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42-02-001 <br />12/2212003 <br />MITE WASTEWATER PERMIT <br />TYPE OF WORK: GI NEW INSTALLATION <br />GI DESTRUCTION <br />COMMERCIAL <br />NUMBER OF BEDROOMS: <br />O OTHER <br />NUMBER OF EMPLOYEES: <br /> <br />INSTALLATION WILL SERVE: ID RESIDENCE <br /> <br />NUMBEROF LIVING UNITS: <br />SIZE <br />SEPTIC TANK <br />GREASE TRAP <br />PKG TX PLANT <br />LIFT STATION <br />TYPE/MFG <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />GI REPLACEMENT <br />PERC TEST LAND USE APPLICATION # irk 01 00 Sri (1,Ai) <br />GI REPAIR/ADDITION GI ENGINEER DESIGNED /ALTERNATIVE <br />BUILDING PERMIT # <br /> CAPACITY <br /> CAPACITY <br />ft FOUNDATION <br />OF COMPARTMENTS <br /># OF COMPARTMENTS <br />ft PROPERTY LINE <br />CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) TYPE OF PUMP <br />gal <br />LEACH LINES 0 LEACHING CHAMBERS <br />DISTANCE TO NEAREST WELL <br />FILTER BED WIDTH ft LENGTH <br /># OF LINES LENGTH OF LINES ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft C <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />ft PROPERTY LINE <br />ft DEPTH <br /> ft PROPERTY LINE <br />ft DEPTH <br /> ft PROPERTY LINE <br />ft DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />MOUNDED Winn' ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />CI SUMPS WIDTH ft LENGTH <br />CI DISPOSAL PONDS Wunm ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />SEEPAGE PITS Nummia Worm ft DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINT <br />0 err,. CERTIFY THAT I HALEIPNREANPeAERs,EDSTTARTIES APPLICATION CAANTDIROUNLAENSDATNHDERWEGtioRK WrIIOLNLSBO SAN E <br />F <br />. JI0NAAQCgRDAN CE WITH SAN .12(4QUIN COUNTY o <br />COUNTY. ( <br />44.. <br />— 15,-54-1 MINIM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 93-7647 ' <br />TITLE DATE ,.-k k.....1-.....n..-t— DATE _12,7.1.- r ° 5- SIGNED ......--------- <br />' <br />b <br />111 1 1 ii] lii i I I <br />kirS3.064 UAW <br />MEW 'AMR 0 rolapam, ms ID nRcroar UhLS ,..- 1411.75.1,06N, ir lo I% METED i ST <br />laggpulttr, PAYME \I. ' <br />R ECEIVED- .9.5.11,6.1k a 41.02. kp .. <br />L' 145911gPf: JC, I.: 8 2C15 vas <br />I- v'tt ......ui 1 . Lift:217 _ SAN , OPOUiN COUNTY ___ t6VII- urs.Milv 1AL <br />, Al SECT.: LW. <br />WIPSVOSNI LIZS37. I i - 1. 06PARTUFW <br />T... Wk. CA NW k JLLIk M. TX,- 01 Ormlik MIX MCCULLAN At OM K IVAIY - - <br />- DEP,ARTMENT USE ONLY <br />61 Date 01001 Area Employee ID6 .4000 4M <br /> Hee 1.2-7-goz5 0 SPECIAL PERMIT -Approved by <br />Character of Soil to Dept of 3 Ft: f Pit/Sump Soil Character: <br />COMMENTS' ,56-44, , St5/1",;, D'in A n wg Aloof i-k-S2- A.'.&' eAf 5..c/-. 24 -3:15 IV <br />3.4.-e 14 4t 3-.4 - .2.3- x r z 3 f ' A;--1- <br />Application Accepted B <br />Final Inspection By <br />PE SC Code INFO Received CIC...tr_ye (//} Amount By sudt Remitted Service Request # Date Permit/ Invoke # Permit 1138 <br />it2212e Cat t3 q-3,0 al gio 1- cogs 122_ <br />Cfrv/Z4E f-ok <br />APN 1-c-an DO '1ST,' PA CEL SIZE <br /> PlIONE1-4,1 8 2, 44, <br />crryisrATE/zirl—t"c / --, CAr 15271-41:2 - I <br />PHONE <br /> o JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS <br />CONTRACTOR