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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTTOM 304 WE.ERAOR-3-Fl.-SFOCRiON CA 98TR -(289)668.3678 <br /> NON-REPuxDABL E PERMIT CALL(11019)933-7697 FOR INSPECTIONS EXPIRES 1 VICAR FROM DATE ISSUED <br /> JOBADORRBR A401 <br /> xy Id N IS— /G L �Crrv// I/F/linr,(e7- 0 <br /> CROSS STREET .IJ f�/-L-(CR' AM�V/ (2767'/ PAlc Sllllt Q <br /> �-✓ - RC■ <br /> owrvca NwwE `l'/T�rdA) �Tc nSAlRL (f>. MORE <br /> O URADBRESR 1330 N. 9)200 !w C,7C, ATerLIP p!c� c,404 <br /> CONTMCI'MKC.k!Rl�wa.FE�LIJ SIP <br /> YOR <br /> CONTRACTORAea fJRDdJ �- My.P-7L.1� �P_- CrtvhTATULP oC/�7aJV C!� 9r bs <br /> IJCT]1LSE ❑C42 LJ C-36 OTNER NUM.ER EIVIGTwN DATE <br /> WATERTA.AEDR>Iv: R GEOGRAPIDCAL INFOIINATgN: C9oTainom X v <br /> PLRC TEST(b) NUMBER z LAND USE AOrLKATION N <br /> TYPE OF WORK: ❑ NEWINIUAwTION ❑ Rw.Ir/ADBDION ❑ EPIGpaER DBLIGN[D/ALTERNATIVE <br /> ❑ RVI.AC¢M¢nT ❑ DLSIRULTRN'1 <br /> INSTALLATION WILL SERVE: ❑ RFJIIDLlICE ❑ CONMEROAL R3- fir,❑ OIHu <br /> N= of IJvrnc UnIT,; NUMBER OF BUROOIa: DJfTT%h i YA NUMvw oP LrInvERE: <br /> ❑ SEPfICTANK TYPE(NIM CAPACITY gl e0FCOMPARTMEM3 <br /> ❑ GREASE TRAP Tfvmq CNACRY pl NOFCOMPARTMENTS <br /> ❑ PKG TX PLANT DIETANOLTO NEA9aT: WELL ft POUNDATION It PROPEIITY LINE R <br /> ❑ LIFTSTATION SIEE TwEOEPUMP ❑ SAND OIL SEPARATOR(ENCLOR.D BYETEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS N OF UNES LENGTH OF UNES ft <br /> DISTAINLTONGRRRT WF1L R FOUNDATION It ERCIEalY LMe ft <br /> ❑ FILTER BED W TH fl LCNOTH fl Den" <br /> DIATANCETO NGR[eT WELL ft gUNDATION ft FROPLRTY LONE A o <br /> ❑ MOUNDED Wlma R UNOTx ft DePTx ft O <br /> DMTAn¢TONGai6T WELL_A FOUNDATION ft P Rw LOB: fl <br /> ❑ SUMPS WIDTN ft LENorH D IxfTH ft <br /> lion K TONEAREJT WELL ft AUUNDATKN ft PROnRTYLNE it <br /> ❑ DISPOSAL PONDS WMN fl LENGTH a DEPTH It <br /> DRITANCI:TONGRERT WELL fl gUNDwiaN ft PROFERTYLNE fl Z <br /> ❑ SEEPAGE PRS W.. It LeRc TN ft DEPTH R � <br /> DIBTANCTTONGR¢ST w¢LL. fl MUNDATION ft PROFERTYLNP. R <br /> I NERFIY TIFY TI VE PR RE IS APPLICATION A1YO lH8 WORK WILL BE ODNE IN ACWRUANCE WITH MM MAQUIN COUNTY ORDINANCES, rn <br /> wtIS uW5CNDONAN tHRRCUT.ATILL EDOO JINAWINCOUNrv. Y <br /> J INI UR ADVANCE NOTICE REQTRRED FOR INSPECTIONS-PLEASE CALL 951M7 <br /> &IGNm 7171E DATE • O -` <br /> As <br /> 4 <br /> O <br /> ry R s o <br /> m <br /> .I <br /> ti <br /> i <br /> q o <br /> 0 I I A I I IIIF <br /> -Is 11 IF <br /> DEPARTMENT ONLY 2-!I p�l��IdI S9 / <br /> Applfuwn Aatepfed By DMe ? Q Ara Figtaya / 4,/ <br /> FlnellaPnrllon BT DME ������� ❑ SPECIAL PSRMR-AMMOod by <br /> Ctirwrer if Sail to Dlp16 of I R: PIIISNap Soil Cho r: <br /> COMMENTS .1 • I1aIa6 u(TS6-Av WAA <br /> ar dEMd IWAJ- l.lu-&AAe y(JS(� AOWaP.BL:n 11DIe.S JtM1- Ok PM'pu-aak— <br /> PE BC REa1vP6 Aso1.r 0.t PnmIV In.JnN Pe'aM IDE <br /> CPDD I.q CrY ReNNd Sereir!Re NH M <br /> lE Oldpl <br /> I]/SI@ ONSITE WASTEWATER PERMIT <br />