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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> L' SAN JOAcprm COUNTY ENYIRONAtENTAL N EALTH DEPARTATENT - <br /> 304 E WRBER AVE-3-PI,,S`rOr.KTO%'CA 45202 (209)4911-3429 <br /> NON-RiFUNDABLE PERMIT CALL(209)9%3-7697 FOR INSPECTIONS, EXP RE5 1 YC FROM DATE ISSUED <br /> JO■AIMPten {�sG � OQSs�r <br /> 97RECr Ii! .. .APN <br /> •PARCT:L91u [/ v <br /> ER NAME 1 <br /> iRA00REE■ �j ` ��jr PHONE �+�r � �Q 3-SIO, �. <br /> Crrv14TAT1VZ r -- <br /> CONTRACTOR <br /> - PHOrL <br /> CONTNACr[)R ADBRiyi ' <br /> CITT'/SrAT'E/Zrr <br /> Ll www Q C-42 p C-36 EITHER Numarm �`-^-- <br /> WAT.TABIjG barrN•- EIIPIRATION DATE <br /> n GEOGRAPHICAL INIbRMA710HI Ce■Pd(Ilatu X Y <br /> U FERC TEST(S) NVMeeR <br /> faND t)SE APPIJCATION r <br /> TYPE OF WORK: ❑ NEW IrsrALLATWR I] REPAIR/Ar� <br /> C3 REPLACEMENT ❑ EHRINEERc. PUNLWALTERNATIVE <br /> INSTALLATION WILL SERVE: <br /> ❑ REgIDTlICE ❑ COMM ❑ VIHC <br /> NUMBEL OP LIVING11N(i67 It_ <br /> NUMBER Of BEDROOMir <br />' NUMBSR f10 EIUP'I.OYLLM <br /> Q SEPTICTANK ryyfE/MFC, <br /> CAPACITY�_�_ �I❑ B OF COMPARTMLNT3 GREASE TH.AP TY['PJMFTI <br /> GvAcfry Bd S OF COMPARTMENTY��_y <br /> ❑ PKC 7'X PLANT DISTANCE TO NEARrsr WELL <br /> R FOUNDATION R PROPERTY LINE <br /> U LevrsTAT1DN slxl; -�-----._._n <br /> --�_� TYpE Os POMI ❑ SANAOIL SEPARATOR(ENCLomw SY87EM) <br /> O LEACH. LINES O LEACHING CHAMBERA -" <br /> #OF WItEg LEAIGTN W LiNgs <br /> DisrANC•E Tb NLARRBT WELLR FOUNDATION ft <br /> Q FILTER BED WIDTH H PROPERTY LINE ft <br /> R LENGTH n DavrH <br /> DISTANCE TO NtARffr WELL n IOUNOATIUN ft <br /> U MOUNDED W[um - R PROPERTY LINE R <br /> R I4rMrTH DDEMR <br /> DISTAncE To NEAREST WELL ___R FOUNDATION n <br /> 13 sumps 1._ _� ft LYNOTH R PROPERTY LLNE <br /> DLSTANCETONE.AUPAwWELL. -n DEPTH R <br /> n _,-y_�-_y <br /> FOUNDA710Nfl PROPERTY4INE-__�_,_--�- <br /> 47 DISPOSAL PONDS WIOTR n LENGTH �- R <br /> D16TANICL TO NEAReEIrT -� —R AaPTH <br /> Ha n FOUNDATLUN 11 <br /> SEEPAI;E PITS W1A7rt -� •_•R PROPERTY LINE -__�--ft <br /> —��_H LEMOTH <br /> DI■7ALVCE TO NEAREST WELL R 0 f7a7fH <br /> FOUNDATRIH R ft <br /> PROPERTYLLNa_--• ,R <br /> I HEREBY CERTIFY THAT I HAVE pRCPARLD'ill18 APPLICATION ANO TRE WORK WILL BL DONE IN ACCORDANCE WITH SAN JpAQULN COUNTY ORDINANCES, <br /> Jv <br /> NiwTE LAWS ANP RULM AND REGULATIONS 4F3AKJOAQUIN COUNTY, r <br /> SIGHED MI I M 29IIOUR AbYANCE NDTICB NE(IUIREp FOR INSPECTIONS_PLEASE CALL 120419!3-7697 - "V <br /> TITLR T OWA) {_ `pA 7 a O <br /> a <br /> 1° ti <br /> k <br /> AP11i"tka Ae nftd 4 DEPARYMCM)'USS ONLY /1 <br /> EIR■I IqT 04 3 63 Arca <br /> perllde By y_ Emp� <br /> r'hane4ro!$alifa 6ar3 f� - ❑ SPECIALPERMIT.Ap ❑ <br /> COMMENTS ulopsoFlCh■ndar• ��` h <br /> VdUlN — <br /> SC Recdrad CBar £ S <br /> Cod* INFO B A <br /> -dS ReoNtlaq Date PermW <br /> k A !7{p3 Sar-let nestr !draker <br /> P■rmlTiDr <br /> III .. .. 17fj/9Z <br /> UN91Tfi WA3TEWATF.R ecn...,- <br />