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pr ,3 .. .s- - - Ra. •y: L - <br /> v •U��'3 h.lj7rna�scl�,ilt - ' ', 'I <br /> a, .k <br /> I <br /> F ILE <br /> FQ^'QFFIC-.. LiS', <br /> APPL1GATiON FOR S�aNI ATiON PERMIT 1� - <br /> (complete in Triplicare) or lvwrl f } <br /> +, �: <br /> This Pormit Expire+ 1 Year From Dais lstu*d .t <br /> r 49 and Pp <br /> Af"ti;nhl�r�l y mLtrfn I ,n t STplllrancP Wil� <br /> phron Icit to <br /> h CUuoyt5 <br /> torOrdinalrjrnC.a ItJOm5 r.,-,'llni3 R,II t}rdn'{thre �Ulation+tl <br /> ;el <br /> drfsLril+nrl This applitnllon <br /> /t•f`t+_ Ct �tii.0 U ( . P!.CT A ,7 <br /> JOB ADDRESS/LQCATIQrd i'r `- <br /> 4i <br /> t . <br /> C)wnrr's Nor,r: <br /> City L {? a <br /> Addrrss / F s t,enr 7 <br /> C,�srlt��rtar.;.•;,CJcs-r1.,s•- .�. .„ -•. .,� �.•; .,._ . .. . „ ,., .,. I s� - . . �'��' <br /> *real Tv)der Cct <br /> Instoilotion will !.erve. <br /> ApartInrn't ► 0;use[ 1 Co r1 <br /> r-totrl r�Other C7v.►.t,�a. ""[. -M / I <br /> of bedrooms Gorbage Grinder �, f <br /> Number of living units: , g <br /> trva'e -<'t <br /> Water Svppiy. Public Sy,sen, nr: . nt,mn a is{' <br /> r-cit Sanely l.oct-, `. Clay Loom iM <br /> Chaecctrr cf soil to a elcpth c•f 1 (•'r'' Sons}} Silt[] Cloy ❑ <br /> rl pain rl Adobe Fill Matcriol if yes, <br /> n:. . ; <br /> {Plot plan, showing size Of Ie' ta�nrlcn of system in relatic,n to wells, buildings, etc. mutt he nlacrcE on reverse side.t <br /> NEW INSTALLATION: INIo ;,,�t•� tangy o, srcpnge pit,perertitted if public sewer is ovoilab4� within 2Q0 feet.] k r„ i.i • <br /> SF"T1+= i MIK , Liquid Depth V <br /> PACKAGE TREATMENT I ]' t Size 4 a, <br /> J;ldterial Nn. Compartments <br /> copoc,!r Type <br /> ' rf <br /> t pLJnr+t]lian Fro(,. 1.lnr' <br /> Length <br /> of each line Wpll <br /> lotnl eng}h <br /> LEACHING LINE ] ] TJn. n,4 I.enr: <br /> L,. fit, Tti Filter,;Mgtefigl k Depth Filter. Motrrint x I t <br /> _ �LtWr § �' L ! i- <br /> t _ Lrirr � gni .�a� s�l.! .6 i'r l+t7�th -l;�t'yv` x. It +h:. n I L <br /> zs i},, ' ler^,+ E pu., s - ' - •I - r '1, I x I Y <br /> �t,aat a ar ,�" � �ttr+tl c` R `r4 c14ied Yc, [ Nod[; + <br /> SpEPAC'E p1T ''{ s fJ' till, p,c+meter#x H <br /> ara I:rs � tisY A <br /> C)cpth � F �+ 4ZbClc Sf2@ i cr f <br /> Fovndat+o+� Prop. Line xT <br /> WfIll t. f k <br /> Dole , F <br /> SEPAIR/ADDI110NIPrr.v Ss:nite'Inn Pcrmlt ' t'r <br /> 1iV74� f 4 4 F <br /> Sx'ptic Tank:tsoccify F`.on.il;n. � <br /> ..yy <br /> nr r 'cr �sc� . <br /> Ier" MI�f3lll!17•�' ,ttt k } �. a,. is <br /> ��I3iSl 0541+-l=Leld J5p y <br /> s r'I <br /> Iti r.N lr A.�ibLi •fit <br /> �.� t`a�,�•. tri ! r r v1£ s r IJrn,N hV'stIng i7nd r@(YCalrCll-(1C�1y1tiL,h On fCYCrSC Si[tei <br /> I "`' i+egt+en '!+he� that the work will b� <br /> dome ir. actordaata with Son' Jaagylri <br /> ''1 h 'ieb; certify iurLt t ha p ,rtrrd this aPP rf i: <br /> t <br /> Iii <br /> ' CotJn►y r�rdf 4antts 'Stat« t._ snc!, kuics and ilegult}grins a#=,thi,' ' Joaquin total tiwal+i, I7isrr;ct, (tam• awhw er:,{fi eri- 41. <br /> sed ag4nts trgnature"tcrrifio, ft)-! }cllawing: ?+r`4' } Iii ; ' Person in SU is ,- <br /> pissued, 1 +hall not employ any P l' I n ]:t <br /> certiFy ihpf it, the.pFrforr ycr•cc of the work for vlfWeN tlsllr erini x <br /> as becaene'iubject to W� kr- n', Cnmpensatinn'Iaw� o�IC�li� ►i►#n t� j: <br /> Lr{tiH rTf,(y• ij rLN <br /> !,Owner <br /> SlpnrGi 1 � <br /> By <br /> r � 9 <br /> [. <br /> llf,� 1[•r tl,i,., r;n' I � �°� '�° 5`� '� � �FIK � ��1 #l': <br /> I/ FO D Mfl€' USE <br /> Ir�yT E I ONLY <br /> " <br /> f4.PPlit"A7113fJ A t:t�f ORIF i <br />:'] {}lf.�lJ Jr"r i?(V,'i`f I':r♦'J: _ r.�UJ'�;.i31 ,,tr z. I ,. +� r i x. <br /> , ' y17 <br /> • Y� 6. <br /> 47 <br /> i'tt,alln',L3!•�.I,QIl �;'�4: <br /> "' ,Ar.J <br />