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TYPEOP PUMP <br />Z . SEPTIC TANK TyrE/NIK, <br />GREASE TRAP rys.r.A40 CAPACITY psi 4 OF COMPARTMENTS <br />CI PSG TX PLANT DISTANCE TO NEAREST: WELL ft FOUNDATION IS PROPERTY LINE <br />01 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />ft <br />It <br />4 OF LINES LENGTH Of LINF.S <br />DISTANCE TO NEA REST WELL ft FOUNDATION ft PROPERTY IMF <br />FILTER BED Who's ft LENGTH DEPTH <br />DINTANce 10 NEAREST WELL ft FOUNDATION fl PROPERTY LINE <br />MOUNDED wurnr It LENGTH fl DEPTIt <br />DISTANCE TO NEAREST WELL 0 FOUNDATION It PROPERTY LINE <br />SUMPS Wench et LENGTH ftDEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />DISPOSAL PONDS %Wort H LENGTH ft ORIN <br />DISTANCE TO NEAREST WELL It fOLNOATION ... a PROPERTY LINT <br />.....1 SEEPAGE PITS Ntostatit _ WID70 it Durrn <br />DIETANc E TO NEAREST WELL ft /QUM/ATI ft PROPERTY LINE <br />HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br />ORDINANCES. STATE LAWS AND ROLLS AND REGULATIONS OF SAN JOAQL IN COUNTY. <br />M/NI MUM rs_youR ADN CE NOTICE REQLIRL11 FOR INSPECTIONS PLEASE CALI. (209$ W(3-/e07 <br /> 7171.E <br />1. <br />DATE <br />4.1 LIFT STATION SIZE <br />CAPACITY (.2a 4 Of COMPARTMENTS <br />1 <br />SIGNED <br />LEACH LINES C.3 LEACHING CHAMBERS <br />ft <br />It <br />NL•BER EXPIRATION DATI: <br />ft GEOGRAPHICAL INFORMATION: Coordiaates X <br />LICENSE ArC-42 0 c:-3s Co 14 KR _A__ <br />WATER TABLE DEPTH: <br />I BUILDING PE•miT • LAND USE APPLicATioN • <br />TYPE OF WORK: _LI, NEW LNSTALLAThn REPATIVADDnioN 0 ESC I Nu: EWA 1.7ERNATivc <br />X. REPLACEMENT -r DF,TavcrioN ILtp:ttc.,.___.mek_ceivituici) 0 <br />INSTALLATrON WILL SERVE: Li RESIDENCE U COMMERCIAL 0 OTHER <br />NEW/I/HOE LAYING U NHS: NUlltniIuJF BEDROOMS: NUMBER OF EMPLOYEES: <br />PERC TEST <br />[ f°111 ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAOUIN COESTY ENVIRONMENTAL HEALTH DEPARTMENT <br />OWNER NA ME ..r ....:;C' ..P45,€/;'.2.,404-el‘,1 <br />A PN jaS —6 YD ,g- <br />3:4(TEK:EslIER AVE -3" Fl.- STOexToN CA 95262 - (269) 468.3428 <br /> C1111Z.:/_±C72.41-11 <br />EXPIRES I 'Y'EAR FROM DATE ISSUED <br />PHONE 6.0 7 --1,-5— <br />PARCEL SIZE1O <br />3-..) <br />1 <br />JOS ADDRESS <br />NON -REFUNDABLE PERmir CALL (209) 953-707 roR INSP <br />i-'0,/, Al (' AV./ Xd <br />CROSS STREET Ir'70.41-4010, <br />I <br />CONTRACTOR ADDRESS _7,7_,L_L. crryisTATEizur <br />.PNRTNIENT L'SE I.Y <br />Applitirtion Accept 4,01/ / Jr .A A Dale 2- 2- Emplo) Ct. I Dii... <br />Flual Inspection Ar .4 ' All-raNdk Date 41/47{, - 0 SPECIAL. PERM/T - Approsoll by <br />Character of Soil to It of 3 Ft: PH/Sump Sui I Character: <br />COMMENTS txxx Ljyr_a_E___gfegkerc._4,4"' ..,..w77c.. 7 -17(11,-"e4r. 13+ X.Kte Te.ti,.11 <br />PE <br />Code <br />SC I Received <br />INN) 4 BY <br />richeckFti <br />('ash <br />Amowill <br />Remitted <br />Pent*/ Date <br />Service Reeillest t3 !mice 4 Permit IRO <br />ieFil. l'CI "."- 0 tkA0 *4 .". V(5‘017„JIWOD Lt s- 9 V, Z. <br />42-0TAXIt <br />12.211001 ONSI FE WASTEWATER PERMIT <br /> <br />OW N E FE ADDREss CrviRrArrtrbr <br />CONTRACTOR PHONE, 122, ig /7,1 <br />-;:arf 4.67,7