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ONSITE WASTEWATER TREATMENTS EIMT T R <br /> M PERMIT CA 0202 (�E)�eaa�xo <br /> SAM JDIARN CaHT,FNWAD SENTAL HULK DEPARTMDrt <br /> NON-REFUNDABLE PERMIT CALL(2091963.7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> mm <br /> AODRei <br /> LyLK�RE'TARJ Q• owar DG '7yn1 <br /> (:'�1i4f/,� E'-� APN or()-'a'1 P.RC�.R1YE 1 00 kt <br /> ORMSTR �owlErINAER[" BoCrtYISTATEMP %TDGIG"TDN C-A 9Siol <br /> Ny- rrf-yESjyIR•eDTuW1CMTAL_ PHONE 3t.el-o"c <br /> 04 w- EAI[- J' • CIMSTAUUZIP cA 45 0'IJCEAE OTHER MUIMR_ EXPPATMW DATE <br /> R GEODRAFHKAL IIlOIIWTIW: Cemflnntet X Y <br /> wATEII TAILS DEPTH: • 2001 <br /> PERC TEST f BUILDING PERNATM_---LAND USE APPLICATN)NM <br /> ❑ R@AWADOmAI 0 ENpmHIDYmN®IA4TDCWTM <br /> TY E O WORN: ❑ NEW tATAWTdI ❑ ��� <br /> C REPLAeeANT <br /> L ❑ OTIN1 <br /> INSTALLATION WILL SERVE: ❑ REMDMKE ❑ COIiN NUMBER OF ENIFUMEE9: <br /> IWMROFL U IB NIRi6l DI BE111OtlM' <br /> �P�" DEI fOFCAWARIFEMS_ <br /> ❑ GREASSEPTICE <br /> TRAANK Tn4MFG got SO COAE•ARTACNTs <br /> ❑ GREASE TRAP TnEIMFG _ FM TI-- <br /> R FdnmAT1ON fl PPOPERII'LwE ft <br /> dtTANumNEAmr. Wul — <br /> O UFT STATION S12F TYPF d'PIMP G PIP.TX PLANT O MNDgISEPARATOR(ENCLOSED SYSTEM) <br /> r•r <br /> f OFLtES LENGTHOFLNB7 ft <br /> M ^` <br /> ❑ LEACH LINES ❑ LEACHINGCHABERS <br /> R• PRDPERTYL)IE ft <br /> d9TANCEmN[AREeT WELL FdnRWTON_ R <br /> It <br /> O FILTER BED wwN__ UT <br /> ft LEMN— R DEPTH <br /> R PRDPE <br /> R FOUNDATION <br /> RTV IEE ft <br /> dtTANDim NEARaT WFLL M1 <br /> ❑ WUNDED W"___ft LENGM --ft DFPni <br /> fl FgMIAIERI__�_fl REIPERIYLSE ft ^` <br /> dtTANCEm NENIYT YiF1L R DFImI R \v <br /> O Su MPs wwN ft Liuiani <br /> dETANC[m NEARSST WFIL ft TO~TDR R pgDPERTYLtE 7` <br /> R DEPTN__ R <br /> ❑ DGPOSAL PONDS WRmr_ ft LEN9TN ft fd116AT10N R PROPERIYUEE ft <br /> gt}ANCEm NEAREST WELL <br /> O SEEPAGE PITS NWmR 'No^I _ft DFYTN__ ft 1 <br /> dRTANDi TO NFAl1AT WELL <br /> fl F ATiON_ ft PRyERI'(LEE R <br /> :HEREBY CERTIFY THAT I NAVE PREPARED ZEE AlP4CATHYN ANDTH[Wp11N WILL S!DOME IN ACCORDANCE WTN MN.IOADIAI gNMTY DRDWAMCER <br /> !TATE LAVA ANO RUL[!AND R[fULATONt M SAN.roAOUw COUNTY. <br /> �� AIIRINyM 3A HOUR ADVANCE NOTICE REQUIRED FOR INSPECTONS-PLEASE CALL(209)03-7697 IC.12 <br /> SIGNED AE///^h'/1 F//C nTLF t*&Xvt-TAILJT DATE - <br /> UP I I LJr <br /> PAWENIT <br /> ED <br /> JUL 17 <br /> •.iie.` .-es. t.:tRL.m TAti•=• E NJOAQUIN COUNTY <br /> •� meq _ �EaMiiOFm"v;�..-� fi- .'3� µ— ENVIRONMENTAL <br /> EALTH DEPARTMENT <br /> "rte,RiX .i - <br /> Ii 3 <br /> DEP <br /> yr <br /> T i O Ly <br /> AM EIRpID7N 109 <br /> A,,H. lbn Accepts BY 9 <br /> Rnti I.Pstlm BY DEb ❑ SPECIALPERNR-ADPTaWE by <br /> Cnaectera Balla D[pBIE[s - tlOP � <br /> COMMENTS <br /> v.mw <br /> cD�ae N o RRcnlYetl -- Can R•mINLO � s.rvNx � f IRIIaWs PermNlDi <br /> L zzz s2 S'o . ti <br /> ONSITE WA MATER TRTMNT SYSTEM PFAIRT <br /> 1w)7 <br />