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OWNER NAME I // /TJLIiI�/�' U [`��P ADDRESS <br /> CITY/up-` --�F PHONE NUMBER J/'yJ <br /> CONTRAC7YlR S � ADDRESS _ f O 49 L7� -- <br /> CITY/2JP PHONE NUMBER - <br /> GEOGRAPHICAL INFORMATION: COORDINATES: R` Y _TOWNSHIP_ —RANGE— <br /> SECTION <br /> TYPE OF SEPTIC WORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: <br /> trNEW INSTALLATION X RESIDENCE <br /> ❑ REPAIR/ADDITIONO COMMERCIAL NUMBER OF BEDROOMS: <br /> ❑ DESTRUCTION ❑ OTHER NUMBER OF EMPLOYEES; _ <br /> ❑ ENGINEERED/ALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 3'• T/SUMP SOIL CHARACTER: _WATER TABLE UEPTII.--_/40,"' <br /> ❑ PERCTM(S) HOW MANY APPLICATION# <br /> lel SEPTIC TANK TYPFJMFG . , NPACITY O Cy AOFCOMPARTMENTS <br /> ❑ CREASETRAP TYPFIMFG CAPACITY #OF COMPARTMENTS <br />• ❑ PKG7X PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑ LLF73TATION SIZE_ TYPE OF PUMP__ SAND OIL,SEPARATOR(ENCL.OSED SYSTEM) <br /> III LEACH LINF. #OF LINES: LENGTH OF LINES/ DBT.,NC.To NPARIAT: WELL 49/ FOI/NDATION� PROPERTY LINE 9/ <br /> INFLITRATOR CHAMDFJlS <br /> ❑ FILTER BED WIDTH LENGTH DEPTH__ pIRTANR TONEARLR: WELL FOUNDATION PROPERTY LINE U <br /> ❑ MOUNDED WIDTH LENGTH DEPTH__ pDTANCETO nlAR6si: WELL_ POUNUATION PROPERTY LINE. <br /> ❑ SUMPS WIDTH LENGTH DEPTH DHTANcR TO NEMRTT. WELL_ FOUNDATION PROPERTY LINE v' <br /> LI DISPOSAL PONDS WIDTH LENOTH DEPTH_ 015IANCRTDNRAR6 .. WELL, FOUNDATION PROPERTY LINE I'�� <br /> SEEPAGE PITS # DIAMETE0.LL i It <br /> a DEPTH DNTANCRTONRARMT: WELL FOUNDATION � -SOW <br /> LINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONT:IN ACCORDANCE,WITH SAN JOAQUIN COUNTY ORDINANCES.STATE LAWS f <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> SIGNED: UM 24 R ADVANCE OTICE REQUIRED FOR INSPECTIONS-P •ASE CALL(209)460-3423 <br /> ����// �. 7 ry <br /> o TITL DATE:—�/ r Zi <br /> i <br /> f <br /> 1 <br /> I I 1 <br /> : <br /> I <br /> IV DI <br /> : <br /> -- _____ - - - ... <br /> ... __. I—,, r'I'' I I <br /> S J A+ I3 CCJUN7T,1' �r-�-�... <br /> NE�UILTH <br /> DRPARTMEN7 �S�F.JQNI.Y <br />• <br /> APPLICATION ACCEPTED pREA =�EMPLOYF,'E IOp -)DISTRICT LION <br /> INSPECTED BY:_ DATE n/ ERM1T FINAL YES DAT[: -'l OI SPECTOR: <br /> JY o. . <br />