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AP{Mecatwns Will Se ProCeeaed Wren Su6mslled Prop"tV CelRplllwd. Be Seta To Syn The APpIKalkrL <br /> APPLICATION <br /> (For Nan-TtanMrrble•RO"CMele,and Suapandbta) SEPTAGE <br /> ENVIRONMENTAL HEALTH PERMIT <br /> tv"a WASTE <br /> Appl�Cahor'. �a* maps io tarry On lwa+t+w'on tr Nrlt4ctanal area of ttr s �i will Local Doi, <br /> .,"Oft Nam.toeAy a�,►� lam _Address ar 76 7 — <br /> Owns+ _ . la - %1x Aoarosa <br /> F.tm Pamveas. AOdreaaes atvB Taiaphone NVlneets ...�.._._. -.. TA <br /> Business Te4ombno No ---346Z - •r v.r- - EmaRgency Telephone W Q <br /> CoMrecgr L"0111i"C7 NO. Tttie f!— OiM <br /> �7T�• }J <br /> 7 Apphranh Name(PrtMy � - V <br /> pease esedt AppUsOft CataOMy It•7)attd ilS N Ore Rpueed RM Iron �R <br /> I. ❑ PUMPER VEHICLE PERN{T REGISTRATION If OR EACH VEHICLE) 1. <br /> �. � . <br /> O.aFoaal Silas _ -.....•-_•.m --- <br /> GtscnPtwonJW*A Yr.COWS). ~ —_..—. <br /> Set lot No , ` t .� CAL 1.4OtVe NG _—CAL. LKeINe RenewY NO <br /> GOaUW __-. �te6�1 �GAI YYegatb A Neasu�ss n10 <br /> Eayutpmenl Parking Addtese� <br /> t 0 Puwapt PAROL i <br /> For JWY Jane 80.,19 <br /> NO.of VMclea Swed " --- � --No OI Chemical To"Stored ...—.- <br /> 3. ❑ PERCOLATION TEST 1 -- <br /> PS of R C E: Nage R.S.or R C.E No. <br /> Trat LocaLOn --�sO'M� Too Oiturl"ma - - <br /> i 0 SANITAT{ON PER{RT 1?{J•r�p <br /> JOn taHM'LOCa40n � v l+ <br /> • wrtreas j,P <br /> $�f <br /> 6a _ wsy�,_ w <br /> SEPTIC TANK 0 CESSPOOL aM LCAC 1mG FIELD 0-PACKAGE PLANT -/ <br /> 0 PERMANENT 0 TEMPORARY 13 NEw I% EPAIR C1 OTHER (+� <br /> - 0 CHEIMCAL TOILETS For JWy 1, -Jure 90, %9 <br /> �a Cw»Trucuon _ 1 <br /> No ui Units - -- - Ey,,tpmenf storaga�Gea++mP LtxatloN al --- -_ _t 1 <br /> a, O PACKAGE TREATmew PLANT For Jut; t -June 90 TS <br /> OPeratw""rte - 1 "— ' i� cwtd led ��.. t <br /> 144nt LOtaNOn _ �-- <br /> Plant Capauty�_-- Ij^ No <br /> 7. O LAUNORV For July 1. - June BD.riS_. I <br /> SIZE 0 Less Than 1.000 So F1 jO'Alore than 1,000 So. Ft i\,11 J 1 <br /> Q ORr CLEANReG.Cnrtitoala I,tseQ�Alnpaan•1M0 - <br /> hMCCY Cart•}y that ' Hale Pre0ir9'7-,Ini6 <br /> appi,cal.O and that tie work Will tte done �n attof9ance Wit" $an je-w hn Gwnty <br /> 011^4O Oa. Maio law{ nrvd + 100hi r410Mations Ot the atiagiAn Local Hoalth D.sittct <br /> / t <br /> APPL CANT S SIGNAIUREX <br /> FOR OEPARTMNT USE cmi <br /> Fell N Ow-.D awwi•.v D PIA Utai 1 D srR rrr C] r a c.a D ..n ,i a nriv.tM B..+.^�,..11 O ,_., . •tw«•va In n.a", <br /> 1 ,rt4 <br /> kxKAalATipt Btlltk0 RCYtt rAYf Cv•'T�ls { aM_1�Ni f•.iC f.M:IA11 <br /> LAY AA'i eCH1TT[D :14cat <br /> Its K4 -5 <br /> Pius <br /> Fpla,TY _ — , • i <br /> —.a <br /> OfMA a - <br /> eMeeq CIR. ft.veta» 60 rn <br /> apftch Y-.1filMrMt ALL COMM O. aNewOnarMak rtWl'N ytAlA.lRaKta .Kit wta"aea• n a«lftft slur+n"t cf asao• i <br />