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APPElCkfON FOR LIQUID <br /> 7 (�. -SAN JOAllUIN COUNTY PUBLI7HlEAt*TftVV7Ny'ti?L "VIRONMENTAL HEALOIYA;I,j1UAQ •l :C';R$:BOX 98,W�AST WEB AVE1V11-8TC��ISyT,£� �1,7y <br /> (2091 488.3420 ''��4"(�,.;F 'lDA.rrS10 s <br /> :5L) Na -p UKCACLE MR EXPIRES 1 YEAR MCA SUE +u►1,�?' <br /> 3 me"plat&IN Tr*r"t&I <br /> ATN 10 HEREBY MAOI TO THE SAN JOAWM COUNTY FOR A PERMR TO CONSTRSICT AN.III INSTALL THE WORK DE&CPSSED.THISION.11T10ADE MN COLP.I WIT.0AN <br /> _ OREIN COUNTY DEVELOPMENT TIRE CHAPTER 9-1110.3 AND THE STANDARDS OF SMI JOAQUIN CDjWTY PUBLIC HEALTH SNWICES'ENVIRONMENTAL HEALTH DrvwA1N. <br /> Joe AEIONEe&roR APaa !_2L4�L T C. /"SCS-,1,�0`9� CITY / _LOT eaE �f <br /> .( � IONONE /� <br /> CONTRACTOR ��}�L � (_ ADDRESS{2/ e--C44--e,61,11 �j/'; l K. uc,�(.4S_THIONE 3 p�S- <br /> 3 <br /> F EB CONTPACTON <br /> ADORERS <br /> TYPE OF SERC WORN; LVW INSTALLATION Q REPAERIIIOOfTRON DEJr11UCTON❑ <br /> SIO SEPTIC SYSTEM PERANTTED IF PUBLIC SEWER 18 AVARASLE WITHIN IDD FEET OF BUILDINO.I PEIC TPTw I I Now MANY <br /> (t A,PEeM1ee <br /> NSTALLAnON WILL EgVE: REOEH <br /> WCE Q COMMERCIAL# OTHER❑ <br /> NUMM aF LMNO UNIT'S: TNSASEI W BEDROOM&: NI1R11161 OF IMPLOYMB:IL-/'� <br /> CM LR OF SOIL TO A DEPTH OF 1 FEET;�'4` PITIBUMP BOR CHARACTER; [' WATER TABLE OEM z0'"t <br /> 1 <br /> aEPT1C T N101RSASE TRA► ❑TV►Ei{RFO� C - �- CAPACT' (D I�L� yA! NO.COMPARTMENTS <br /> 1- I' <br /> MLO T11[ATMDET MMT❑ DIti/EPCE TO NE/Sl4T'. W/Etl�_ t FOUNDATION /S-, RRIOI'ERfV LNE� <br /> IFT STATION❑ SIZE TWE OF PUMP SAND OIL SEPARATOR IENCLO9W SYSTEMA <br /> LEACHING UNE ❑ NO.&LENOTH OF LINES USTANCE TO NEANEST:Y,1FLL FOUNDATION PROPERTY LME <br /> FILTER BED ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREST:WELL-_-FOUNDATION PROPERTY U.I <br /> MOUNDED ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREEr:WELL FOUNDATION PROPERTY LINE <br /> &EAAOE MT& DEPTH JCs Ka S NUMBER 3 DISTANCE TO NEAREST:WELL,2=7r FOUNDATION PROPERTY LOW '17 <br /> ' <br /> SUM" ❑WIDTH LENOTH DEPTH DISTANCE TO NEAREST:WELLFOUNDATION PROPERTY LME <br /> DISPOSAL PONDS ❑WPUTH LENGTH DEMN DISTANCE TO NEAREST:VAELL FOUNDATION PROPERrY LINE <br /> 1 HERESY CERTIFY THAT I NAVE PREPARED THIS APPLICATION AND THAT TNF.VMVK WLL SE DONE W ACCONDANCI WITH RAN JOAOUIN COUNTY ORDINANCES AND STATE LAYS,AND RULES <br /> AND 0OF THE SANJOAOVINCOVNfY.HOME OWNER ONLKENSED AGENT'S SIONATIRE CURTSIES THE!-OLLOYANO:'I CERTIFY THAT IN THE PE/SOPIMANICE OF THE WORK FORWRSCH <br /> TMO PP N IS SHALL NOT EMPLOY ANY PERSON M WCH A NFA A0 TO BECOME SUSPECT TO Wor,"AN'S COMPENSATION LAWS Of CALWOMNA.' CONTRACTOR'S NAM 17R <br /> SUS{ RACTIN A CENTS THE TOL OW*o 1 CE NR AT IN INE REI7FORMAHCE OF TERE WNCIK FOR WLNCH THIS KRIMT N LSSUED,1(HALL EMPLOY PERSONS WJ&XCT TO <br /> ANIS COM N .• T11[APRM T CALL.K HORN IN ADVANCE FJR A/LLL A101EOTONS. COLBLETE ONAWIND BLOW. <br /> IM �7 <br /> sm x TTILE: �"/`=ITUy .ATE: 'S / ~ <br /> J <br /> PLOT PLAN IDMW TO A1E7 SCALE •le \� <br /> 1.NAMES OF RREETe OR ROADS NEAREST TO OR&OUNDNO THE PAOPERRTY. A. LOCATION OF HOUSE SEWAGE DISPOSAL SVWrEM OR PROPOSED �\ <br /> 2.0VTLNE OF THE PROPERTY.WRTM DIMENSIONS AND NORTH DIRECTION. EXPANSION OF SEWAGE DISPOSAL OYSTE MW <br /> J. DIMENWONFD OUTLINES AND LOCATION OF ALL EXISTING AND PROPOSED STRUCTURES, 0. LOCATION OF`HILLS WIININ RADOM OF ONE HUNDRED HFTY FT.ON T� <br /> INCLUDING!COVERED MEAS SUCH AS PATIOS,OrSVEWAYS.AND WALNO. - THE PROPLTTY OR AOMRING PROPERTY. , 7T <br /> .,y,1 <br /> ;r. ...4 J <br /> - <br /> lia :rpr T 'i' �e4lFH.L�iltiSr•jr <br /> .C'71-'A <br /> FOR 00)MTMI)1T USE ONLY <br /> AI�?LICATION A CLP;TD SY DATE; AREA: / �J�-7 <br /> /TANS')Ln� RSVIA�INSPECTON SV LtL'L' aim DATE ! �7NAL INSPECTION SY L ``I^-- DATE3 LP T / <br /> `ADINTIOM��C JMLIEM O: 4. I-4+11 L� IC <br /> .. 'd�l"yjr'I T <br /> ACCUVN RMO ONLY: A1DJ PADA 1 <br /> M CODE FEE INFO AMOUNT RIEMTTM CAM ASH RLL9Vm Sy DATE M I PEWIT W PONM INVOICEIF <br /> Q Jr <br /> Lf q-0 <br />