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Page 2 of 9 <br /> NOTEXTPAGE <br /> EOR OFFICE USE: APPLICATION FOR ITAYION PERMIT <br /> mir No <br /> Per <br /> ICempb In TriyilroNl - ' <br /> Dare lt4wd.�-�- <br /> Thin Permit Fepina f Yew Fem Date lewd <br /> Appl,colion n herby mode n il.e San Jao4uin Lam;Heald.District for o Pwmii to conwo'and Install IM wed 60 atm <br /> deseibed.This application is made In cgnplianro with County Ofd:r,anas No. Seg and e:ininp Rukl,and Requlddana <br /> 1223 PQ .A, A-4)r " rr <br /> Ownl .. Lodi <br /> Lo11 <br /> JOBADDRESSAOCATICN ad. house. so ai 281t1eronRay SIdmitz ��;Y <br /> _ . <br /> . .-._.... <br /> Nmlbm Re a o.ohs <br /> Add:% . <br /> i <br /> same as;above .......pry ..Lodi. _. ... ..-.....-......_ <br /> Contractor's Nome G'.h.(I..SeDtic..Tank.Sar... . .. _.: Lironn 13G-57-21. . Phoise 368.-393.1....... <br /> Iftmallotlon will{onto Re"dence 15 Apa"menil Hevw0 Commerciot QTraer Court Q <br /> 1 Mari;p Oiher.'o . ._.___....,...:. ._._...f . <br /> Number of living unlls. Nucnlow of bidnarns .z _...Go b4 f.D"ndY �.. Lot Sim . aC T'e8: <br /> ' <br /> Wow Supply,PVSIIC.rti{Nm OndnN nO ... _..... e _ ...i_.. .._. ....'�......._. __..�. ___..........,_ ' <br /> Charoctw si roi1 to o depth of 3 fear: Sand❑ Sia❑ 4ay ❑ Peak❑ • SadIr earn d "Y town 10 _ <br /> Hnrdpon p Adobe t3'FINTAolerlal ... H Yee.lyp.... • ... <br /> ,Plot pion. thowirp nice M Jul, lomiian ar Protein in relntlan^o walls. bu;Wings.ltc_n.usl be Fkcad'an Awiiww side.) w <br /> NEW INSTALLATION: INe npric tank or Iw It hied H ic sewer if uvellable within 200 feel,l f <br /> Page P Pe"m P•�� �' <br /> PACKAGE TREATMENT (? SEPTIC TAkKM r $eet�".90..5'.... 9.. '...�>6' -�ua Dfpdr .5-t........... <br /> Capacity 1600.Gaigp . QSCfb#OMarredol_GRaere.tie No. CompartmeNs 2......__...... <br /> �...faunda"wi-. r . Prop,Line..7x2.5...._-... <br /> Disci.not to mean", Well .501 ___....�..._ 30., - <br /> LEACHING LINE R I No. of l:nei 2�.- / Length of earth lira 80' ..._. ...... Told Length _. �7tQ�___........ 9 <br /> 'D�bei 14". ,Type FOW-Maserml .13y1i:'-Dep1h <br /> W"a:w la nearest: fi ... . Foandatien7O1 _.... Property Lim 1'5s ......... <br /> Y <br /> SEEPAGE PIT R I Depth 12' .... Die-` <br /> aC Or. ..;NuadMr 2 .. . RoCk Flied Yu 15 No <br /> WowTable Depth..got ..........................Rack Sue 1..CY. 1�........_.. <br /> Diamnee to nearest.weR JTQ_..fk...JQQ'..... _Paramdotio�iO4.'{. Plop. Lina 15�' .........-. . <br /> REPMR/ADDITIONIPrw.SOnilaliW Perm;li'.__. _....__. ..Dan ._....-...-_..........._.'....1 <br /> Septa:Tank IS"Oly Raquiremenbl .... .........._._.........._-..____..... ....__...._. <br /> 1 _. <br /> Disposal Feld I5veri Rpubelrllydtl <br /> (paw ext"mq and nOuired addition mit reverts tidal <br /> I hereby Wify that I hove PrePwed Ii applieeliam and Mal the work will.kelt dear in aeaerdante %41N San leaauln <br /> Ceanry Otdinante.. $lab La+-.. and Reks and Reealadaes of Me Son Faagvie Lath K"Itis Olson".Herne awnes or 11nn <br /> sd oyeab d9nware romiiin rM blbwir.B: <br /> "1 twyHlr ThM <br /> ar In' e peHmac <br /> araa ei 4.work for wldrb this P-41 Is Iswed, 1 a Lsf ear witpiey any Penan in each mannw <br /> n q bad .wbIW n W-k' an"Cam0en40111e12 lent Of CoDfamio' <br /> SIDb _..... Owner <br /> By � _ ..... FBk. Qxuer- G .&..Q.Septic. Sank Ser. <br /> i olhw n ewnerl <br /> 00"1ALSRET USE ONLY <br /> APPLICATION ACCEPTED BY ._ . ... .. DATE <br /> BUILDING PERMIT ISSUED.. .. _. .,.. _ _ ---------- DATE <br /> ADDITIONAL COMMENTS.... __. __..._...___..... ..._..__.............._._.__.__.-.-...__-.. <br /> FNpl lnspeelan bY� .._. _//; -.. ....._. _....Day <br /> AN <br /> SJOAWIN 1.06AL HEALTH DISTRICT... _ __..._ <br /> 2/723A <br /> NOTEXTPAGE <br /> 8/1/2011 <br />