BPLB2015-013678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 41wQ"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT '
Application Number:
BPLB2015-0136
Property Address:
78002 SAN TIMOTEO
APN:
646160023
Application Description:
MILLER / REPLACE SEPTIC TANK AND TWO SEEPAGE PITS,
Property Zoning:
49792 COACHELLA DR
Application Valuation:
$14,000.00
Applicant:
n
ALMS UNDERGROUND CONSTRUCTION INC
38703 VISTA DRIVE
CATHEDRAL CITY, CA 92234
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C21. C42 License No.: 482180
Date: 11 Alm/1 Zb) 5 Contractor:
OWNER -BUILDER DECLARA I N
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves .
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( ) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
11111111111111.111111
10
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(760)324-1911
Llc. No.: 482180
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
(� I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the labor Code, I shall forthwith
comply with those provisions.
Date: r' 9 N t. 2-0 (5 Applicant: f
WARNING: FAILURE TO SECURE WORKERS' COMPENSJON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose .
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant; each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. Ll\ _ — --%n
Date: % i 461/. 7_0 ! S' Signature (Applicant or Agent): /
V
Date:
11/19/2015
Owner:
MILLER FAMILY TRUST
8
49792 COACHELLA DR
�J
LA QUINTA, CA 92253
n
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Contractor:
z i
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ALMS UNDERGROUND CONSTRUCTION INC
38703 VISTA DRIVE
c�
CATHEDRAL CITY, CA 92234
(760)324-1911
Llc. No.: 482180
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
(� I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the labor Code, I shall forthwith
comply with those provisions.
Date: r' 9 N t. 2-0 (5 Applicant: f
WARNING: FAILURE TO SECURE WORKERS' COMPENSJON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose .
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant; each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. Ll\ _ — --%n
Date: % i 461/. 7_0 ! S' Signature (Applicant or Agent): /
V
4
MIUOU N
PAID��
-�:--?15ESCRIPTION
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
t PA I D. V
-x
rim.. Z4�r ", w
30 4Ex
"Ed -k' ig
5's
N .
Total Paid for BUILDING STAN DARDSADM IN ISTRATION BSA: $1.00 .$0.001
=DESCRIPTIONEaM5
'C COUNT
;�4t*,t
mlm ,-VAMOUNT41: �B,
"PAIDe DATE
r.y
34w,.A
tN NPAIQ,�. . Tw
PERMIT ISSUANCE
1011-0000-42404
0
$91.85
$0.00
P A I D, B Y 5j."N.,
j -
2ffig x} METHOD
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fil , 01UR"I 1-,Itt,�; MMM,1140m-
R�y �ili-Y�"%-,.*"�l-l��'.,-.�,�,�.,�'ll,��,_
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
2 R
W k 6 UI N @
DATE,
tfl p
g
Pf 1 9,
SEPTIC SYSTEM
101-0000-42401
0
$12.09
$0.00
IM
RE
PAIDI]BYrf�ij,
WETHOW�'T,v
MECEP
E,
4-
rDESCRIPTIONf,,gg
�' ACCOUNT
TY
AMOUNT
Vuft TV,
PAID
PAIDDATE.=
,=
SEPTIC SYSTEM PC
101-0000-4260.01
0
$4.83
$0.00
t
-BV
METHOD` !�
-ZRECEIPT #, PA%
,il
tit
T77
Total Paid for PLUMBING FEES: $16.92. $0.00
TOTALS:;' $000
Description: MILLER / REPLACE SEPTIC TANK AND TWO SEEPAGE PITS,
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 11/19/2015 SKH
Approved:
Parcel No: 646160023 Site Address: 78002 SAN TIMOTEO LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 2 Block: Lot: 30
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $14,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: PLUMBING -INSTALL 2500 GALLON SEPTIC TANK AND TWO SEEPAGE PITS. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Thursday, November 19, 2015 10:50:28 AM 1 of 2 C
SYSTEMS
CHRONOLOGY
NAME TYPE
NAME'
ADDRESS1
CONDITIONS
CONTACTS
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
ALMS UNDERGROUND
CONSTRUCTION INC
38703 VISTA DRIVE
CATHEDRAL
CITY
CA
92234
CONTRACTOR
ALMS UNDERGROUND
CONSTRUCTION INC
38703 VISTA DRIVE
CATHEDRAL
CITY
CA
92234
OWNER
MILLER FAMILY TRUST
49792 COACHELLA DR
LA QUINTA
CA
92253
Printed: Thursday, November 19, 2015 10:50:28 AM 1 of 2 C
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
.PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION* $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
SEPTIC SYSTEM
101-0000-42401
0
$12.09
$0.00
SEPTIC SYSTEM PC
101-0000-42600
0
$4.83
$0.00
Total Paid for PLUMBING FEES: $16.92 $0.00
0• 00
Printed: Thursday, November 19, 2015 10:50:28 AM 2 of 2 Or
SYST[Ir1S
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.... ..... .
ALMS UNDERGROUND CONSTRUCTION, INC.
38703 Vista Drive; Cathedral City, CA 92234
760-324-1911 Office 760-324-9541 Fax 760-578-1510 Cell
Almsunderground@gmail.com CA Lic. 482180
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CITY ®F QU DNTA.
BUILDING & SAFE D
APpRO
FOR CONSTRUCTION
DATE / 1 BY
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Bin #
City of La Quinta
Building Sl Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #f
0
Project Address:y90ZO 4e,.Ter1%
,wndr'sNamc:
A. P. Number: G (� _ / 6 0 . 02-3
Address: L/ 9 7 0/ 2 a e, l� r
Description:
City, ST, Zip: G2—
2ContLegal
Contractor:
rac or. A /VW 3 a N
Telephone:
Address: —319703 vl s .d.,, b �, 4r4L ,) (-1 JL
Project Description: /� `t � l 5 b o A:lo►,
City, ST, Zip: 4.A keda6�X
/
Telephone:hone• 76 0 3z�/' I
19
-
s 4S S e. Y+ti
State Lic.
City Lic. : 7 69
Arch., Gngr., Designer:
5 FTSr yJ
K
Address -0
City, ST, Zip:
Telephone:
<:_:::#::>;::`::?::::;
Construction Type: Occupancy:
State Lic. #:
Add 'n Alter Repair ait Dem
oProJecttYP Cc• cle
Name of Contact Person: p� �M
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7 5 7? — / j /
Estimated Value of Project: % d
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN I40USE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
1 .
HAERSIDFCTY/INDIO,FACILITY
DEPT O' ENVIRONMENTALAALTH PA
42950 ARABIAwST ;; STE# :A• '
5_17* I..'iZy.+;xttic:, 'V114 :. x'... c.: x�tq; W ��F,.�a;�,�•�
�'i• � y= a• .t..i J^s „'.`. . - .. :...y�,._
f''y5d_
COUNTY OF RIVERSIDE:
RTMENT . OF'.. ENVIR-ONMENTAL'_ I R1 - T. H.
LAND USE APPLICATION
-' ()FFIfF IMF nN1 V
erside -CA-§2501 = (951) 955 8980 _ �PE�C00E FEES y fsr
1 / 18/2011 5 000001 • CA 92201 - (760) 863-7570
1602 1:44PM SUSAN0001 LMS'#_: APN:
6 �../6th • p. 3.
O I USE OF PERMIT:
22089 $464.00 3 0 �Pt �->`- r r -f7 y
'
a
....�. �.IFt'e{,`�"z �u "FAF� =�A' ��& ��'�*• NI• -1 S P �''c �' -tom � �.�' � � J ^Lwtfk � 42 �`J 'S '� �t t� � � ,i 3i
122 T6 $9.28 �•.;:.�����,��+��+::,�---����;.����.��+ ���.�fi'-:�'.��.�u����� �'„ ����
1539-Gc a z.;�M�� .;��_�E
ll, P II P t-- ' •
:HECK $473.28 '
7 2 .:.
i
Phone Email. -
any an Name ,7 A enUContractor. .
AGENT/
CONTRACTOR:
Mailing Addressr
Phone 740 -3,Z/ Z I Email
Imo. eri, .f 1, 72015. 1300n
'.
Signature Dat DZ 2 1 uit`'!i='• '
Site Address
PROPERTY INFO: '
[Water 'iY
Ag enc /Well 'V W ( :. Lot Size ; �a / 214/ .� Q . La C..V54.
rd«`iq'. ' a t # F }.x Office Use,anl t 't � � .�::.
���• ��:r�v.., � �:<:
CHECK BOX IF REQUIRED C riy9 .
If any box is checked, this application shall be considered denied until the information is provided.
❑ Holding. Tank Agreements Required
❑ Floor Plan and/or Plumbing Layout Required -,
❑;Certificate of Existing' OWTS Required (C-42)
❑ Special Feasibility Boring Report Required=I''
❑ WQCB Clearance Required
❑ Detailed Contour Plot Plan Required (1 to 5 foot intervals)
❑ Soils Percolation Report Required
SITE EVALUATION INSPECTION REMARKS:
lKu�e� - a .tt.L U t4icor ,F,07'C' 7 rh y�l1l Crt f -rp ,r Jt b''YCeT 'TI
N� 1 r r L. r: ,,-.r fr L'1 rM I�-S'r ' c c 'f vc. • . K. i :O t'r f vtrt
EHS INITIALS/DATE:
A
CG rncTe j4,4 /r v r �f A V'� C'CQ`S� t T- oL e
.._. .. .... .. .•. �(i+�.:r "hYh, xi :2'e;J j?.4"F•.5' x .-.Y y.y', ..5„� #+:' Y Y +" +Yr �•' 'FY Y' }".'+,i �"." y -i -.'X+yam".;6^i"' ?.I'X'+f'. 1::.x ti:SE i r.i i:':i^% -: Fi'.t 'YS '�.: AS 4
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k t_� ��: r .. +&�.. fi�+�4Y4'iY�i �� �
❑ NEW
REPAIR / REPLACEMENT
❑ EXISTING ❑ PUMP 0 ATU ❑ CONNECT TO SEWER' FIXTURE UNITS # 1
BDRMS.#
Soils Percolation/Boring Report By:
Date:
Project#
C-42 Certification By:
Date:
License#
Septic tank cap.:
Soil Rate:
Tested Depth:
Max. trench depth:.
_
Z
_LaG
Sq. Ft. Bottom Area:
Total Linear Ft.:
Line(s):
Z• S
+
Length: feet • - Each 3 feet Wide ,.
Sidewall Allowance: Ft. Rock/ Sq. ft. Running foot
Rock below drain liner in.. or ' ❑ Plastic Chambers
Leach Lines/bed special design for slope: ❑ WA O Overburden Factor: .
Pit Diameter.
No. pits:
Depth below Inlet (bi):.
Pit Total Depth: 7[Max..
allowable depth:
CONSTRUCTION/INSTALLATION REMARKS: r
��..�; or L �. o f I A a N she
..... ... ..r is .Y .. �- . r MOAT`.- ,._.ice �2 h! k ..-iyTi" i +: ;� 3t +-$- �F. .ems". r .•. _ *'`rix' � _ :'A. 'ry
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SECTION D x�:.� ��' 4�., ��E �E•. xT nMEN"
This Application is is, Approved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth -in .
Section Gabove. No constructiori ' permitted in the required reserved 100% Expansion.area. -
EHS Signa e:
Date:
kr /J
DEH -SV /�22 Rev: 10114
Distribution: WHITE - Office File; YELLOW -Bldg. Dept. PINK -Applicant
a - COUNTY OF, RIVERSIDE
DEPARTMENT.-
OF
ENV IRONMEN`T'AL HEALTH
LAND USE APPLICATION .
OFFICE USE ONLY
0 3880 Lemon Street • Suite 200'• Riverside • CA • 92501 - (951) 985-8980 '.E
47-950 Arabia Street • Suite A r Indio • CA 92201 - (760) 863-7570
C®DEFEE;
EHS #
LSo�u�
ON #'
LMS'#
APN: '
6 1.66.' 0 3.
TR/PM
L & "LGL t
LOT #
USE OF PERMIT: '.
'`".: cN ;• sf'"' � �� .,� •�3r c . r S ' '. ,r:=+. ,..4y`n: � a;"�'t i .rte n, 'S't:s'�r :i - ts� '�: `sW e t4 . ':,'� .'� - v`� k:.;5' -:'�� .. �: �' .x' �<.. � te, - e -fig
SECTIONYAtk:• arnx '' `�"�s=,ri...��,�;�,�+'�`�`��;�� tr���z��'"�`�''e �-�r��',��"���:�� 2, �.�r`�y��:�.r-"�"ks�'4�.� ������};��`�_,���`
Name (LrlI i r
OWNER:
Address'
Phone Email :
Company Name : ,7 Agent/Contractor
AGENT/
CONTRACTOR:
Mailin Address 3 R�0 3-
t
Phone 74, 0.1 3_ / / Email
Si nature a�� Dat
.Site Address . y'� Li A ue r.Q n �� Lct . �/' 22 $ ,
PROPERTY INFO: '
Water A enc /Well � V CA/ ( Lot Size �. 0q Zy/ ! D , 7. a C � ��• .
.'S...ECTION
1�
VOR,M: Boass-
'CHECK BOX IF REQUIRED
If any box is checked, this application shall be considered" denied until the information is provided.
❑ Holding Tank Agreements Required
[]..Certificate of Existing OWTS Required (C-42)
' ❑ WQCB Clearance Required
❑ Soils Percolation Report Required
❑ Floor Plan and/or Plumbing -Layout Required�, J•
❑ Special Feasibility Boring Report Required. H=U< .
❑ Detailed Contour. Plot Plan Required (1 to 5 foot intervals)
SITE EVALUATION INSPECTION REMARKS:
/Nv-e1 - a .;-c L o CA (Lor fP7''C -r /-( v.•.tT(4 1 t:a( j' t r'•-'Tce " Tr
:NP E°rVL. L- T V(L-rt— 41-51r:''cc/111r Vi .d-t?.GY ->9u>< �fi f/T G'r"
EHS INITIALS/DATE:
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"I - ,:
. ua :SLs, s ai 3 Y` .rte 3 r'T ,.- c`a M' 'f'
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t.,._., .,..:,,. v -.!•'..Y.;.. :°i""'�,k'"4 xrn °r—z.9r''I`}'ti�"t �<` !i£� y ��S - '`"�<s� ':w't€5,-x'a«M.?rrY4s•. i".',:`.`r''*.bss�431-,
❑ NEW
REPAIR / REPLACEMENT ❑EXISTING ❑ P.UMP ❑ ATU., ❑ CONNECT TO SEWER: ' FIXTURE UNITS#
BDRMS:#
Soils Percolation/Boring Report By:
Date:Project#
C-42 Certification By:
Date:
License#
Septic tank cap.:
Soil Rate:
Tested Depth:'
Max. trench depth:
Sq. rt. Bottom Area:
L�
Total Linear Ft.:
Line(s):
Len the feet Each 3 feet wide
Sidewall Allowance: Ft. Rock/ Sq. ft: Running foot
Rock below drain line: in. '. or ❑ Plastic Chambers
Leach Lines/bed special'design for slope: ❑ N/A ❑ Overburden Factor: "
Pit Diameter:
No. pits;
Depth below Inlet (bi): '
Pit Total Depth:
Max. allowable depth:
CONSTRUCTION/INSTALLATION REMARKS:
f-� ar LA f , -r- U3�C e—1 .
'.' C'
$ECTIONED z F4�•9f,� wig
. .. .. +<'G.:.. .... t.. a:.4.. ..�..,C...'i.. "+•:M-,+Ik+v.ie'Y Y.sit... 4;.+MnT3i,.� +i'ss+?' .TP6,YT"cRi� .E<. s.iL.y'•:y'ai. T,E.v�.. $`.3'.: •w. {.t 3E:4.f..!.
This Application istrApproved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plotplan using the requirements set forth -in . .
Section C -above. No construction • p rmitted in he required reserved 100% Expansion.area.
EHS Signa e:
Date:
DEH -SA 2 Rev: 10/14 - - Distribution: WHITE — Office File; YELLOW —Bldg. Dept. PINK—Applicant