Loading...
HomeMy WebLinkAbout4053DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.66 -2 -36 BOX 31 74. .� 1! N or i 16 if-= 1 16ifn 04053 A v )Crf2 SD DIVISION OF ENVIRONMENTAL HEALTH SERVICES? PR0EQMEWf9WE MM am U. ( 0 13. SITE iLc" o TION R$P*Wft B�Wnm*,W. &=0h crOclon FOB ft& ❑ ReP*t*WgDD%GfaVWS=UMOrOWAmpped;;ed�ru r 51- TMN U Not In Way 0, Dekoded OWNERS NAME —Fri ,ILK Q*--t!dg- -612S2d" PHONE # i'mil Z- i #.1 MAILING ADDRESS I If U-t"" el- em V,4 ccgj tizy -, to 5-172 - APPLICANT Ajt4 NWM A RSMUUMft #A,, OWW, WWI, COMMOO TYPE PCHD COMPLAINT#_ ATE F IM ..P65 D INSTA W �-AP-D -2, ROPOSEb UZR PHONE # asc, I'D ADDRESS i-�4-w-Q #4-L::tZ Ki- J6 r�7 T REGISTRATION /UCENSE 0 Onckgle, a squab defth bcs" #0 hOU84o WOPWtY Un8% ell s*wmt wells wUM.n 200 fgd of repdr mW the WOm of vftU" and pmposed system) NOTE: The b"aftent may mqWm mibmft of puposol ftm• gmmd Indmolonol dependbW on the nature and adopt of the repok.- SIGNAL. IGNAL. TITLE Cc.-We,^ DATE— 5--lalo's- 1,..tire 8601c IpSW, ARNIP tO P010131Y wkh the Conoftn.e Of this pem* for the sapW symm A TITLE 0 J B3uWmP2nbWv0#� odho a Com: 1. Aca"mom of any Tom Pwn*. it SWAOMA& 2, 8UbmWm0fv4 built mPWslmWl byft septic symmn kWt"ffv4M 90 "s of" repe&. lndWUcmmv*lW- Owner's name, She eved Nmmi Tmn and Tax MW mmtw b. LmadW of kmWed ownpmefts tied to 60 fond puba c. Sysom desmipdW (mg-, 1260 gal. Cmamb 8Wft ork Mr.) cL lnskMW name surd phone im! - dxv 3. System mp* W be pwbmW In accordance wM the at6ve propow ow cbriftwo .4. The' proposed SM repair. Is cOnddared a Ud ft design and there Ig re gmanteg jo #0.& ration at whM the wmpkad 8STS mp& wN tmdm S. No cxn*W work Is W be bad" untl =Wwftmdm to do so hm been W8hW irom the NWmmt PropomWAMmo r1l, COPIES: PCHD; Owner, lnsbdW PC-RP 99ML Proposal Denied a pllt�- m-n- Rev. W7 r�& V A- �l 0 �u�o 4 Gzq 6eAr Im 19 &'VS aa6 -595 Rd C9 Gc w. A OF Ecfsf C-S 0tc Se a '� sc Apa-6e,4- g� a It K —TA N c"� o CP9 , - — . � •� A1� �� �- l� I lS -�8' n i P4 Gv-,A C-Al 16'(3 (� S . /oo6 6 L R ° a 3 F�(Ec*sr ORS w eGt�r 3' W%ve- 8 L _ `7 BD - q., o� 7 film .� V Lr) '_ I 'c L MEMORY TRANSMISSION REPORT TEL NUMBER NAME FILE NUMBER DATE TO DOCUMENT PAGES START TIME END T I f,f SENT PAGES STATUS FILE NUMBER �b 119 MAY -28 01:15PM 95262595 001 MAY -28 01:15PM MAY -28 01:17PM 001 OK FMAY =28 -2008- 01:-1TPM 8452787921 ENVIRONMENTAL HEALTH 119 * ** SUCCESSFUL TX NOT ICE * ** n1V10AC)'N C�F MMAJ .-r" P6naa3Bm—wa win" a vemm . �raadUalra H[N�+s Ganwms. W_ Bam+a4. ovC+vm+. FaRm SLws. i'6BPas'+a�� sOn � ora �aaeaat+aoa® ar - 9A-t-k?r LX30A-rlaN /�� .sec.. � r r -apt = - - t i f''t�a 4v ar 3 �d�, — -J, — .--, a-- cWvblaws NAME � •t e=M2 Ms PHCMQjE W ar9f�`�� VS- AVa C. Sf NApjtjtv43 A=mFtESS [l / S- 5 n o r s �s . t 7 r��g -r r4 7a tc v f�$ a► t o S" 7 �i .a69PfJC�L�t'r r�evaas a f3�oaasasu tier�� owo ��q -j^E �i_T safe F t_A'!V Tw*e /�tt S PICK= CC M0= ^JP% T W uro as-N- i7.SJL^: i (¢raat4Le4a•� :au� 1 tt.® rr.aswe�, psaopet9N tataa�, � croofl8s vaaa � � _ - atiP aapo9r osms titter tioamusto s of am send pr-wc s» sy aa) "CrFF:- •T?aB Cjqp[srbneu74 mmy caquW- msAbr+und Ot pr-poe d 71'oo, 'ti oas `ono rasanarB mnc0 ooeZsat aT tfa® ►®pair= r- 7'-41' 7"'Tsgc N �O ! -+ /�+s r.sV..J -o� � � i%i �Y�ir -•►- f G V`i G e r1. '`..a-rm �`_ t- � oY79J1BC6� ®� _Lm 4/h� :F'b1i699f�4L4 l9 m!8 98ab9 EOCi1K St49t�9.4T8J h ,�1� -- Trn E s- e. Mann Q mm comply wom � co�ucabs of 2ns Tem sew sywabew Sta"Oi / 1. Preoaare saaesaR tai est -11mon Pernalt. W - -"` $- Sd ee taaaHt 7OpH%r at xN*c*z by the eepttc aay9leraa tn81�9P EN�Q90Y4 .SID a aP 9nae n Ilra m- Owraea'm neana. Si69 Finasep. "rcnv U aaod TEOC 1Nfsp susarabcsr ta. L.o�ora bT hunn lea oosn- to team!Casa P a Bw"daSn a "amtsma— (—q 7z O 9e=- t +mom m3pSsa *—dc. ate -) d- tr>ata0wrW rannus m1 - pnoras rageaaorr - CL Wya mnm eeapatr' to tiwnae ba poeatt in raOB vAh tlae 04;0%m pr0'p ae�t astza ' 4L - 93tw -ps p--- , =W tM rape! 10 97- Wt daes*jn mind tt emw In n12,*Fnwzw&txM 9® 4C1�. 06 4R .AdpatCta Ithm CO/rapAf>mBa asrm 7�etr al" *nVe kail - s_ tdo vrmesc 6e t 0 Raw aanf0 ua. efo eo tsars tcm:�ar w+murn proposw cDa;PlPtgft: pct -n ®: tea* . ans r t=c -4211' 9QWL- . tat�C._ 7 raj C3 F br - ?' tr (jft-c.AKT c..,4ao p uea aod' -roa , OWe SsUS *- W� ci, 1 Ss P5 �Z �s£ SS AS t O r°?,F — — — — — — — — — — — — — — — — — — — — — — - 17 - - - - - - - - - - - - - - - - - - • — — — — - — — — — — -- — — — — — — — — — — — - --- — — — - -- — Dow ---------- ------- — — — — — — — — — — -- — — — — — — 00'" W/ a/ /9/ SO I 1 FIl irr -e 'to Old Ln C, 4 �V 0 r.. c� ►ks �Q Tr f e ! I�GI�.o�rgec5 3 1