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F�nD LIQUID WASTE PERMIT <br /> 1`1 SAN JOA01AN COUNTY PUHLK•HEALTI I SF.RVIfES ENVIRONMENTAL HZAI,m 51VISIDN <br /> 304C WEBER AVB 3'^'FI.00R.STOCKT(IN,CA 93202120914&4-3420 <br /> NOR-RE-Ft N BLE PERMIT EXPIRES 1 AFAR FROM DATE ISSUED <br /> :JOR ADDRTSS TJL/V AP4- 91�p� PARCEL SIZE: <br /> .C'ITYIZIP 1 BUIIJ1iNf:PERMITN L 7 V�o�SLc,� <br /> R nAML l 1�'its <br /> min a-,}!1 I C r-17r o <br /> unNE w DR <br /> CIT'YlLP_ •'t. �./L/(��f.I/y,_ /ir-+'w PHONE MIMBER O — <br /> I CONTRACTOR_ `-Lri/J Y � A.URF.CC <br /> PI[ONF.NUMByF Imo` <br /> I:ITYI7IP_,1/LL C�•Lt. � �r/ <br /> DDb"---------��--- ER r r' <br /> GE.OGRAPIIICAL INFORMATION:cooRDU4ATF5 x ` - �TOWNSH[P <br /> RAND[ .wSFCftnN <br /> TYPE OF SEPTIC WORK: INSTALLATION WILL SERVE: NUMBER OF IJVINC UNITS: <br /> ❑ NF-W 3NSTALLATION ❑ RESIDF.NC'F. <br /> ❑ REPAIRIAUDITION NUMBER OFBBDRUOMS: <br /> ❑ COMMERCIAL _ <br /> pe DESTRUCTION J O OTHER___ NUMBER OF EMPLOYEES: <br /> iO ENGINL•ERED ALTERNATIVE ts� <br /> CHARACTER OF SOIL TO DEPTHOF3':_ PITlSUMPSOIL CHARACTER! WATER TABLEDEPTfI: Q <br /> ❑ PERCTEST(S) HOW MANY APPLICATION p_ _ �I.0 'j'(}+3�� co <br /> I <br /> SEP11C TANK TYPE-'MFG— j CAPACITY V OF CX)MPARTMHNTY <br /> ❑ CREASP.TRAP TYPEMFG CAPACITY pOFCOMPARTMENTS m <br /> LJPK(TFJ(PLANT DISTANCLIONEARKAIT: WELL_—_— PoLINAATIDN PaDPENn oaNr. 7— <br /> ❑ LIFTSTATION SIZE TYrk OF PUMP - SAND OIL SEPARA1011(ENCII)SED SYSTEM) ri! <br /> ❑ LEACH LIVE SOF LINGS: LENGTII OF LINES: pLtrwam,.F,pe T, WELL— FOUNDATION PROPERTY LINE <br /> INFLITRATOR CHAMBERS; <br /> ❑ FILTER DL'D WIDTH LEN{F11 DEP1114` R1CrAFa RTO NLANYFI': WELL FOUNDATION PROPERTY LINE <br /> ❑ MOUNDED WIDTII LENGTII DEP77t4_ onTat,rs TovuFFv(: W'FI l FOLNOATION PROPERTY LINE <br /> ❑ SUMPS WIDTH LENUTH DEPTH IM"ANLT TO NFARLNTi WELLFDLh-DATION PROPERTY LINE <br /> ❑ DISPOSAL PONDS WIIIIH IEN(11H DhPIH plsrAW:C rD N[�NC�r; WELL FOUNDATION ►NOFF.NIY LINE �e <br /> ❑ SEEPAGE PITS K uIAMETER_ _ DEPTH—__-- mSrawamnFAltur, WELL FOLINDATIDN PROPERTY LINE N <br /> �[HFAF.BYC.ERTIFY THAT I HAVE PREPARY,ATHM APPLICATION AND THEWORK WILL BE DONE IN ACCORDANCE WFTIISAN JOAOUINCOUNI-i ORDINANCES.STATE LAWS n <br /> AND RULES AN D RECDLATK)NS OF SAN JOAQCIN COCNTY. `[ <br /> 1Ht/NIM[IMSi HOUR ADVAN E NOTICE REQUIRED FOR INSPECTION'- EASE CALL(109 4",)4;3 <br /> S2GNF.D; !.[�F•'4•f'� lW� T[TLE••-• Sq Q. <br /> DATE: <br /> ME <br /> .. <br /> ._. ...,- <br /> : <br /> .r....:__�.... ......... <br /> I i <br /> f <br /> .........., - <br /> : <br /> I <br /> : <br /> E <br /> : <br /> : <br /> : <br /> i <br /> I - 1 .... r — . <br /> i <br /> : - - <br /> DEPARTME i'US'E1ONI.V lU. /1 �y{ TFC. <br /> APPLICATION TED 6Y Q DATE (�Y� ITIS(1lHT J • '1'1��, <br /> � <br /> INSPF1'TEDD r ^ DATF..G��I�:'Ppp,NITFWA YE.0 DATE: IysPE(-(T)p: <br /> CDEIMEMS:.-1�\Y� L - �•11�5��1:�+y`�' �T��� <br /> �PE COUE 51;1 FO ANOVNf- CIECI( ASH R5('Fl DATE ItiRM1TSERVICF.REDI]F$T1' IN VOICCII <br /> R F.MITTEU F) gF1+TIC IRT <br /> 111-7 zlz_ 4 r Sf�003 110 8 <br />