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APPI.IE'ATION FOR Ph!WIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. BA7.ELTON AVB. , PHONE (709)468-3410 <br /> p O PDX 2009. STIDCXTON, CA 95201 <br /> P�I?_lipl�$9 1 iRAEE 1.1LOM DATE 13SU1�. <br /> (Complete 1n Trip11CAtP) <br /> APP11wt1en IF MNYF ttttb M V Jss«L Cmmtr rur • wrae ..e emstruet am/" inu tM uKt Mnto eKer1►N. TIF <br /> nfpilwttw to K"o IR ttttwllaMe eith Eu Js.tuln C�ty n.nl Mn,. No. Rn am 166E was MF Pula eM Aww"tiwe of Mn <br /> JFt"Is CFa1y Pu►llr bUUt Mrrtew. ' ,F <br /> S)t./AcrwE� <br /> PEme. <br /> o.NNFNrM <br /> "PAN <br /> TVPf OV WILL PUMPN[W W[al O WtLL R[1LACfMFN7 Ct O[STRUCTION L7 out or PFrv11:F ll t <br /> PUMP INSTALLATION 0 SYSTEM REPAIR 'M OTHER O <br /> Eenttertn Woll (I <br /> OISTANCI TO NEAREST: SE►M TANK -__ SEWER LINES DISPOSAL FLD— MOP. LINE <br /> f0UN0ATNIN AGRICULTURE WEtt _ OTHER WELL PITS/SUMPS <br /> ---_ - <br /> INTENDED USETYPE OT WELL PRORIIM APEA CONSTRUCTION SPFCIFICATIONS_ <br /> I I u�IsNo C I Ooen Bohan Mml.o 0.s PI Was 1.40w« _ _. .. . _ Ou of IN Clsvq <br /> DM1rttK/MWNe L: C,:.rw Plat T«'r TrPo 1N CSEMt'f homy <br /> P�uYe f Othc i Ostia Dlpth Pf Grout Sat/ TIP*M Grwt U <br /> w <br /> Awn. Dasm : :Es'Wn S.O".Sea m\1NI.n n. <br /> 11Fp1• Wn.. N,—t Type of Pump _ _.._.._. HP _ _. _ S,.,.W.,' Dao {1 <br /> WM D.nmcllw <br /> WON DwMNr ..___-_-. <br /> fsealtc, IsterlAl 1 Depth \ .. <br /> OWh fSUK IlsuriAl L aptn <br /> atrt OF SEPTIC WORK_ NEW INSTAtLAIION►4.,REPAIRf AI)WT"I i Df SIPUCTION Wo septa sysf.m Mmm�mf n a�DI<.eaa n <br /> Iv N.61e..,Ihu,700 Vast I <br /> IltttaNFlNeh vnN MM' RFFP.IKa._ CanrltFrciM✓ Omp — <br /> NuarM at P wV tlrfeF: Nurnber of 1,60,10nle <br /> CMgttPr M Fe@ an F oeptn of S MM: _ Ws1M tFeN Ninth <br /> SEPTIC TANK \0 T"619,441 r-'S. CFpeeRv No. C°^MPp^,^�rp^ENF1 <br /> PKG. TREATMENT KT.0 ��� f1Y���� Yell r Mnttod W / <br /> Distant IIInotatnotation:at : Wall.yF-110 tab vZ_ Plnparry Ler <br /> LEACHING LINE If No.S L."M p%hrF _ Two ItrtEtltIFRF 4 <br /> FILTER SEO 0' Dirt- M MMM. WFE ouM &.Q_)— MPPMtY Ler <br /> SFEPAOE MTS ff Dw.- <br /> SUMPS LI Dnahce to heerea. WN�j�. 's�T.FounPn.on _. Pmpwty I~ <br /> DISPOSAL PONDS Ll <br /> I hateb,Cenit,that I hM Vana,W,"&Pe e&, n IM that 1M wJr\ M.111,a 4.,✓r sf CPrPMte.1h Sth JOpuin CW nIY adMntef. vah,Ywf,ease <br /> rule Ma repuwlg of IM Sen Josnun County <br /> HINM p,vrrr a nCM.eP a9M1'e MpMNre pn�la[tha lobw�nq "t[enrtY that m 1M peAarmante pl IM eat Ea rn,cn mo pMmt n asueP, I VIII not. <br /> ca'Id chat foso. n etas merrier n w opafn wDlett 1 wo k n't ca h Iola ,r <br /> t tg PI Csutans Conu afPcwswnmctr9 C pna 141-N <br /> eMK.N that IDbweq:"1 CemfY PtFt n tM peearMnte of 1M vera fd,.hKn tnn psrmt a FsusP.I shalt emaPV asrlone.uMtt to,atortmMre tfM1rFI1Y�a\ <br /> tan rvre PI Cawo,,nw <br /> TM(( sFPhtarl q,80 ho/,SK'ICghrNla cnsw g dot fye..ne.,cm <br /> SpinP lf�[sd.LlLr'� art TTM: Date <br /> FOR DEPARTMENT USE ONLY <br /> Appkanon AcMteo by pFtE�\.w� <br /> 1.rein Irapettlon by L`�— Deni ' F�MI IMRFtMn EM d_ <br /> I-APMfrnll C0~h&hN: <br /> Applicant - Mtwu Au copreF tot Sen Joaquin Count) Public NonlOw <br /> Semicel, Eeviroaes al Nealth Persalt/8-Mew <br /> 1601 E. RAwltm Ave..-P 0 A-)M9. Stockton, G 95201 <br /> TEEAMOl1NT DU[ MOUNT nEMTFO Abe PFCDV[D Fat ATF PEaMIT NO <br /> 1NE0 <br /> .Ia oft IfN¢11.01j `� <br /> [a a.EE <br />