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LIQUID WASLIU,PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SER} ,NVIRONMENTAL HEALTH OW SION SCANNED <br /> _ 3D4 E.WF,9ER AVE 3'FLOOR,STO. ,V-CA 952()2(2091468-1420 <br /> t <br /> � NON-REF NPARI.E PERMIT EXPIRES!}'EAR FROM DATE ISSUED <br /> JOB ADDRESS�rJ �/, a R( APN PARCEL SIZE:SA! <br /> CITYfZip�at9 ��I�p BUILDING PERMITk <br /> OWNER NAME_�lb C.` 7`4-c le r l rt V' ADDRESS <br /> C1TVlZJPf PHONE NUMBER n A <br /> CONTRACTOR OY-4-0ki CO Jt., - ADDRESS <br /> CITYaJP PHONE NUMBER_ <br /> GEOGRAPHICAL INFORMATION: COORDINATES:X Y TOWNSHIP RANGE SECTION <br /> ,1 <br /> TYPE OF SEPTIC WORK: IINSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: <br /> rc _ <br /> �. NEW INSTALLATION RESIDENCE NUMBER OF BEDROOMS: <br /> U REPAIWADDITION ❑ COMMERCIAL <br /> NUMBER OF EMPLOYEES: <br /> ❑ UESTRUCTION ❑ OTHER <br /> © ENGINEEREDIALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 3% PITISUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> ❑ PERCTM(S) HOW MANY // APPLICAT10NN <br /> ❑ <br /> SEPTIC TANK TYPEIMFG /LI �pyC�r<!�jf-f CAPACITY/(0p0 #OF COMPARTMENTS 'Z - <br /> ❑ GREASETRAP TYPE/MFG CAPACITY 90FCOMPARTMENTS <br /> u PKE;FX PLANT DISTANCETONEARMb WELL FOUNDATION PROPERTY LINE <br /> LZ LIFTSFATION SIZE TYPEOPPUMP SAND OILSEPARATOR(ENCLOSED SYSTEM) <br /> #OF LINES: 3 LENGTH OF LINES: + €/d.f l(� f PROPERTY LINE <br /> CI LEACH LINE pISTANCETp NEARStt: WEL O FOUNDATION <br /> INFLITRATOR CHAMBERS: <br /> ❑ FILTER BED WIDTH LENGTH DEPTH DISTAWETOKURIM: WELL FOUNDATION PROPERTY LINE <br /> ❑ MOUNDED WIDTH LENGTH DEPTH pRtTANCR TONEARERF: WELL FOUNDATION PROPERTY LINE �+ <br /> ❑ sumps WIDTH LENGTH DEPTH nI-ce TD.UROM: WELL FOUNDATION PROPERTY UNE U <br /> LI DISPOSAL PONDS WIDTH LENGTH DEPTH MSTANCE TO NEARMTC: WELL FOUNDATION PROPERTY LINE ^� <br /> l <br /> ❑ SEEPAGE PITS €€ -3 OIAAIETER jPy ` DEPTH J'S .E TOHEwRLtt: WELL rsO FOUNDATION PROPERTY LINE.4:5, <br /> 111 I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL,BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTS'ORDINANCES,STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br /> MINIM M 24 tIOUR A VAN NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL j209)450-3413 <br /> SIGNED: r5 TITLE: pre�M4Lt�fa.^ DATE: <br /> Ilk <br /> I---I- <br /> 1 _ i <br /> -71 <br /> I <br /> 1 ( I I A a f rl -,L.,,_,i. I__4_-i-__�- --�- - <br /> i --�-j--�---� I I 1 -t <br /> _I I yYVr _ <br /> --i - ' -- -- - -------�-�-- '_— I 's - I <br /> f <br /> � I . <br /> € - <br /> v I T){ <br /> _[ ��—, ?;iSLiG h'IRI SERVICES � I <br /> -r--- <br /> I I I <br /> DEPARTMENT VSFPNI.Y <br /> APPLSCATION ACCEPTED BY: _DATE:''0 'ol AREA •iT EMPLOYEEIDk M4 DISTRICC­LOCATION_ <br /> / INSPECC'EO BY: ­11 DATE �PERMIT FINALE&DATE: INSPECFOR7 <br /> rF COMMENTS: <br /> PE CODE SCINFO I AMOUNT CHECRF. SH AECEIVE� 'PATE MSERVI INVOICE>r SEPTICIDO <br /> REMITTED BY <br /> 4ltl <br /> tits 32v, �' `s s ,� 77e,-:z- <br /> ----------------------- <br /> RFVINFO N-15.61 - <br />