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/Z is <br /> ONSI FE WASTEWATER TREATMLNT SYSTEM PERMIT <br /> San.IAaQU[N C(lI!v1'v VNVIRONNIFNTAI.III,4,1:1-H I)EPAN-1 MlN-F 3114 F,WERFR AVE -3"°Fl.-STCI(KTON CA 95202 - [2( <br /> ,NON-RF.FUNDARLE PERMIT CALL 209 953_7697 FOR INSPE(TI04tti EXPIRES 1 YEAR FRONT DA' <br /> J ua.4 UDRt<S5 5���7 4 � /'���(�1 1\V. rlrrr2.l F L---, p, ,, CA�- <br /> (.RnS�'STREET _ '`"`f y' l .AS' �f- _ APn QV V (! ¢� 1T�.��RCEL�2SILL: <br /> (w. "ER N.rML V71- I\ <br /> F.R:%Dn4FCS �� Gl_� 4-.� �i 1 \ �C�I 1 1 �D- CliYrb ►1'l LIP �, t�(yl C.9� y 52?.—c <br /> PRO a. <br /> C'ONTTLrt-Ti1R ADDRESSjJ -- r�{ + "5t 1 D I <br /> . 1 i- C:IMSTAA- LAP Dn C- Z <br /> LT('E1BE JC-42 ❑C1-.ib Q'Hr.TI NUMBER _ EXPIRATION DATF. <br /> V1 AI"P.H TAyLt'IILt•IH:— ti [:FOI:RAPIIII AL INI�pHS1A'1'iO\; Coorllln7110 X Y <br /> PERC'TEST N BUILD] l'ERNIIT# I.n\I)US1;APPI If-Al ION?l <br /> TYPE.OFNVORK. J NI: INSTntLAT10\ J 111.PAIIVAUDITI(IN - ~[] E-4(iINL£RDFSI(;NFDlAI7FR <br /> J RLPLACEM£P I' _ U DES-1 R[:cl-lu\ <br /> INSTALLATION WILL SERVE; ❑ nrsln/\t.L '❑ co"MF.Rr. m. ❑ CJTHER <br /> `61MH1 R(IF 1.1 V144;t.111 rS; N�I�r1111.R IIF'R1.URIMIMS: NIImA"R OF F.M PLOVFFS: <br /> ❑ NF.T-11( LANK TYPUNiFG_ C'APArIr✓ RPI A.->FCOMPAI<IMFNTS <br /> ❑ C:REASETRAP 7%'PF1N(F(i _ -- ('nFnCITY e31 r:�F(t+rlPnelntF.StT'.5_ <br /> ❑ PK(:7'X PLANT DFVrAN(I: tO NI'ANF',,v V'tLL ft F0li\uAlt(7v fl PeI)I.FR1-Y(.s <br /> ❑ LIFT STATION SIRE _ TYPE OF PUMP_ U SANT!011,SEPARATOR IErrct USED SYSTE <br /> 0 LEACH LINES D I.FM:111N(.( IIANIHI'Rti 4 nI I.Ihr`: I.FN(;Tlr OT I mrs <br /> DISTANCE To NEAREST :F.I I R FOUNDATION r[ PR(WER I r I IN) <br /> ❑ FILTER REIT WIDTH R LIKf.TH fl D.r-r Fl <br /> Do.l'Av(:ETfl NRARF:%-I wr.l l- Jl 10t.M.-Al RA _ _ _ft PACPFH7r UNL <br /> ❑ NIO[INDL•D Fs Imit ft LLP(-irH ft T)F:P H <br /> DISTA%cL TYI NEARFST 111hl I 11 1'UI;K6ATIt.14 ft DRiI>FRT1'I.I?,'F <br /> ❑ SUMPS H'HrT H R LENGIII !1 DEP-.h - <br /> nlr'1'ArI'1.1'(I NI.ARLr7 WILL fl '011hPA 0:•1 fI PR(V`PRTY`,I"- -- <br /> L7 DISPOSAL PONDS WIDI-H (k LF NCIH_ rl T)FIl-1- <br /> DIS1ANCE10 NLA RLST WL•I.I _ _!I F'OU�l.DA!IDN .`t PRU%LRTY uv. <br /> J SEEPAGE PITS NI16111ra Wimm It DLFTH <br /> N;F..tpF.5'F WELL fl {)I Ir 11A't1(I`4 Il 7'Rtl,^LRTYLINE <br /> IIFRFRI'crxi7F1"1'HA"I-I HANE PRI-PARED THIS APPLICA 1101%AND :HE WORK W11.1,"T',DONE IN ACCORDANCT.WITH lAV.IOAQC[N COIN <br /> ORDINANa:r,S IAl F LAWS AND RULES %NU W&I.A FIONS 0It SAV,IOA(IIIrN C'OhNTY- <br /> 'NINIML.N N HOLR ADVA\ICE%OT ICE REQUIRED FOR 2NSPF•CT(ONS-PLEASE CALL 1209)45.i-7647 <br /> SIGNED �` r>��� ---- FI'1'I.F „-�t'� t�'�v DATF. <br /> 1 I — <br /> Pl' IA <br /> I I ? <br />