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ONSITE WASTEWATER TREATMENT SYSTEM PF{�M x <br /> SAN JOAQUIN COUNTY ENVIRONMENPAL HE 'DEPARTMENT -'"��T " <br /> LIME WEBER AVE-3"1 KTUNCA95302.-<(209)4B 20 <br /> JODDactt <br /> N b ADDR UNDwe ERMIT CA (209)9$3-7697 FOR h''SPEETIONS <br /> � FXOVXI Y AR FRO D� s UED <br /> ' <br /> r <br /> CROSS STREET r ' crnraP <br /> _ <br /> APN 4PA oELSIBRIE �y��/2�(�'�+/�-.r e <br /> OWNER NAME `i1 PIIUNE • I - '✓M'V 1 ^ <br /> rti <br /> OWNER ADDRESS �' `p gCI'EY/$EATVLJP Fermi �n <br /> CV .�o <br /> NERALTON VI mer lcc O g'cF/w�F��r\�cQ er V1cl IU • <br /> 1 , 1.11 /nONE <br /> COHTRAROR nooaeu <br /> CITI'/$TATEJZIP V��S ll � <br /> LIC@!SE U ❑CJ6 OTHER Nume[R <br /> E%RaA'1'ION DATE <br /> WATER TABLE DFlE11; aC PUIGLINFORMATWN: CBRNIRlb X <br /> _ y <br /> PERE TEST(S) Numsm LAND V A G p <br /> VIRK TYPEOFWORK: ❑ NEWIH ALLATION ❑ REPAINADDrt1ON <br /> _ ❑ ENGIHEERDFSIONEDIALTCRNATIVE <br /> ❑ REPIACFMENT ❑ pE6TRUCT'IUH <br /> INSTALLATION WILL SERVE: ElRESIDENCE ❑ COMMERCIAL ❑ O Iwm <br /> NVMBERUF UYING UNITS: NVMREN OF BEURUUMC: MUMU\:N UM EM PWYCES: <br /> ❑ SEPTICTANK TYN/MFO CAPACITY <br /> gal pOF COMPARTMENTS <br /> ❑ CREASE TRAP TYPF/MFG CAPACITY gal 0 OF COMPARTMENTS <br /> ❑ PKG TX PLANT DIbTANCETONCAREIT; WELL D FOUNDATION R PROPERTY LINE <br /> n . <br /> ❑ LIFTSTATION SDE TYPEOFPUMP ❑ SAND OIL SEPARATOR(ENa DSYSTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS OF LINES LENGTH WLINES <br /> n <br /> 1 DISTANCE TOHEARFSE WELL—ft FOUNDATION n PROPERTY LINE R <br /> ` ❑ FILTER RED WIDnI N IENGTN n DEPEII , <br /> DISEANCETONEARFST WELL n <br /> n FOIINOATNffi R It <br /> LINE N <br /> ❑ MOUNDED WipTN n IENOTN• n DEPTH R <br /> Dlnmo ETONEARFST WELL R FOUNDATION n PROPERTY LIRE - p <br /> 6, ❑ SUMPS WIDTH R LENOTx �- DFPIII n <br /> DISTANCE TO NEAREST WELL A FOUNDAMN It PROPERTY LINE N <br /> ❑ DISPOSAL PONDS WIDEN R LENOFHR DFrin n <br /> / DISTANCETONEAREST WELL R FWNDATKYN II PROPERTY LINE p <br /> ` ❑ SEEPAGE PITS WIDTH R LENGTH R DEPTH 0 <br /> DISTANCETONEAREST WELL R FOUNDATION n PROPERTY LINE H <br /> I HEREBY CERTHV TH, T I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> I t STATEWWSAND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> ` /13--.1TT�/P `'/ D—MINIUM N HOUR ADVANCE NOTICE REQUI RED FOR I NSPEL7f1IOONS-PLEASE:CALL 120)953-7697 <br /> .SIGNED n'ILe 1 YW f11�11601"n.r DATE--------------- <br /> � <br /> L -- f <br /> Ly ,. <br /> .Ij--1—" <br /> tc. <br /> p <br /> R <br /> M , <br /> N IN ''4 <br /> SAN TIMACHIMIN, <br /> .. <br /> DEPARTMENT SE NL <br /> _ AppBT.Uon AC eplea er j/ '2 ',D.Ie GJ�i 1 6[Z- z 1 1 E bI,%I Z <br /> Fia - <br /> a.l lspeclbU By WE. <br /> 13 SPECIAL PERMIT Appro d bit, <br /> Ch..Oe,of SWl le UPplb.A(3 FD PIUSumPSMICb.,M,(er: <br /> COMMENTS <br /> LPE SC Re eNw a A..., PermlO 4 <br /> Cade INFO B .Ib R Uea Dk a,I.R .10 Invokep PermR lDp' <br /> i <4 1, <br /> L a„ 01 111D D,Te3r,� � f h.su � 13 I <br /> �V / RE WASTEWATER MMIT <br />