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ONSITE WASTEWATER TREATMENT SYSTEM aMPERMIT <br /> MNAN 0202 IaeeaaD <br /> SG.IOAOI.BI COIMTY gNXIOR61TAt NELLTN DEPaRTaNNr <br /> 1110114REFUNDABLE PERNTT CALL 209 963-7997 FOR INSPECTIONS EXPNLES I YEAR PROM DATE ISSUED <br /> "ADoRm "+(#TO N M7io,� 2 !�D. OWM CL.CAA-NT 2,2-7 3 <br /> O STWET COL-L-IEo- APN Oil�'li`�-ok.-jli PAeLa eaH LIA1.9 <br /> Opowk PILI L_ tt E►•s ?A*-Io19 <br /> OMa ADOaE (00 1-FEN" L--j• CIMSTATa , SAN WtTMD^T,cN 445t3 <br /> N <br /> calTftwnall UL/E OhK G£ NVIR•oNENENTAL PHONE [7�� $U9-03'3S � <br /> 4o-+ W OhK- ST. Oxa Twmw L.OD L GA 'k s' 40— G <br /> calTRAnaIAWalSt � <br /> LONNa OC42 OCi Ona NUNnI EXPMTONDATE C <br /> WATG TASLE OWTI: R T{EpaIANECp,WMNNATIOI: CaolOMal" % Y <br /> IX PERc TEST I BIRDINf PSRNXTB LANG USE APPLK: mw dI - DD �Q <br /> PE OP WORK: 0 MBS aNTM wvN ❑ R@AHUAAOIIIOI ❑ IALlERW1111E <br /> D RWLAteBIT D DEElR1CTW <br /> MSTILLLATONW1LLaERVE: ❑ RTMONCE ❑ cOiICWL ❑ ova <br /> ` <br /> lall�l OLWNDUMIC M1)1Bif OP Bm1100Nt MIIBNI OF EIILOlEE9: <br /> r <br /> O aEPnc TANK TrIfR4c CW'FDRY PI POE CLypARNa7ff5 <br /> D GREASE TRAP TwFVNrc __ CAPICDY___ gW HOF CDAPWnTEMfs___ <br /> pIENI1aGa10 MLMRT WEu A Fa A]wN___ ft PR(MERIYLWF ft A <br /> Cl LIFT STATION SINE TYPE OF PIBIP O PKG TX PLANT D SANDOILEmARATOt(ENCLOSEDSYSTEN) Vl <br /> D LEACH LINES ❑ LEACIaOCNA8W915 HOTLME9 LENGTHOFLMes__—ft <br /> pMnIN21011E1t� WHL ft FOleaYlTaV1_ a PMPERRIHE_ ft <br /> D MTERSED W.—ft LBIDIN--- ft (SIN — - ft <br /> oslY TDNUM9T W R fQAOATUN_ A PRWER LME _ft <br /> O MUNOW W ft LE ft DEPTH ft <br /> DIafUOE]ONEAR9T WHL A WtMLTON_ M1 NOPERIYLW A r, <br /> O BuwB Wem____rt lBanN_ _ R OEPTN____.----ft V <br /> DpTwNCETONGwst wlt ft F TpN__ ft PMPFRIYLeE ft <br /> D DOPGBAL PVNDS WaWN_ A LENGTH_ —H OFarx ft . <br /> DIHTeM�TONEaetfT Wit M1 fOIAAAm+ A PIOPERrcLMe_ ft <br /> Q SEEPAGE PRS NUNNI Waml _ft OtITIn ft <br /> DNTNN.EID NGRQT wEll A ft%AOATw_ H PHYERIYIHE__ ft <br /> 1NGtIYDGTFY THATI NAVEGVAHEDAHE IMl AW) <br /> GULAMLLSEGONEM ACCORDANCE W1N TAN A'1A0001 CDIINIY OHaAMCFH, <br /> s]w]a uwe AND wLHa AND eEauunaw OF aAx�eoualy. <br /> Ai _ NINNUN]I NDUR ADVANCE NOTICE REWIRED FOR INSPECTON9-PLEASE CALL(308)851]89) <br /> ENiNED TITLE SwTRN•f OATS,--j: <br /> mRNlr Aaaa ___ - •a• C <br /> FT <br /> maT I ,. _____ PAYMENT <br /> RECEIVED <br /> JUN - 1 2011 <br /> t ;r <br /> It j j' Q i SAN JpAQUIN COUNTY <br /> aaasara� ENVIRONMENTAL <br /> H <br /> EALTH DEPARTMENT <br /> USFIONVY <br /> AHWAaCaPba� �,� DW ( ( Mea EmplOJsa IDH�!YJ/ ' /. <br /> pnM Nwpe By Dob__ D SPECIAL PERNXT-Appy ftd by <br /> ClnraeYral SPN bDMRof R PHfbWaap SDNCNan - <br /> COMMENTS <br /> PE SC Racaivatl CMeW AMaaN Dab Anon Vats Invaiaaa varnOlW <br /> �•- CDDe Hlo <br /> SZ3 0 E L- I f <br /> ON9RE WASTEWATER TRTIMT SYSTEM PERNR <br /> 1 <br /> KHAT <br />