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APLVCATIDI,IS HEREBY MADE TO THEFSAN JOAOUIN COUNTY FOR A PERMIT TO CONSTRUCT AND/OR INSTALL THE WOIR-��'O'EylSC�q�IB}E/p,��THIfi PigFCATION IS MADE IN COMPLJANCE'A'ITH BAN <br /> JOAQUIN COUNTV DEVELOPMENT TITLE.CHAPTER 91110.3 N THE STANDARDS OF SAN JOAQUIN COUNTY PUBLIC HE�UTRn JEHVFCES.ENVIRONM BrAL HEALTH DIVISION. <br /> ' Ilo I C .Ira n5MIT I <br /> JOB ADDRFSH.'04 APNF CRY l0ll SIZE <br /> OWTCR"S NCML 66 -- PHONE_"(t, <br /> ' CONTRACTORS - rI� RFBB }� I/U�C FHONF <br /> SUB CONTRACTOP DDREfiB L T1�ON RgNE <br /> TYK OF S"DC WON[ NEW INSTALLATION REPAUVAoaTION 0 O".uCTJON ❑ , �F <br /> INO SEPTIC£YSTEM PERMITTED IF PUBLIC SEWER IS AVAILABLE WITHIN 200 FEET OF BUILDING.) MC TEATIFI I 1 NOW MANY �VJ <br /> IN6TALLATIC9 WILL bFRVE PF6IDEN^E❑ COMMERCIKPd OTHER ❑ <br /> NUMBER OF LIVING 9NIT5 _ NLMPEM OF BEOROOMS. NUMBER OF EMPLOYEES: <br /> ' CHAHAC`ER Cl-9;: TO A nq'TH OF l FEEL , GITISUMP SOIL CHARACTER: WATER TABLE DEPTH <br /> bFPTIL'Ta; aF•Y OTVFE/AUG CAPACITY NO.COMPARTMENT <br /> MG TRE.TMLNI FI IN' LI OIATANCE TO NEAREST. WELL FOUNDATION IMOPERTY LINE T <br /> J <br /> UFT S'lATO'N I.J, SIZE TYPE OF PUMP SAND OIL BEPAUTDP IENCLOSEO SVSTEMI fLT/�it r'� <br /> ' LE00I ONE i_I NO.&LENGTH OF LINES DISTANCE TO NEAREST:WELL FOUNDATWN AEI PRQI4!MTV LQR.f <br /> FILTER NOT C'MOTHLENGTH_ DEPTH DISTANCE TO NEAREST:WELLFOURRAA" <br /> MOIJNO[' ^i:-'111 _ILNGTHDEPTH DISTANCE TO NEAREST:WELL FOUND <br /> Z) <br /> DISTANCE TO MEANEST:W _ <br /> ' 611MMn :i LENGTH__DELPTHR OISTANCETGNEAREBT:WELL � <br /> _ NDATON V )' <br /> �t�rv'rR, �,y <br /> DISPOSAL K'NDA L.wmTH LENGTH__DEPTH DISTANCE TO NEAREST:WELLFOUNDATION FROPER39UNf <br /> I'HFPARFD THIS APPLICATION AND THAT THE WORK.WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY OROMANOES AND STATE LAWS,ANO RULES <br /> AIA41UIN000NIY.HOMEOWNER ORUCENSED AGENT'S SIGNATURE CERTIFIESTHEMULOWYNO:-ICESTIPYTHATINTHE FERFOMTANCEOFTNEWOW(PoR"ICN <br /> I NY1 HAII.NO I EMPLOY ANY PERSON IN SUCH A KANNER ASTO BECOME SUWECTTO WOIKMAN'SCOMKNMTWNUWBOFCAUFOMIA.' CONTRACTOR'SHIWNGOR <br /> Hf 'FATIFII S TNF FOR LOWING:'I CERTIFY THAT IN THE PERFORMANCE Of THE MW FOR~CH THIS PERMIT IS ISSUED,I SMALL EMPLOY PERSONS SUBJECT TO <br /> G 4`'•L' I - '8 OF FMOMH44.- TIE APPLICANT MUST CALL 24 HOURS IN ADVANCE FOR ALL REODBIED INSPECTIONS. COMPLETE DRAWING BELOW. <br /> ' <br /> _ era---� -- DATE: <br /> 61GHF0 x_ t TITLE: ��--` \� L( _t V \ <br /> PLOT PIAN IDMW TO SLAJEI SCALE -a <br /> I. N+M'-� X(AREBT TO OR BOUNDING THE PROPERTY.' . .- 4. LOCATION OF MUM BEII DISPOSAL SYSTEM OR PROPOSED <br /> Z. UU I;IAT InvrR IURFnTMN UPANSION OF SEWAGE DISPOSAL SYSTEMS. <br /> J' I� FIFTY FT.ON <br /> ..... <br /> v ni;:fEC DDIfSTfc. i i L j -SAND 0 I S.F`A L "OA <br /> I NNFJMSf`:w SYS.- <br /> rr,,F;F;PF.�,� TrOlALF :E_SF p•I�g O I L - <br /> ' <br /> II I° II L <br /> �! x <br /> r:DN AES.: s .m"'' 'PROPOSED BU(LDI�IL' <br /> S - <br /> y <br /> r— <br /> ' i' PROPOSED BU(LDW rA <br /> - <br /> 1.._. 'y - (TlP01WIN <br /> API <br /> e F. <br /> o • <br /> FOR DWARTMENT USE ONLY <br /> :u'IT6AI LUN ACI LPI EU HYDATE-. L I •UIEA:�..�-T�p <br /> TANK.PIT OR SUMP INSPECTION BV n //YN /� �j (DATE / FINAL INSPECTION BY DATE <br /> ADDITIONAL COMMENTS: C -I Q�JA. & A 1 Y —Z-9 <br /> k-jt -4' ( � -45` ie-,1f z N,2, C <br /> ' I ACCOUNT NO ONLY: 1 AID$ FACT <br />