HomeMy WebLinkAboutCC Reso No 1948-518
RESOLUTION NO. 518
[Sewerage and Sewage Disposal. Form A2. Municipal Corporatron or Civil Subdivision]
ST A TE OF CALIFORNIA
BOARD OF PUBLIC HEAL TH
I, >.;(-
Certified Copy of Resolution
[To accompany application on Form AI]
(CResol ved by the___ ____ __n___ __~ ___g_~t'y__.Q_Q:gJ1Gj:l u .._ __ __._._ .__ _____________________________________________~_ _n________________n______________.___.___
City council, board of trustees, or other governing body
of then________________ __________________n_C,it~--o-LJ~15inore__,--~Galifo.rnia~----------------------------------------------------, that pursuant and
City, town or county, etc.
subject to all the terms, conditions and provisions of the Public Health Act of the State of California, approved March 23,
1907, and all amendments thereto, application by this_________ ___gjj:'Y______________be made to the State Board of Public Health
City. [own or county, etc.
of the State of California, for a permit to_________c____QQIJ,p1:..I'll.Q:t__ C1_g~:ttt;:!._c:>D__~__i.l};!g_______m_________n___________________n__________________n____
__________________________________________________________________~_____________________________________________________on.____________________.__________________-----------------------------------------
improvements to existing sewer treatment plcmt
Applicant must state specifically what is being applied for-whether to construct new works, to use existing works, to make alterations or additions in works or place or manner
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a.nd outfall sewer.
Plant Site located outside the Citv
of disposal or treatment. Eaumerate definitely kind of works used or considered (if known), place or places and manner of disposal, and state definitely the locality to
______n_________________g9TPgT~t~__J.j,Ag_t~_,---J-~--m1IDJgJR9cl:t.x_____Q~_~~-':t__~_r:!~__~!~~__~~_~___g_r_pJ9:r~___~fJ:~~~!-l:~___________
be served. Additional sheets may be attached.
_ for land irrigation will be continued.
------------------------------------------------------------------------------...-------------------.----------------------------------------------------------------------.----.---------------------------.
tha t the-_________ .___...._____ ___M.-<J,.yOI'__________________________m_________of said__________md______________dCitY-__Councilm___n__________________________n______
Title of chief executive officer "eity council, board of trustees, or other governing body
be and is hereby authorized and directed to cause the necessary data to be prepared, and investigations to be made, and in
the name of said_______:_____Qi_t-Y_______,n______ to sign and file. such application with the said State Board of Public Health."
City, town olilcounty, etc.
Passed and adopted at a regular meeting of the_____nCity___C_QUUCiL__________n___n_n_mof them_Cit.:i___o_L):'';laihore
Governing body City, town or county, ttc.
on the___m_n_3_~~_~_________day ofm__________~~~____n_____mn_n____________mm 19~~____.
[
AFFIX
OFFICIAL
SEAL
]
____n___n______~m--- -~L? d ~J A) p;,
~---~-----~r-------"----------------
Clerk of said____.____________n______________________n____ __._____n_______________..____n__
City, town or county, etc.
44128 4-45 1M SPO ~,
!:.
[Sewerage and Sewage Disposal. Form AI. Municipal Corporaticn or Civil Subdivision]
STATE OF CALIFORNIA
BOARD OF PUBLIC HEALTH
. . ./} ..."f-l 1-"" ,'>.." " .'. i . ,:~
ApplIcatIon from ".., ,;. . '.' .. ,.. . ,.,. ;. " ""-------i'---~----------..--""~---------------~~--------------------------------
----------------------------------~~? -------------N~~e ~f-~-uDicipality or civil subdiv,i.tbn
,. , '.
Organized und er --J~~~!~-"~"--'2-~;L:".cc-s~~;~f~,~:~~~:1~h~;€~~;~~~~;-;EE~~f.~~;~i:;~:~~:.{~!;;-dt.;-:fi:~:~;~;i~~-----------------------------
To the BOARD OF PUBLIC HEALTH OF THE STATE OF CALIFORNIA,
Sacramento, California:
Pursuant and subject to all of the terms, conditions and provisions of the Public Health Actof the State of California,
approved March 23, 1907, and all amendments thereto, application is hereby made to said State Board of Public Health
for a permi t to_____g7~_ct;":__._3__,~i:::~21..d.'.C_'.."c..:i..___a..-"3~~-.L;::~("_______L_____.,_L__",!~~_~'c~c__"cc_____'c:'L"~_,~c7"c~----'''--:~-2~~--''-"-".:L-----------------
r -. - : j .
, . ~~p~c;,:;~~~~=:;~:.~~;;~ir~~~/~~;~z:-i~!~- :o;=::tl-';!~~:;;~~.:~;;;~;k-.~-~:-~;;-~~~;-~:~~~~;~:~;~;i~f~-;;-;d-di;~:;-i:--;,~~~~2~i;~t-~--:n-;:::;
ell'l!:'~.r':'" ....\ ,
""~ . ,. ._. . ., "1':.' M'1 ,.,t",,-, .. / "
< '" ,fi,.,',.t?/f. , . --"r ../ . "" -, . _~.i!C"r" ..."(..."','~,,''''
of di:;'..l -~-"t:;:;~~~---i,;~~~-_[;S.:;;!;"k;;d--~f--;-;k;-~;;d--;-~:;;id~~d-(if-k~:;~j~--;i:~~--;;_;l;;;;-::~,;e-;-:f--di;;;:-;."l~--~~d-;;~--d~fi:i;~~--;~--l:;c.lit-;-t
Da ted..-~:~l-c'L::-1!~-------~-~~-------------mmm---19 ~'f
/y- / --------
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-------{~~::;;7,:-----:;;L------:;;-(f~~cL~~~'Lc~::::+--(:~~--,~~:.;i$i/'}"
Ii ;~,ame of municipalit.y or civil subdivision ,i
(AFFIX OFFICIAL )
SEAL HERE
By ________________________________________________________________________________________
Signature of chief executive officer with official title and post-office addres. --.-
eo..1
~').''''Y'',t
Attest:
(Signature of clerk or corresponding official with title and
post-ollice addre..)
A ~~...
~h'l. (
f f . f!~~.-Before making applicat~on for permit, such action must be authorized by resolution of the governing board, substantially in the
olrmk urUlS e y the State Board of PublIc Health (Sewerage and Sewage Disposal Form A2), and a copy of such resolution duly certified by the
c er of such board must accompany the application.
'~926 8-46 2M SPO ~
. ---.-. (".;'(~-F) 0-;;--;;;::;-:~~~L-Y-);---'-
1 ~ l., wlh.l..l.-.J o.J .,;oL Ud .
!,T'I'LICATlO:'J NO, TH____.____._
STATE DF CALIFCHnIA D.GPAHT?E:1'I' OF ?HJA1K':S
DATE REC'i) hY oTATE _____
nom: 3G6 STJ\'m CAPITOL, SACIJ,Y:BNTO 11i-, CALIF,
BOAHD REE;OLUTICN l'JU ,___-----
----"
APPLICA'lICn FUH 'lllE uem OF nlGIIT Of WAY Al'JD
FeR THE PRJ:' fl:'W.'IlUN OF PLAns
CTr:1'....,""
0J.l.L0
r:~OlJIE~S
stpte Aid tc: Lecal A~encies u;lder Chapt.er 47, statutes of 191;1" (4Lll Ex:.trC:l SC~5s:i.on)
Amended DY Chapter 1455, ~;tatute~, of 19!-..'..1
The within nW~led Local Agency l1erub,y re'lue~)ts of the Postvmr Fublic V/orks He:view
Board that moneJ' ilC:retofore al:Loc~.;.t8d or' assigned to Local 11i:':Cl.CY for acquisitlO:1
of rights af VfaJ" and sites be transferred and allotu:d to Local ALency in the
amount hereinafter set forth in order that the within f)ELmed Local Agency may appl.j,'
far all or part of said ai;lount, to be used for the purpose of prepad.ng surve'y~3,
plans and specifications,
Date _,~J.u.na....4,L-+.._lJ1~L--. A;JrJ1ic,.mt' s rei'erenQc, if any _..___nQn.~_._.
ApplicEmt (Local Age{leYJ.._--Gi.t~ tl.rR1 s.i.r1.c:ll1.a.,.......ca1 i forn..i.a......_.___-.---
Local Agency's Certif1ed Resolution (attached) No,_._Dc.rL~d____
A\ ~', (n"; -i-r-Jrr PTi\'~'" l"~(C' I1it;rr) ~\ 684". 11
~"\",\,j.l.,,,1. _..L.J..~t..,!~.1,..Jl' '.,'-.... "', ' ..--........--.
Brief explanation of the necessit;r of this tr,:insfer_Oit.y....a.wn.~ p.YisJ:..irlgsite-
o1,,-,the.Jiewa.ge ~.J'ea tmenJ, plant" impI:9Venrents anGl r_~guires the...&!Ilount_
:r:~~.~e s te~.-!?r plan.. pr:!3pa :re.. t ~ on "_..____
--------
~-_._-~-----'--_...
a~() f El sin a T'..a.,.....c.aLito~ir.l.ia
J.\.ppiicant
AFFHOVED:
POST'iVAR PUBLI2 \ 'om's Fi.EVIEd IJCI,riD
B,V__.,___.._.._.
Chairmctrl
By_ ~O/+
r~ Mayor
Date Approved by Bcard_.__.________.__