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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SMI JOAWN COUNTY ENMAOWMENTAL HEALTH DEPARTMENT 900 E NLN.STREET-STOCKTOW CA 86]03.L202)46V4420 <br /> r, NON•REFUNDAULE PERMIT ,.i I 'd)': 'I I p.. : - EXPIRES i YEAR FROM DATE ISSUED <br /> .IDR ADDRs 1138-4 a 7-14 11 N CORE-P 9-1> cIWrap c(..EYN EnrTS (.P <br /> CROWS 3TRE" ON AmpD APN 023- 1�0-S.V_ P. a:E_I <br /> O M,,NARE 1'h 1()LC W, u&A Zc1l cAfZ( PHONE 59- 30:.313 <br /> DNMR ADDRESS (•O '3o f, 22T O CITr1STAM2JP I=Qt>i c A 9 <br /> I cm,RACTDR L.IVC Opt:- Greo9LJyi1zofJM4CA.(Tfll_ P,ONE 3109-03'}� 1 <br /> Cp IRACIOR ADDRESS 4o-4 w. OAE1L- S1 C""myAR12P_ L-o-Dl CA 9N7,4-0 <br /> UCENOB ,.C42 .,C-SS O`WEl1 NUNER EPMATDNOAM <br /> WATSRTAELF DlPIN._fjGEOGRAMRAL INFORML fIUl. CODIa1nmov X .Y <br /> �. PERCTE8T R ..� BU0.DING PERMITN___ _ _ LAND USEAPKICATIONY_ <br /> TfPEO 9M NR NEW WETLLLAmW RF—AIPI DD, oV E.&HffERDEMONE➢1AL16RNATIVE <br /> RPEIACEENT DSWT"w"ON <br /> j INSTALLATION WILL SERVE. ) RESIDENCE IL COMMERCIAL OTHER <br /> - NUMBER OF LMNO UNITE: NUMBER OF BEOROOMI NUEEIER ME LDV. <br /> ....._ .. <br /> ❑ SEPTIC TANK inR:RUw __.. _. _.._ C;el'nrrtv <br /> ❑ GREASE TRAP Tnf!MTc _ _._ - CAPa;N: <br /> DIFTANCE TONFAREBT: WET. ___... _ X POwun Nlv+ 11 <br /> O LIFT STATION SIZE TYPE OF PUMP ❑ PRG TX PLANT O SANOOILS�P <br /> ❑ LEACH LINES LEACHING CNAMBERB EL✓LxJ'A LF.NOTI,I OFLIn;is <br /> NSTRNCE TO NEAREST Weu.,._ It ruldlpAree:_, _ ___.D wNt%•ENivLM, __,___ __-_ ;! <br /> ❑ PVERBED W. __-N Lew,.. <br /> gttMCFTONEARFEi WI1L _ _ _ ry LikMpAlun _B :qM SBV Iv•.sF _...--.---_ <br /> ❑ MOUNDED WE+N ". LFy:.r _.._.,_ h Ceau+—_—._ <br /> DISTANCE TO NEAREST IFFII NN IWA:WA <br /> ' U 6UA69 WAIN P LEm;rr• h JI'ral _ _ _ _ ____ ____ _ _ � <br /> pIET4MCFTONWEaT ni11 _. ___ fl ;tNR10Atrll. ___R I.IrcM:rt'•,rR <br /> ❑ DISPOSAL PONOS Wm _ It I-;, <br /> DISTANCE TO NURFBT .YELL11 H..uOAlc:n Y o'di+P:;v'•rq_ _ _ ____ _ <br /> ❑ SEEPAGE PITS NUMq_ W. <br /> DISTANCE TO NEARPIT Int __ _ ___. h i"XNDAIers: •• 11 ••Ia w:eln,ui: _ ^ <br /> 1•Fa Rol CQnfv MAI.HAVE ER EEAAEO TME A"U 'T'04.W D THE WORK WILL PE GONE IN ACWAVANCE'MTH RAW IOAQUPN COW"M 0FQNANC EB, <br /> FIRM LIVES ANO RULES MIO REGULATIONS OF WI JDAWIN DOUNTY <br /> It m i�§AI '_ _ _R F ;=INSPF. La: . _. _ qp•., ._... <br /> SIGNEDlaZ4L <br /> DTLE CGNSVL--TA--rpqM 1- d3-13 <br /> �f <br /> Fri <br /> _ I I N( <br /> U1p� vr-l41C rvr . <br /> L <br /> I 2 <br /> - _ AppNFRlbn AeeFpna OY I°I f�L�`!?�_ - _ ..r-.ORRA1�'?1L`:_•F1I A;IIA E�.�"f l.�Ul erllprz»•ea lna l"lle. ._ ..r'll.,. <br /> FIMIInapFCflon Br _ Dm. l - SPECIAL PERMIT-ACG"'mn Ly <br /> cA*`EC1w of Sell Do DEPOT W S F: PWSump 6011 CNerecler. <br /> LOMMENTS <br /> 1. <br /> - - mvolee! -PermW <br /> PE w P..,,*d ChN- 1 Amount IGS <br /> PErmlTl -- <br /> Coes Iwo av <br /> cash I Remttuo Dm Be vma Ra ueM� _ <br /> �zz LT 2c<T 81 <br /> ! <br /> ONSITE WASI'EWATF.R TRTMNT SY STF.11 115110 <br />