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LIQUID WASTE PE RMIT FLOOR,SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION , NON-REFUNDABLF PERMIT EXPIRFS I YEAR FROM DATE ISSUED -4 1 I. .: ..• war 4► Ti PARCELSIZEIAPNCA ' 9525— OWNER NA-pm— ♦ •�f r PiceADDRESS %6 (Awy 91? CITY/ZIic; 66-42J2- CONTRACTORD.A. ,c L • .lA ... IM W W tL-'C-'4j3W kk~ • �, 95205 ., • ..• , ..•. HOWMANY APPLICATION#: WORK:TYPE OF SEPTIC ■ NFWINSTALLATION REPAIR/ADDITIONDESTRUCTION INSTALLATION WILL SERVE: ■ • 13 OTHER NUMBER OF .•.• OF r • CHARACTER OF SOIL TO A DEPTH OF 3 FEET* PITISUMP SOIL CHARACTER: WATER TABLE DEPTH ■ r• 13 PKG TREATMENT PLANT DISTANCE TO NEAREST: WELLV5W FOUNDATION—s r•• 13 LIFT STATION SIZE— TYPg OF PUMP SAND OIL ■LEACHING LINE NUMBER&LENGTH OFLINES INFILTRATOR CHAMBERS . Ii •i ■FILTER BED WIDTH_. LENGTH— DEPTH— PAYN4ENT DISTANCETO NEAREST: WELL— FOUNDATION:— . DEPTH DISTANCE TO NEAREST: WELL FOUNDATION_PROPERTY LINE--- j , JJJ 1DISTANCE TO NEAREST., WELL1 IPROPERTY t�, �► LJ Sumps WIDTH LENGTH—DEPTH- /e AL F,EALTH r PROPERTYDISTANCE TO NEAREST: WELL —FOUNDATION— 0 DISPOSAL PONDS WIDTH DISTANCE TO NEAREST: WELL _FOUNDATION_PROPERTY LINE I HEREBR�JCERTIFY THAT I HAVE PREPARFD THIS APPLICATION AND THE WORK WILL HE DONE IN ACCORDANCE W.TTH SAN JOAQUIN COUNTY A REGULATIONS OF SAN JOAQUIN COUNTY. r.��r.�s■sws��s■� "„ "' „'_,_1___,I,1„�I�IRiRi■h�i�l■��.��■;7�1��■�i�Tl!l1+:w".�''11M1M1f•imimi sr u��.�.�■ r.r■Y.-'"V a_L' !s•IMIslI . �nN�r�tl�iil■1■111■■1�_I�1�1�I_VIM 1010`011011T1■/■1`PT.5 U+�!■lii■i.is,s.s.is.s.,�,� .v.r+.�.i.r u.��u■�.■�s■Is■1!llsll■1■I�I�I Tl' of NONE10111OI011P.- ids ;+!/■/■.■■■1■�■1■n_.wt"IMEWI■ IMIENIMP .i..ni-i■�+-.■■r■r■�■�■■■■■■s•..:l1i"1:'�1:►!IlL`:SIL�:di, IIE.I�I�i�iiii? :'lJ ��1�1■1�I�ii��1 ■■� �■/■■■1■/■1■1■1■1�. I11I1�i1I_'1111�r�1i�111��1111_!�■�_I11I_�i�■_�1�I_■l�_f1i_Ir��_■i1_■i_Gi1_•�:_i!ii1_!i_i��i1i�i_1i�■�i■�_1�ii��i�i�ii_�1ii1�ii�i�1i%ii■:�i■�ii�■lri■.■r■r■i!II;..■�/.�it�,�iai�:•:�ii1�■r■•-�ll�■��1n•.�t�6v■r>rrr■Jn,.�■r�.r■ar■i.■v1/■■r�i■■■■i■■�■■■.►t■f.c■r;■�■r..ew■rlJi■a■�:�l:�tei■■e�■:�aL■��2rt.A.';r■'■�!l.1.e■s■l■.■►.a1=/■•■.wi1�•■.s1tL�!•�*■.��°E�1I■l.■■r.l:■•_1■*�s■■■•plL.•tWw�■Mrr,I.�.�r■;1r•l�Lr—■■'am • c.� i.! / nil Dr- 1r11r—SLan; I ww � ■le��,tr.�c='cii■■■■■.�s..■.�.�.�.�.�, ..r.r.r.r■r■r■r.■■�+ulYi■V.11rr. ■s■s■1■1■1■1f■f■I■If■I 1�11'W'�1■1■I■1■■■�■■■��!!�■!�lII!■■■■■■■■■_■■■■■■■■■■■■■■-ililu��■s■ss•.s•.s•rw.w.r..r..�, !■[1C!�I■1■1■�■1■i■� ■JIG ::i■enl■■11■■■■iiiiiiiii s■■■■■■■ss•■■r■■■■'■1.2.3.r..ffiR lei�iGi�il■i%ii��eii■■.■■■II■ ■■■■■■11■■■■■■■■■■■■■■■■■■■■w■s■■s■■�.�■■■.�.�.�.�.�. 111!�1■ii�l■�■!■f■/■�■■■�ZI/■f-■■■�•'■■■■■■■_■■■■■■■■■■■■■■■■■■ss■■s, .■�■�.�.�.�.�.�. 1�1 il"`1■Riiiiiii'n"iiiili��■■11■��■��fs�/■■■�■■■■■■�■■■■■■■■■■■...■...�:::�::._._!_MINI _. 1��_�7lilliiiiiiG_liii�i�■ii1 �■��rliiiEaiai■u��s■■■C�■CC■C�■.■..■..:.tl.. .....■...... ■I■_Til■1■1■!■1■1■1�1�1�1�ffllt■1■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■nla.■.■�.�.■.. !■i■ -------------------1-1�1�1�1■1�1■i�(1111■■>f■fl■f1■■■■■■■■■■■■■■■■■■■■■■■■■.■■■.■.■.■..�.�.... 1�1l�i11■1■1■1■1�1■1�1■1■/L►`?e:'■/■■_�/■.■le•...��:■,�s,�■■t.u::y�::�r■.■...■r...r...�. 1�I�rr\1�11It1�1■1�1■Iii■/■■I��u1=1■■■■m■i■■■■Its■u■■■•f.■.■..■...■....r.r.r.------ 1■1■11�1■1■1■1■1■1■1■1■1=/■/■1■1■■■■■■11■■1■■■■n■■n■■■■■■■■■■■■■......r.r.�.------ ��1■1■1�I�I�IOI�1�1�1■1■1■1■.....s.i�■iiiB.r�rz�:�:�.■■.■.■■■r■r......r...�.—_--�_ �■1■1■1■1■Irl■1■1■1■1■It■■1■1■1■1■■■c■s■■.■sr■.■s■■.■.■..r■.■r......�.�.----____-- TANIL PIT.OR SUMP INSP FINAL INSPECTION BY:- j PERMIT/SERVICE REQUEST r..�..r.�■�.�■r1■�■r1■�■r�■.'�_S•^-■■[1■1ra7.■�/iA�.�irL�■I��r�a�R9:i■■■■■■■■■■■■■�■,■■■1■1� ■1■1■1■1■1■1■1■1■1■It:�.+..�:�7i�i■1■►.� mss■smite;iic�n�D..�_,._.r...�.��_�_�__------- ��.�=�.�r.�■.s•.■�s•■..?i'I!!i,'s17�?i.'t519:iil+I■t,`�9��tl■�■f■H� .[Sly �iirrl Elm. .i... 1