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APPLICATION FOR PERMIT <br /> SAN aDAQUIN LOCAL HEALTH DISTRICT <br /> 160'.P.HA7E'.TDN AI.E.,SIOCKTC.4.CA <br /> Te LPhonc!2091 ac6-6781 <br /> PERMIT Ek71PES 1 YEAR FROM DATE ISSLI::G <br /> -•-"- _. -lCompletc In Ttiplicatel <br /> nr1'/.'to IM San Joaar• br <br /> L4ealet D•:1rtal f.)•a Min.110 cnn•tnxt 3nrfi o•,ns a 1 the work here,,.1.1—bed.fhif anpliCalgn�a <br /> a'Ir�ppn s IweM I t f IM San Jcrlum <br /> '� ma:.t n,.a.Ip.ant wN't Sart:o-V.+n C..mry Ort/.tanae Nn.!,S)Ia tav:aba a t.• Iw.l I.:r aeerlvnnP atwf d.e Rutea+nd Rglu a;cant u <br /> ltxat tatV�LN Dnnxt. <br /> = Ica Slfe ��'PM <br /> Ph.- _ <br /> ��--"('4..J ��{�n•� �.y//��/1`++'4LKeR:e:fe.E/✓.�OY,.1 Pr•ou�e�SZE} <br /> ;;onhxla <br /> E OF WELL:PUMP: NEW WELL t.. WE L REPLA FI1ENl DESTh,IC,TION:7 <br /> PUMP 9NSTA'.LA71::V U SYSTFM REPAIR I ll 07hc t O <br /> DISTANCE TO NEAREST,SEPTIC TANK_____.SEvrtR LINES _-- <br /> DISPOSAL FLD. Ph:P.LINE — <br /> FOUNDATKIN _AGRICULTURE WELL___OTHER WELL PITSISI:h,PS <br /> WiENOFI•:5E TYPE aS WELL pROP:EM A9EA CONSTP.IIC°IPff SPECIFICATIONS- Du.of Well Casino <br /> U � EJ op..owtorn G Manteca Du.of Well E•c:.aatiaYt_-- <br /> U Dortlsstic/Riven ❑GIM Pae; U.Traq Tvpe cal C", — SDenhcahuns <br /> f1 petty Depth of Coad Sea: —� Type of Grout__. <br /> I':RAY ::Opts. _---- <br /> I t Ntpetiott .-.AWoa,Depen i I Easton Swtru c•.:!Imtatt.d by <br /> Repan We^Dar l: TvPe..'P-W -- H.P. Su,Work Done <br /> l \Mall L..nbtrchon rl we,Dtartsewr _—__—_ Sateg Materia`hop 41'1 ----- - <br /> i <br /> Depth Fier Mata.al iftiA w-50'1 <br /> e Y, NEY!WSTALL\TION I i Pil-tR:AOD171UN DESTHUZI.P.i 1 INo sephe 3YAem P^�nitleA A pubo Sewer i3 1 <br /> TYPE OF SEPTIC 1/tn)R ".- rntyble w.!hu 700 feet.! <br /> •� frmallaa t wi eahei: Resdatc.— G• Ova <br /> d N_,bar M_,q neo.-- ,nerd e G ea Yoams ` J <br /> Chop aar of w1 n.depth d 3 Out-_�'-�!!g-~•3_------ —_ Water tad..lepth 3 <br /> O Tyq/ 1 ._.upacdY-._ _ No.Contpanawtntl <br /> SEPM TANK M�' Method of D:apteaal " �S <br /> PKG.TREATMENT PLT.❑ ' <br /> �7- Nl rtasast: WW 'eandatton. RtWerry Lin. <br /> Totd!.nythr ave <br /> LEAZl4iNG LINE Ll W.!!l:ttpdt d Atte. <br /> -.j <br /> FI-TER BED CJ Datartc.ro YJat-_ - rtda•'ron_ -- - <br /> TS 1 i uepth <br /> SEEPAGE R <br /> 1 �PpT PI-Pa"I L.Ic <br /> SUMPS l l 0.1—W trartt t: We. <br /> -_._1 FSurMatibn f-_ <br /> DISPOSAL PONOS F' f" --�—'. cadence with San Joapttin<otrrtry adin+ncas,.wt.Nwa,1rtd <br /> I hreW c.rldY that 1 h..f pl''Mtn.d Elts aOD•c•PPn Yd tlta�tlr wotk wi be n�IM In ac <br /> ndw and reptdaterr d 1110$a Joao-local Health Dnt t. I Shall not <br /> Hunt owatrr a acanr0 T..9--as a—he IOEowvKi: : fv tfi•'in o-meomunce of tM wok la whi:lt Ih:c perms.`uao.d. Kwre <br /> 1 ee plp,+fry person n-.h rtNrtttar 6 to beton,aubtacl to wotkTM1 a cprrtpartcaDo.i.awf of�.l1 pudl emPbY pervert sir p<SuDccntr.;late St0 <br /> 'T certlY Ytat it fM patformartc.of the wak fa we ch Dtia parrnit n w D t to wwkmari•:wnPan3a' <br /> �.I cenifre the lWoweq: _ <br /> can Ica of C.Moutle." i _ <br /> e The appfi ylt call fa a/r...e. CompWs dawetp un:avarw Side. - <br /> isigi-i <br /> x__� ~ d�' Title:— ems --D.u: <br /> FOR DEPARTMENT f'SE ONLY <br /> h1� o t t7./�7Si�L3h Awa 2 :3 <br /> AppGcatipn Acpp1W h' f�--ft7.t ,Dau <br /> Data i a <br /> Pa a Gtotn lrrpectiort W� Dau Few Iropection Ly:A�lr �-'-- <br /> Addtional Con-an.tvc�_t— n <br /> i ❑Su, 1666781 ❑LdR 360 X621.. J Mantac. 8737101 <br /> Applunl Rabett r coplaa to:rw e�artrtl.caal HW'h P.rtm/t-,trite.1601 E Ilefwton Ave..P.rJ.Bos 1009.Stk..CA 95101 <br /> FEEE <br /> DUE A WIEED CASH RECEIVED 6' DATL PERMti'IM. <br /> f <br /> D ws <br />