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APPLICAM19 FOR LIOUID WASTE PERMIT �• ' SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DMSION 304 EAST WEBER AVENUE, STOCKTON, CA 95202• (209) 468-3420 BOWMIOABLE PEBHfi• ESPIRE•S 1 YEAR FROM DATT (930ED (Cmgam b TftpBntml NitIOATDN [e HEFERY FADE TO T)a SAN JOAOUDI COUNTY FOR A P6�OT TO CONRTRIXT ANWOR MWALL THE N.ORK DESCREEM. THIS APPL1CAT)OR ie NAGE W OOLDtrA X VATH OA."1 JoAOU;N COIA,Ry DEVHDPmENT GTL 9f03 & 1 7 70.3 7Tffi DTANDA9DS OF SAN ,p COLA7fY PVSTIC TN NYflif'AL 1¢ALTH OM®ON. JOS A,9A •tRJf zx / CfTY IDT >3>Z! _�G rnv:•aErTe NAME C. V rNy / T _ALIz269 RONE_PWINE ��4 CONTRACTOR AL1 MS. LICO 45'[/�[�J(�J�- r7sxTRACTDR-.l v AIXriiF68��1 l UCI-A-L_L-_-m�� TYPE OF AFFTIO WUXI, NRMP DATALLATON REDAEgAOTd7}0m ❑ p ❑ 0•a0 S RRC SYBTPI FL30NTTED P ? rM [C SEV MN R} AV WlTMIN 200 FEET OF ®w Wa aj P9ta Tt7Ti.1 I I FO W MANY AppGoMoa rNSTA[LATOM WOi aHiVE Rk�EM-E �COiO®CLAL ❑ Q Kk4W R Op DVINO LAf & / ROM.BEL OF fEDiIDOKf: �RV.®1 DF�� BLP[OYM; BOP W TD A MYTH OF 3 FEET.; PffQADAP [NAAACTEtYJ24S�y.3� C:fjq./ WAYER TAffi! O L—Z- �2-e I''"- ABE TRAP ❑ TY -k -a CAPAoty�../-�`Y—_"7``— NO. CaMPARTA�RS r,4 PKO T wr&wa mAIIT Q D(STANCM TO MSAWZT: O F f FOUlRUTIOH % _] 1 NW PE Y Lp - 2 � twT RTAT}OH ❑ am TYPE OF PUMP $AANDD OM SEPARATOR MUCLOQY81E10 IMD f LEAONO UNE �IODd� NU• A LOA—" OF uNe. 12 —OTOTAN:E TO NEAREST, WEU%� - WO}QIATRN T o PROFBTfY LLYE D -� ` n FILTER frO ❑ WDRL LENGTH- DEFTN DMIANM TO NEAREST{ YVLLL FOLF fflATIDN PROPERTY LDiE \ 1 \ NOI}MDIm ' L❑3 wmmT_H' �7 LENGTH _ Do" OWAMETO NPARM WELL F/016UlitON i1YJFFAiY lD� p \J ` arEPA42 ire YCi-tAPTry_/��t �g rte_ � OtBTANCE TO NFJ1fC'ST: WEL(1�, . itRn1DAT70F(_ D r PROPOiTY LD�E O T SUN" ❑WOrR LENGTH_ DEPTHDLTTANCE TO NEAREaTt WELL,_ FOUNDATION PnNIRTY Loz ccapo AL POW" 13 WDTH IFN6TTT1 -tM }1 DISTANCP TO NFA(C'BTt WELL—_MUNMATOH PROPERTYW 1 I HEREBY CERT" THAT I RAVE PREPARED TM APPLICATION AND TFL\T THT WORK WM• SE DONE W A OURGANCE WFEH Mfl JOAOLISJ CDONEy Ib�AM� AND fTATY UIWS. ADID ptp-Fg ANO IFB OP TI02 SAN.1OAaIDJ COUNTY. d/IPRROR LIGTHBEb AO@tT•aSIGNAtTlfIE CfRT¢ga TNIFOLLiYNNOt-I CERfffYTHAT W THE PtMVFVAANCS OFTHf WORCWRLROCH !TMPEFOUTMIME[),1 BNALL NUT ANY OI BUCK A KUNN R AS To bEmGSgS SI aAmT TC WppLNA 4T CCWViS^TWM LAWS Op MFW", CONTKACTO" Fm M OR SONATLTF® THE FO r'7 CEKrTFY THAT D7 THE P80'C"AANCE OP TFRWOM PDRWIOCH TTOS PUMUT r8 MAXP- 1 SMALL F%WUyY MJWNS B MJWT TO N'f A • OP 11�IF APPUOAMT IAWi OALL 24 HOURS IR ADVMOf POM ALL R� Q/6PEUTNMS, CUNWLS TE LM[Awam SELCW. = TIME_ DAT& PL PUN DRAW TO $CALL SCAL! _• m 1. FRAMES OF STREETS OR ROADS BT TO OR SOUNTom THP pROp9T[y. 4. LOCATION OP HOIfE! SEWAGE O/:POfAR fYfli2tL OR FTIOPOSLC 2. 6t1TUM OF THE PROPERTY. �I M ODAENS10MS AND NORTH DE ECTION. EXPANSION OF SEWAGE �OSAL SYSTEM& 9. OOAENOOL'IED OVTLNE3 AND LDCATMU OF ALL WSTOW AND PROPOSED STRUT- Lt q, S. LOCATION OF WELLS WTTHN MpUV OF ONE HUNDRED FIFTY FT. ON OCLUOM COVERED AREAS SLXy(M PATH, DRWEAAYf, AND WALES. ..... .....: .._....- ..... .... .. .. _...� ..TEP' PnOrERTY CA AMCINUM .....E --.. _ _:_.I..... ...... .G> __r_._:.._• ----« r , :..._�.._. Z ..........__f..__: ' k [ , 111 ♦.,.... ..... _�_-.:.,.�.. r.... _:._. 9.. � —• : t : : t t : I -r — ne mry. • tnvM 174 (3/K I - . y....- .--• - '3F�•jy ........:...:....,......_._._e..............i............. :...... ..... .. ...-.. _ �'7� !.. • DEP Uhf ONLY APPLICATION AC[:MTEO ILL' IBJ' E DATE: V NTA TAW, PR OR SULDa MM, ,CTOtI DY DATE I I tiY DATti ADDRONAL CDWAFT•:Tf:� L�� /MAL • / r{( y (�•L ,y% �if i/ /l „/Jn /I� r1 [./� '�i/• ..' — ne mry. • tnvM 174 (3/K I L i7�L"�►�� � i>!. L+,u� � � � , � til — ne mry. • tnvM 174 (3/K I