|
.� ,.
<br /> � ;
<br /> day
<br /> SYSTSM PERMIT
<br /> .t'. i' R,,�.V 9' ("SuA 7M DfPARTAAEtdT
<br /> 600
<br /> F MAIN QTR ITCA 9620aA '
<br /> 'Ov REFUNDAFIL 'AFRi;ItT CALL Op 952-7697FINSP ti)Ac 'EXPRFS'I YEAR FROM E
<br /> fSSUFD
<br /> i.....kE s�,_�� /Z/�' »� Jc-�.5�. �"'�•%.r�5./J'?,�r�-_^_�_----C f2iP i''q.�+` 4a'... ���Gg.Ot�_� r
<br /> PARCrL Size LlaLk-1
<br /> s idA SfG�f� r i!' G4,
<br /> PHONE
<br /> .7P A.CDRES"
<br /> "HO;ud.._._— —. �7...�,..`:.C-..L..:,.�......j.._..�..___.........
<br /> COWRACTORAC,rcE.S
<br /> CENSL - _
<br /> /......, ._t xPircATtau DATE
<br /> GtQ15RAPH1CAL4S'ORMATION: C'CN32'dinates X s !
<br /> RC $T '.iii DING€HERMIT# LAND USE APPLICATION CAT ION#
<br /> TYPE t.UF'1+1.OP,K:. NEW
<br /> r „x r�......... REPAt4rAJD171ON ' £7vNvxEES;,Df$ifsNED lAi,cRNAT C W
<br /> _7 0u7-GFSEPViCESEPTiCSYSTEkA rv' DESTRLICTiON (t4(,A,ra
<br /> INSTALLATION WILL SERVE. 1 E Df NCE G4DAagrRCfa4 OTHL
<br /> NUi.:.fR oz-Livi c Nu7,9DER OF BCSRao:4ts:_, Nu,r� 'z GF Lo cs
<br /> - -. _...__. .....
<br /> SEFT9C7AkK CAP `,N---' � 93 #CFCa:.,PA .iA3r a c�
<br /> �.a GREASE TPA ,.
<br /> ' CsrPACtn� cFs? #orC:zra±P�,RTza�^aT5
<br /> ^.cT:,t:Cf 3"0 NEAREST, l^d'c:. i FCJ:'dGriTtO;v._,_, u _ ft PROr,LR"s',LINE _
<br /> .
<br /> 4 1Fr STATION SIZE TYPE OF PUMP U PPG TX PLANT iD SANG'OIL SEPARATOR(ENCLOSED SYS �Pd{j
<br /> ' LEACH-?L".NES LEACHING CHAMBERS � y}r;: � LENGTH OF F Itr.S /l7 Z" :t
<br /> OtSTAMCE TO NEAREST 0J"r A' L .
<br /> ,w. FILTER3'ED .11LTi ft Lf'.u.
<br /> ft 4;
<br /> DISTANCE TO NEArEs :.:L{.�.....__ fY
<br /> f
<br /> tom:
<br /> MOUNDED
<br /> D;S'.ANCZ TO NEAREIST, WELL—ill
<br /> '� S:i;mpS
<br /> OiSTAUCE TO NEAREST Vs'Z�Lt '; F QL;NL)n,iJN _.. _i"s YrdNF: it
<br /> .—....—._
<br /> fi DISPOSAL PONDS WIDTIi.__._ — �ft L M;,;w ft
<br /> • (J ANCL'T4 Nf.AA.F£T 'llEt.l. ft
<br /> U SEEPAGE PITS NLnlasR 'uVlnTk .i
<br /> intE 1'ANCETO NEARr;eT WELL
<br /> I HEREBY CERTIFY THAT i HAVE PREPARED THIS APPLICATION AND THE WORK WILL FSE DONE IN ACCORDANCE WITH SAK JOAOUI'><COUN"sY Z, 'I:AtaCcS,
<br /> STA E LAWS AND RULES AND REGULA„tONS OF SAN JOAQUIN COUNTY.
<br /> 1Wfi!?�1€1Pf P rR ADVA AVC Adt7Z7C 1}9'r x Jf Sr CTtONS COLI(?Q�i tJ -%v ?
<br /> 1ONr:O_,.__—•.._1_ ., ✓",..—_—__—.__------_.–_-- TITLE ,.=?".''��`'r�DAT
<br /> .. _._Ti
<br /> .... -
<br /> _.
<br /> r-
<br /> 4-44,
<br /> y + M
<br /> a �
<br /> A
<br /> +dK PARTM,E 7,10S L-)IV A .
<br /> Applicaftm Arcepto.F-,, J� �:. .T�` 2- Arezi Dx
<br /> r n.t it pc ETonuyf ' ._a.^ ,orf' slate Iy,i ,: �PE'CIAF_P..PMIT AfiT_vr.n
<br /> a arac 'r o ink to Daprt oftr > ` Pitisump Soil Characke
<br /> CaM.11rvnrsi12, ,
<br /> r rC 4v CEiirL'CT z C},flG"M}t J' .... .-•_. .W.._.
<br /> .,... eF ,._�_�..... .i r � DAf.B i PoTnuU Invoice Parn�etsDYF
<br /> ivrco Ra Lu sf
<br /> aSis
<br /> s
<br /> M
<br /> „ .. (',."_,�v +,..1�.•J., �R Tk7�41t^".'SY3TErvi"r'tR'd;;"
<br /> r
<br />
|