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SANONSITE WASTEWATER TREATMENT SYSTEM , - /` cam <br /> .IfJAt}I:lN CDIl.TTY I:NVIRON"FNTAI.I' 'N DEPARTMENT I �� <br /> NON-REFUNDABLEP RMTT YT'RtYY�ry 304E WMA AVE.- <br /> ALL 4209)953-7697 root 1�srE SFbC Krnrr CA vszoi .(so4a aha yl�o <br /> JOd AoDREM CTI0�1g EX [RES <br /> EAR FROM DATE ISSUED <br /> CROSSSrarrr CITP y <br /> IFARCELSIZX � <br /> gNNTA MAME APlV "� <br /> gWNER ADDREil - PHONE <br /> CiTY13TATF1Zip <br /> i COIYI'RACrUR p <br /> j CONTRACTORAnoREsa `Plto,Ne <br /> f ctYtrsrAnrt,P_- [,�A�y>OF�ffi��l•��• .�- <br /> LICYNlE -42 0C-36 OT'HER <br /> xt r <br /> WATER TABLE DEPTR: � F.kPIRATION DATE <br /> I C¢OGRA PNICAI.IxPAI1MATT0MAT1ON1 CEO Z,- <br /> f G7 P1:RC TEST(S) �i;1.Md£R rdfamey x V <br /> ,.ANQ USE APPLICATION 0 ~--~----�-- <br /> TYPE OF WORKt MEW IN,ITALLATiUN <br /> CIRCPLAC..'ERIdNT ❑ RCPAtRIADDITION ❑ ENCINELA DFSICNkb/ALTrpNATIY► <br /> INSTALLATION WILL SERVE: ❑ DumtXTION <br /> RF:ll1YLNCE U COM;MERCIAI. <br /> NtnRRdR Op LIVING UNETl: El 4tl <br /> TEq,-` <br /> I! \elIMdRR Oi$E4ROOMi; 1111MRRR OP EMPEa r gu- <br /> SEPTIC TANK 7�fPE/ATFO <br /> ❑ CREASE TRAPIYPE/MF0 CAPACrty__A&02�;, _ gel M WCOMPART-ENTY <br /> •`----•- CAPACITY 2a1 0 OF COMPART]WErfM <br /> ❑ PKGTXPLANT DISTANCTTON£ARGSY: WELL <br /> R FZ11fNDATIDN <br /> L[FTST __�' fl PROPERTY LINE <br /> 0 AT1gN SIZE TwcbPPUMP <br /> C1 SAND 011.S167ARATOR(ENtto9cBSVSTEMI <br /> OK�LEACH LIN11!j Ad-LEACHINCCHAMIRkRS — <br /> 51— p OF LINES LFNGTN OF LINER <br /> DISTAN-MTONEAREST "IFI-L fl <br /> L] FILTrrRRES) - �-ft rOuNnAT1DN R PROPeRryLtr�_ �� R <br /> w�R P LENGTH <br /> DMANCE TO NEARESTWELL 't DEPTH R <br /> R FOUNDATEDN�1 ft PROPERTY LME MOUNDED WIDTH ft <br /> �.�--R LENGTH _fl DEPTH <br /> I118rAN R TO NEAREET WELL R FOUNQAt10N R <br /> ❑ SUMPS Wurm -- ft PROPERTY I.fNE n <br /> 11 LENGTH ft DEPTH_ <br /> -- <br /> Q <br /> Tt1NGRT$T WELL R TTIUNlfATiON R <br /> Q DISPOSAL PONDg WILTTA - _____R PROPERTY LINE ft <br /> R LENGTH _ R DEPTH R <br /> DIgPANCETONLytFBt WELL R FOLHDATf9N <br /> SEEPAGE PITS wIITTH - PROPERTY UNE R <br /> ft Let f! DEPTH / <br /> DHITANCE TD [ARp3r WELT M <br /> ���R UNOATtUN R PROPERTY LINE: R <br /> 1 HEREIN Cr.RT1FY THAT I HAVE PREPARED THIS APPLCATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY URDINANCdS. <br /> STATE LAWS AND RULES AND RECULA'PION9 OF SAN lOAQUiN COUNTY. <br /> .� INIMU 24 HOUR ADVANCE NOTICg REgUI RSD FOR IN5PF.C770N8_PLEASE CALL(209)957.7697 <br /> SIGNER � E <br /> DAM Q� <br /> r <br /> PP <br /> e <br /> X83 <br /> � 1 <br /> A <br /> NVI CN FN AIAppliA•H u751 -0d�. . <br /> DEMRTMENT USS 01YLY ' <br /> pl"Itjnitletlwcetpt<d ��},.�. /'s , F <br /> !•Inst[no <br /> R UR!! '-= Arm <br /> - =.�--- Employee IDN e <br /> CharRcter of Fdl to p�p efa Ptefa pt; Dale p- ❑ SPECFAL PERMIT-Approved by <br /> COMMENTS PIQUIDD soil Cperetter. <br /> PF' �SC Reeelrrd Alewunt <br /> I CndP INFO A (Cos RemlltCd DNs Pertnit! InyolteN <br /> I Srrvlee Rett N PermH 19I! <br /> t 35 <br /> !7-01-WI <br /> Iv2b: <br /> - - ✓~ ONSIT8 WASTEWATER PERMIT <br />