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ONSITE WASTEWATER TREATMENT SYSTEM�PTERRM�ImTNCAsesoz jEDPj.RwaxD <br /> S.NJD "NCD ERMROM UHMNI%P.RT T NOE KIM <br /> NON.REPUNDABLE PERMIT CALL 209 963-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> im man,12-01 1- ZIER1Z724P0 E FMRN6y cTniu L_IfJ -h� �>>> <br /> CXOE.STREET CL.cm F.N-IS All 0mt-2-12-03"K•7-16-O_+ PAR.W. 40 *c . <br /> L. oN NAYS �AvL L4nrct+ npY,�P2- 31SD <br /> O`MER MDRE56 <br /> 2 18 IUESTFVII AJST£� �I\JE cfmaTATE® s-racjc D J CA 4Y104- <br /> CPIIRACTOP <br /> La J E Ofk IL G✓FpCn1V12-ON MEA1TrC L PHwE W-03-S <br /> GflNTRACiDR Mannr{-O� W o1cIL sT. cnrAE,.F�P l_olJ1 Gh 'f7724(:) <br /> U ENEE QC-42 Oc.1S OT1d xIYYMa ExP12.TRR1 D.Te <br /> WATER DEPRI: <br /> n GEOCIAAHICAL RtdYIIITXiN: crKNdlnateE % Y <br /> PERC TE RC TEST • t0 BUILDING PFRMRM_ _—_LAND USEAPpLICATgN <br /> ❑ RY'MMIIDOMW ❑ ENmfB1 DESMFEO IALTgWTNE <br /> TYPE OF WORK: ❑ ICY NHRLLRTIOR ❑ OEeTMIC110N <br /> ❑ RS'AI.ACAYHT <br /> MSTALLATIONWILLSERVE: ❑ REEIDVICE ❑ COMMERCIAL C OTNSR <br /> NYMBE116 LNNB UNnI: <br /> NMY[NDf Bm11D0Y[: NIIeQ OF EYPLOIRa: <br /> (n1PRLZfY—_ Dtl f DF CAEPAftILHtti___ <br /> L3SEPTK TANK ivPElMrc ROF COAaAmAENFs_ <br /> ❑ GREASETRAP TvrrJMw — _ GMnCnv_—_ 9M <br /> dSTMNElO NExREST: WEU._ <br /> R FOWDAIICN_ _— n PPOPERw LRE n <br /> p LIFT STATION 512E TYPE OF PUMP p PKG Tx PLANT ❑ SAND OIL 9EPARATOR(ENCLOSED SYSTEM) <br /> i <br /> O LEACH LINES ❑ I.EAC HIIIG CHAMBERS OP LEES LENGTHOFLRES --nR <br /> OSTANCETONEMEET R PR�ERfVLEE_ <br /> R <br /> ❑ FILTER BED WIPTM—_----n LENGTH— R PROPERLEE ft <br /> MaTANCETONEAJtEST WELL n iAfIDATIdI TY R <br /> 0 MOUNDED W�21__--ft LENGTH --R DEFTT <br /> R FOUNDATION—L mYP9ifYLEE R <br /> dsiRNCE TON--- WETL _n <br /> Q SUMPS IN—DISTA _-------fl llRt�'H__ E I]EPn1 <br /> R FOUNWTON R PROPERTYLEE —B <br /> dSTANCE ID NEAREST WELL___ R <br /> CI DISPOSAL PONDS WmN__—_ft LENGTH______ A OFPTry <br /> R w ATOM R PPGPERIYLME fl <br /> dSTAMCE IO NEAREST WFiL__�_ R <br /> U SEEPAGE PIT5 N. WMm_---- R DEPTH_ <br /> dSTANCE IO NEAl1EfT <br /> R FIX1tN1ATCIN R PROPERfYIIE R <br /> [HERESY CERTIFY THAT I HAVE PREPAPESMTE 1Su µ0 MIµAMD R[DW 4TLtR18 DlOSAN!IJO DUW COUNTY.Tl18AN JDAQUd CW NN ORdNI81CR <br /> NI NIM HOUR ALVANCE NOTICE REQUIRED FOR INSPECHONS-PLEASE CALL lm2{863-7887 <br /> TITLE G-"'"�SV Ll ftNT DATE <br /> SIGNED <br /> m <br /> U1 <br /> D <br /> o m <br /> Ilk <br /> EPARTMENTEO Y <br /> Applj..Uon Acc.Pted BY DM. 1' A. Emowe.IDN <br /> Fllwl lnePectlon BY_ DME ❑ SPEcIALPERMR-ApprwMdby <br /> Char r a SOLI to Depth of 5 FC PMBGmp SWICBSncter: <br /> COMMENTS <br /> PE Sc RKtivW Ae lrl ptl. WrInX/ IrIVRie.i P.rr.Nm <br /> COS. IMO h R.mMRd SarvlaaR uMf <br /> y <br /> ONSRE WASTEWATERTRTMNT SYSTEM PERNIT <br /> Axat <br /> tW4N7 <br />