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11/c1/_VVo VO:O� V700T1b6/ I.HHKLtb JHGUCb THUG V.p <br /> O' FERC TEST R - 11LD(NG PERMIT N LANEAPPLICATION N <br /> TAFIEOF WORK: NEW INSTALLAT)HN O REPAIR/ADDmom ' EkCINEIRDIESICN[ViALWANATIVE <br /> ❑ RCPUCCMENt _ 0 DPMRLCT" _ _1+ f <br /> INSTALLATION WILL SERVE: O REHDENCE 0 COMMERCIAL L3 OymER <br /> NUMBER OF LIVING UNITE: NUMREROP/CDROONA_ NUMRGIOFEMPLOYEES: <br /> O SEPTIC TANK TYPE/MFG CAPAOTY ,^ . _ SRI A CN COMPARTMENTS <br /> O GREASE TRAP rYPVMP6.__. CAPACITY p, R(WCOMPARTMENT5,______, \ <br /> O PKGTXPLANT DMANCETONLARERT: WELL ft FOtMDAIK)N R PROPERTY LINE R �' <br /> O LIFT STATION SIu TYPE OF PUMP O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES O LEACHING CHAMCERS_ ►OFLINES LENGTHOFLINES___, R <br /> DISTANCETONEAREST WELLIt FOUNDATION _ It PROPERTY LINE R <br /> O FILTER DED WIDTH_ __R LENGTH R DEPTH <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE <br /> ❑ MOUNDED WIDTH R LENOTN_ R DEPTH <br /> DISTANCE TO NEAREST WILL___R FOUNDATION ff PROPERTY LINE It ` <br /> O SUMPS W'IDTM ft LENOTM -R DEPTH _ _ R <br /> DISTANCE TO NEAR"t WELL R FOUNDATION R PROIEPTY LINE It Y <br /> • DISPOSAL PONDS WIDTH ft LENGTH DEPTH _ A <br /> DISTANCE TO NEARPST WELL A FOUNDATION R PROPERTY LINE <br /> O <br /> SEEPAGE PITS NI MRTA WR,TR— fl DEPTH _ <br /> DISTANEETO NEARLST WELL R NN/NDAYK». R PROPERTY LINE <br /> I KEREDY CERTIFY TKAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL DE DONE IN ACCORDANCE WITH SAN)OAQUIN COU'STY <br /> LL ORDINANCEN.STATE LAWS AND RULES AND REGULATIONS OP SAN JOAQVIN CLKI NTP. <br /> MINI" IA HOUK ADVANCE NOTICE REQUIRED FMR 1NS►ECf1ONS_►LEASECAH.!2Mi 04 t-164' <br /> SIGNED TITLC 't./ 'rte(. ti OATH <br /> V 1 ' <br /> 61 <br /> kiA <br /> 1 <br /> I <br /> ' � / DE►ARTNENT CSE ONLY ` / �� <br /> AppllcRti"AK DR. <br /> AIM Employes IDN <br /> Jf <br /> !�_ <br /> PIRel I.,pntllNn �1RIe AS KR.IAL PERMIT-Appsa.ed by <br /> CYRr.cur o/Soil a Depfh of Ft: __ _ ,. 14v9DRq SNI CRRTRettT: <br /> COMMENTS <br /> PE sc Rmiw C'Mrw _� ARARYNt Petwdv..._. io okv D hrRtK IDR <br /> yP I INPo Cwt RINIHHd Dole SerWee D <br /> 27 h <br /> ONSITE WAS TF W ATER PERMIT <br /> l2a3 Yl002M <br /> 122 ) <br />