /> LNiTAlLATWN WI{,L SYEV'A: HEEtOENC �IyPy, O'EEiEA 13 <br /> NIALNS91 OR UlANO LaiiTa; W sowsoomo: WJNAM too 0"wy"4:' <br /> CHARACTER Of SOIL TO A DEPTH Of 3 FEET'; fTflw SOft CNARACTtN. WATER TASLE DEPTH <br /> LOP TANK/OROCASS TRA► D� � CAPACITY NO.COLW <br /> P►O TREATM{NT PLANT O DISTANCE TO WARIEST! WELL fOUNOATfON___ P"mray Lam <br /> UFT STATION L7 CITE TYNE Of P" $ANO Ua SEPARATOR{ENCLOSED SYSTEM <br /> LEACANO UNE ❑ No.a LENORT of L1 i .Ai���„�L(\_U DMTANCE TO NE.NHnT:WE1L fG+K1ATiON NKl1'191Tr EINE <br /> MTOA SLE, 17 www tx NWHi,__.--DEPTH DISTANCE TO NEARESV:WEL+_..__._.__._.f ltMDATION PROM TV UNE <br /> MOUND= ❑WIDTH LENY.TH DEPTH OISTAWA TO NEAREST:WELL FOUNDATION PRIYINXTY LAE <br /> SAWAOE MTS �"'•`�- -j�;� _�lS 3'.RRaAEE DISTAN('.f TO NEAaf.ST'W �XLAM�.AT"yDit,' M1iE11TY LNE',� i <br /> NLSAM /OWwTN LINOTH MPTH OMTANCE TO NEArIEST;Wfx FOUNDATION Pt10PEKfY LINE <br /> ry ...(� <br /> OWPOSAL 009" u WGTN_.._...__.urwTN DE,'TN ......_OWANY;E TO NEAAFST:WEiI fOUNOATION f71DPEi1TY LAE_„_- O <br /> I/$RLSY CERTIFY THAT i AV <br /> HE NAEPAMU TNW AF'PUCA:WR,( <br /> ATW%AND TNAT TPOPALL W DOM N MW- <br /> AC[DAA VATN SAN JOAOUIN COUNTY CAOiNANCES AND STATE LAWS,An RAAEf <br /> ANDMOULATWNS Of 7lE YAN.i0A0UOJ COUNTY.NOME ONAHIOR 11C 0AOEN7'S SUNATtWit CEATS'Ea TNEFOLLDMANO:IC401"VTHATATNE 01SWIDAMANCE Of THEWORK00AWHiCH <br /> THIS REPAST IS ISOUfD,I WAti NOT EMPLOY ANY REASON N SUCH A MANNER AS TO$[COME^*if t TO wOMMAN'S COMPENSATION LAWS OF CALOOO"A.`t'ONTMCTOW4 HTROM OR <br /> SUa•CONrRACTiNO a"ATUAE CERTINIA THE FOLLOhMI1 <br /> RO:'L CTWY THAT A THE PENNAW N IS <br /> NAAME W THE WORK FOR WHICH THIS NASUED,I SHALL EENEFWY PANEONS SUBJECT TO N <br /> VAOPNAIJIY COMPENSATION LAWS Of CALlpOWA.' THE AFREICANT MUST CALL 34 HOURS W ADVANCE FOQ^^M)L Fel KMAW NaFWTWMW CUWIIT'f OAAWND aGDW. 7f 4[1 <br /> SMNED x-.. Titi.:jJ 4C.✓ JC.._. DATe:,�rQ Q 7 -7 . <br /> PLOT PLAN 44AW TO SCALE;SCALA. •r. ■L` T <br /> I.NAMES Of STREETS OR AIOADS NEAREST TO OR SOtN coNO TES AiafEfdY. N.LOCATION Of HDUM SEWAOE DISPEIWPM= <br /> .7.OUTLBA Of THE PROPEATY,%VTN OWENSIONS AFD NORTH OWISMWI. Ex►ANNON Of WWAM dSFOSAL3. o1MEEWOREEO CUTL944 ASND LOCATION Of AL1 IXW*4 ASS/M OSESED#YMC'rUAlliS,LOCATION Of WILLS VATWN RACKM ON L,} <br /> ONCLLASaq COv[nlEp MEAN TA1CH AS PATfOi,ONWWAYS.AND WA", THE PR0N4TTY OR AOJOM4N0 MSLPIM'N'S Y">" <br /> . ». <br /> H o m . <br /> I I L I <br /> • <br /> E <br /> R <br /> L <br /> 'AAWbMM arEE001- YaAAMUCIMANA 'SYnA,fwv•+Lw sew.v.............«»...._........... .... <br /> nPf i.K'A`10N ACCYMTSO j <br /> nV--- {�`jy`, Y.- DAT,: <br /> TAJ.K PR OR$UAP NEFECMN AYE- DATE 1 1 ANAL ASREC'non Sv _` �y,tEti,�r��_N.I4/"' ,DATE <br /> q <br /> AOOiTWNALCONiMEHTS:__ %144i 4.jnul lob <br /> , <br /> u..LE <br /> IS- <br /> ACCOVNY#%0 ONLY MOP EAC♦ <br /> ff CCC[ fLE o: AMOUNT RSWT-TTb JCASN RrcaH SY OAT[ Am?PEMIAIT-J1-v R I1vDICE <br />