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(Compkis in Triplioatal -- - - ---- <br /> APPLICATION IS HEREBY MADE TO THE SAN JOAOU IN COUNTY FOR A PMMIT TO CONSTRUCT AND/OR INSTALL THE WORK IDFWAIOED. THIS APPUCATION 18 MAOE IN COMPLIANCE WITH SAN <br /> JOAQUIN COUNTY DEVELOPMENT TITLE,CHAPTER 1-1110.3 AND THA,E STANDARDS ffOF SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE ,EN%AAONMENTAt HEALTH DMS;ON, <br /> ' JOB ADDRE8810H APNA CITY _LOT SIZE <br /> OWNER'S NAMEADD48S ! J (J 1✓L-.' PHONE <br /> CONTRACTOR ADDRESS LLCM _PHONE <br /> ' SUB CONTRACTOR ADOAE88 LICP PHONE <br /> TYPE OF 60MC WORK: SIEW KIIIIALLATtON CI REPAIRIADO(TION mTRucnON❑ <br /> IND SEPTIC SYSTEM PERMITTED IF PUBLIC BEWER It AVAILABLE WITHIN 200 FEET OF BUILDING.) PWC TUTWI I I HOW MANY <br /> tAPPSoe6on® _ � <br /> INSTALLATION WILL SERVE: RESIDENCE'SW COMMERCIAL ❑ OTHER O <br /> NUMBER OF LIVING UNITS:-NUMBER OF III WROOMM — NNUMSM OF OAPLOYEEB: <br /> ' CHARACTER OF SOIL TO A DEPTH OFF 33 FEET: PITISUMP SOIL CHARACTER: WATER TABLE DEPTIL <br /> SEPTIC TANTfJ ACASE TRAP Q TVPEIMFO . CAPACITY NO.COM•PARTMENT8 <br /> PKO TREATMENT PLANT❑ DISTANCE TO NWFS WELL FOUNDATION PROPERTY LINE <br /> UFT STATION® SIZE TYPE F PUMP SAND OIL SEPARATOR IENCLOSED SYSTEM) gF <br /> ' LEACHING LINE �1 NO.&LENGTH OF LINE Ll ,e / DISTANCE TO NEAREST:WELL FOUNDATIONPROPERTY LINE_—� <br /> FILTER BED 13WlDTH LEN TH _DEPTH DISTANCE TO NEAREST:WELL _FOUNDATION PROPERTY LINE <br /> MOUNDED (3 WIDTH L TH DEPTH DISTANCE TO NEAREST:WELL _FOUNDATION PROPERTY UNE f-, <br /> SEEPAGE PIT* O DEPTH 812 NUMBER DISTANCE TO NEAREST;WELL__FOUNDATION PROPERTY UNE <br /> 3UNIPs w10TH, `LEN TH OEP`TH DISTANCE TO NEAREST;WELLJ,--FOUNDATION PROPERTY UNE •C.)a,® <br /> 01SPOIAL PONDS ®WIDTH LEN TH DEPTH INSTANCE TO NEAREST:WELL_ FOUNDATION PROPERTY UNE <br /> ' 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS A CATION AND THAT THE WOW WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES AND STATE LAWS,AND RULES <br /> AND REGULATIONS OF T14E SAN JOA43UIN COUNTY.HOME OWNER OR LICENSEV AGENT-0 SIGNATURE CIERToEs THE F40LLOWM:-1 CERTWYT04AT IN THE PERFOIWANCE OF THEWOW RMWHICH <br /> THIS PERMIT IS ISSUED,P SHALL NOT EMPLOY ANY PIERSON IN SUCH A MANNEK AS TO SECOME SUBJECT TO VIOAKMAN'S COMK%SATOON LAWS OF tAL IFOWBA.' CONTRACTOR'S HIRING OR <br /> SUB•CO AACTINO SIGNATURE CERTIFIES THE FOLLOWING:'I CEITTIFY THAT IN TINE PERFORMANCE OF THE WOM FOR WHICH THIS PERMIT 18 ISSUED,I SHALL EMPLOY PERSONS SUBJECT TO <br /> WORKM •e COMPENSATION LAWS OF CALIF014NIAI- T ANT MUST CAL.`24 HOUR4 IN ADVANCE FOR ALL RIE"ED INWWTTONS- COMPLETE DRAWING BELOW. <br /> SIGNED x I TITLE: DATE: <br /> PLOT PLAN W TO SCALE)BCA..E 'Re <br /> ' 9. NAMES OF STREETS OR ROADS NEAREST TO OR OUNdIN6 THE PEATY. A. LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEMA OR PROPOSED <br /> 2. OUTLINE OF THE PROPERTY,V41TH OIMENSIONNB A D NORTH DIRECTION. EXPANSION OF SEWAGE OISPOSAl 9YBTEMS. <br /> 3. DIMENSIONED OUTLINES AND LOCATION OF ALL !8'LINO AND PROPOSED STRUCTURES, E, LOCATION OF WELLS WITHIN RADIUB OF ONE HUMPED FIFTY FT.ON <br /> INCLUDING COVERED AREAS SUCH AS PATIOS,0 A'%AND WALKS. THE PROPERTY OR ADJOINING PROPERTY. <br /> . .. .. .. ... .. - .. .p... ..b.. ..) .. <br /> .... . :, <br /> .. •.i.. �....., ....... �.�.,�, k::Fit��{{,,,p�a .¢.\�,(• <br /> x,..1 .199. ...... <br /> ' <br /> .... ..... yTJ JIt,"iJTt�t... ... , <br /> i*fV1i4.)iii?N SAL _;t��.:-H;I)iti>'yte�l:,• <br /> CL <br /> :.... ,.. ....... . <br /> FOR DEPARTMENT USE ONLY j <br /> DATE; AREA: <br /> / r �. ,��_ <br /> APPLICATION ACCEPTED BY Tm• � <br /> vaNkl PST OR BCJM'{N61 .C"ON HY BATE „&s )NAL INSPEcT1GN 01^ T'J. An <br /> (/°' T—3 .as .r' A7 ., dr !� / .i� A .. 4�-. ✓"--�—.Y°s�l� n /` s—?�-Y�"' r�B <br />