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Joe MOWS 17th7 A, rw- e Pi C ic,A7 /AI erryaip Le' c er _A;0...d <br />Cowes Mawr illia-2( / 1-, APN 6c7 --(_.c-0 — ( 9 /- - PARCEL SIZE h,y, <br />OMEN NAM 10 57,4B <br />OWNS! &Cala )PA 9C/ (-6.e i.., r— C., T-/ CA. ',TEMP 67.05-) 1— <br />CONTRACTCR C *it Ral L C. pl C. PHONE % 6 s i lEt 4(3 <br />CotTRAcToR Ammo Po (33 te 36C OrryisTATEria. 1.: et. I t4 i'co .vE C. (5,. ria , a <br />Lxamil cc-42 e.X.C.35 ODER fIGNSEI02.. ) 2.2/3 noft DATE 9- :?c-_)- i), <br />WATER TABU Dernt ft GEOGRAPHICAL INFoRmAroit; ColSlnBt.E X <br />0 PERC TEST II BUILDING PERMIT* LAND USE APPUCATION # <br />tYPE OFWOFM: 0 NEW INSTALLATIGN R.*ai!Azxm0w <br />a RHAACOIENT 0 OuT-Op-SERvIRItifipnc <br />0 ENGINEER DESIGNED fALTERN,A1WE <br />Svarem 0 DEsTRUCTION <br /> <br />INSTALLATION WILL SERVE: DI Reams= .$' 0 Coaraactoit. <br /> <br />NUMMI OF U4Aiio tam: NUMBER OF BE0Roows: <br />0 ODER <br />fiumeeft OF ELIPLOYEEIS: <br />AV. SEPTIC TANK TyPeimro t1/4f\ CN\J cN () w4 ¼ Ns.,i1trl"Lc:70:Acire )2S-0 gel *or COUPAITONENIS ‘ <br />0 OREAsE TRAP Trpr./PAP3 CAPACITY 1 gal # OF CompARTMENTS <br />. DISTANCE To NEAREar: WELL ft FOUNDATION ft Fftoporry Luie ft <br />y(s. LIFT STATION SAM TYPE Of purr TNer I, PHD T/5 PLANT CI SAND OIL SEPARATOR mamma, warm) <br />LEACH LINES 0 LEACHING CHAMBERS :Z" 1,4 (.1C 0 *OF LENGTH OF LINES ft <br />CI <br />DISTANCE TO NEAREsr KELL XII 0 / ft ft pRoPERTY UNE /0 ft <br />FILTER BED WIDTH ft LENGTH DEPTH ft <br />DesTANce To NEAREST Vaal It FOLIWATION It PROPERTY UNE It <br />0 MOUNDED INK:m4 ft LENGTH ft DEPTH ft <br />DiaTANce TO NEARED' KELL ft FOUNDATION ft pRopwrr uNE It <br />0 SUMPS Warm ft LENGTH ft DEPTH It <br />ClesTANcE TO NEAREST WEU_ ft fouNDATioM ft PROPERTY uNE ft <br />DISPOSAL PONDS wwfrm ft LENGTH ;t,e ft DEPTH ft <br />borrAfrace To NeAfferr %%Eti. &tr.)" tt ft PROPERTY uNE It <br />SEtiPAGE PITS Rumen 3 ram ft DEPTH <1.,&-' I ft <br />DISTANCE 10 NEAREST KELL ft FOUNGA It PROPERTY UNE 60' - rt <br />ThIS <br /> <br />I NIENENY CERTIFY THAT I HAVE pPREPAREDAPpLICATION AND THE WORN VAU. BE DONE WITH SAN JOAGRAN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS Of SAN JOAQI.It COUNTY. <br />INNI1IUJ4 HOUR ADVANCE NOTICE REQUIRED FOR INSPEC77CWS =PLEASE CALL (209) 953-7097 <br />TULE 0 0)kiER DATE MONK) <br />ty,e <br />3.* <br />U*1 <br />or. <br />APIA:Won Accepted By <br />FINS InapectionDy D. <br />Characiar a/ of 3 Ft <br />COMMENTS it <br />f <br />Area enployee <br /> D SPECIAL PERACT - Approved bY <br />Pita:Sump Bail Chars:ton <br />Date ,c1s 1/41 <br />/. <br />PE <br />Coda <br />3G <br />Iwo <br />Received <br />By <br />CI,&t.„ Amount <br />Banat/act Data Parma/ <br />Service Baquast # <br />• Involao 1 <br />...A.,,, <br />Pam* Idlt at <br />be-) (----L-0-L,„4-7,c42124117,see‘tas-le„3 4 QUf n CC, -614,_ 61 Arr, <br />1,ZP4.7c74(7: <br />1 2012 ON, <br />ebud <br />A 8ONVA MiLNflOO <br />WV 86:01. 314V0/90 <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JoAcula CouNTY EWIRONNENTAL HEALTH °EPA/mall' 600 E MAIN STRAET - STocicrori CA 95202 (209)4U-3420 Nom-REFUNDABLE PEFtrarr CALL 09 Ds3-7697 FOR INSPECT! <br /> E.s.pt <br />42-01 ONSETE WASTEWATER TRTAINT SYSTEM PERMIT <br />5121/10