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LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY M:BLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> SDI F,WEBER AVE.]""FLOOR,STOCK TON,CA 95203 (--M)468320 <br /> MN-REFUNDABLE P. mi r Expritu I YEAR FRoat pAn ISSUER <br /> IOR ADDR�ESS-TRS <br /> CTTYTDP�1_VGK1�.N P.RCELMYVAP:1�0.3M1CIO <br /> OWNER NA MP FdJFLlIJE G U IJf TE- 7EP..�1 SO4 M Ro. Box�{Li`31�.]J p{p <br /> C,OY/LP_y�-l95 n _PI IQYP. (zc,,T) <br /> C[INlnwclYJRN�ILO �/ i5[�C_t 10,)C ADDRE3/5�2YMZJ /J. ttPUST2%) LAJ. <br /> CTTYTaP MONE_E_y_V�L� <br /> GEOCRAPIHCALII"NFFO/O�RMATION:COORDII, J _ _.LY_TOWNSHIP_RANOE—SECTION_ <br /> FERC lEsTIS1 y��-OW MANY /� APPLICATON N: _ <br /> ,ET <br /> TYPEOFSEPTICWORK: N'F.W IN'STALLA f1ON ❑//REPAIRIADOITNJN ❑ DPSIRUCTR)N <br /> L <br /> INSTAATION WILLSERVE ❑RFSIDENC.E Z OMMLRICIAL ❑OTHER_ <br /> MIMHPROFOVINGVNTIS:__ YUMHEROFUEOROUMS'_ NLN HER OF EMPLOYEM.['._ <br /> CHARACTER OFSOILTT A DEPTH OF S FEET:_ PITSUMP SOILCIIARACTFR: WATTATABLEOEPTH_ <br /> ❑SFPI'ICTANIUGREASETRAP 'IYPPIMW CAPACFFY_ NUMBER OPCOMPARI'MFMS_ <br /> ❑PKGTREATMENTPLA`rt DISTANCT•TONEAREST: WEII._ IRRINDATION,_ PROPERTYLINE <br /> O LfEI'1TATION SIZE TYPBOFPIIMP_,_SANDOII.SPYARATOR(ENCLOSEOSYST'EM) <br /> ❑L C.HINGLJNE NVMBER&LEIOTHOF'UNFS INFILTRATORCH.AM9ERS <br /> DISTANCE TO NEARFS'T: WELL FOUNUA WN___PROPERTY ENE__ <br /> ❑FILTER BED WIDTH IzNO'JH . mpTH__ <br /> DISTANCE TO NEAREST. WEU. WUN'DATION:_ PROPFKTY LINE <br /> 13 MOUNDED WIDTH LENFTI__DEPTH <br /> DISIANCETOVEAREST: WFJI. _WUNDATION PROPERTY LINE ((�� <br /> ❑SEEPAGE PIIS WIDTH LENGTH__DEPTH __ -A-p• <br /> DIETANCHTONFARV T: WELL FOUNDATION_ PROPERTY LINE___ N <br /> ❑SUMPS WIDTH LENGTH OEI•DI <br /> DISTANCETONEAREST: WFLI. IOUNDATON PROPERTY LWE N <br /> ❑IXSF SAL PONDS WIDTH LENGTH BEPiH <br /> DISTANCETONEAREST: WELL IVUNDATON PROWRTYUNE 1)) <br /> I HFREBY CFJRIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOVIN COUNTY <br /> ORDFANCES/,J$�TATEL.S WW/v��jnyL1 RULES AND REGULATIONS OF SANJOAQWN COUNTY. <br /> SIGNED._,//y�/�� TFRE:fIFe� R•FR OATE}�JP�p� a <br /> MARIPOSA ROAD <br /> RRn,BN,NY. <br /> p <br /> FYPM6RDF <br /> W REWVN <br /> 72, QF MA4Cr4. <br /> IC. T SCALE(APPPJAL) q <br /> 1. 2B <br /> aj <br /> muN:.4]Mu.OK ,, <br /> I I <br /> q / I Y11lPAATMRNT IME DMLY <br /> APN,ICAIIOY MCEPTFD BY: <br /> T VK,PIT,DYSUMPINSPFC AY: —HATE <br /> PI.VALI VSPG(TRAV BY: _//II.� <br /> OHWR rs <br /> C(lU[ RC AMDLWT YIECK RBCFJVG,NT DATE PGpMIISERYICS RL'pL. SIRIC. <br /> WHO p" <br /> Li2tz S'c <br /> IN,— L� VO-4 6 91-11 <br />