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APPLICATION <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH =S®RNIAIDIVINONMENTAL HEALTH DIV1S <br /> 445 N SAN JOAQUIN, PHONE (209)P O BOA 2009, STOCKTON, CA 95Wit UOmPIHtD !n TripllcntD)Appilcetlae f\ bees\r rAe,to twa,,,w J1•satn County for a per•tt to rwl.trurl .n4/or etbrA htreln described. This <br /> EWWlatloe t\ rem 1\ ea" sees Yltn fan Justin- County Dr4imore Ro. 549 eta IW \tW the *ilea tmd Re <br /> Jtryals CeWq pdullle RwiM SRnlfee. SYLtIORe der e8en <br /> Job Adbw _YNS O.S /� t.A•tt N �rE '. � C.45MA/DJ Lot Slrr/Aeretl\e � <br /> cp11t1K1 Add,oll __LKfn•e N0. PhoneTPE Oi WELL/PUMP NEW WtLt fl WKI R(nt A(:f Mf Nf DESTRUCTION C7 Out of eerrles well <br /> PUMP INSTALLATION ❑ SrSTIM PEPAIR ;t OTHER O Nontterlas Wil O <br /> DISTANCE TO NEAREST: SE►TIC TANK S[WER LEMS ,_ , _____ DISPOSAL FLO._ PROP. LINE <br /> FOUNDATION A_OAICULTU_M_WILL___ OTHER WEII MTS/SUMPS _ <br /> INTENDED USE TYPE OF WILL PROSIE_M ARM CONSTRUC FION SPECIFICATIONS <br /> fl Fmr' O OPen S0/IOIR I 1 MMwle D• N We$!•cmrmuM -- <br /> 1 DdtfmnK/hirmw O Immoral Palo, I 1 fwrr tow of C �.N Was CeYtp <br /> �'r Sl>•ttNc\0011\ <br /> 1 1 ro' I 1 Dllter 1 1 Dwe OWn nl fitnnt SW type N Or <br /> '9M1� __Appow. Depth I l gallon SNdKe S"InetmRed I„ <br /> 'Ppm,W,ym Od Ll veto N►oro H P slow Wan Dane_ <br /> WN D'eetn,tTgn O WM Dirneler Sealin\Material E Depth <br /> bpth Pt Ilor R.Nrtel E Mpth <br /> WORK Nf /r <br /> TYPE OF SEPTIC w R4STAI.LAT10N, I RIP AIR•.o__N, • V/sIRUC 110N 1 INo wptK M1em PetT4tW d gaNc ramr w ,/\ <br /> mv.A.bte w41Nn 7(0 IMI.1 <br /> IrubWYpn r,i eeM� Rmeidence_ Cw�M,eW _ GPw_�_ <br /> Hunner N"- :_ N".ho,N ae••bo^m_ ^ <br /> • <br /> Cnreew N eoR ro e depth N I Net <br /> SEPTK TANR ---_--_____wrier lobi.dtetn <br /> O T,pe/Mtp .-___ CmveC11No. ConmWrNMN <br /> IN(0. TREATMENT PLT.O M ,,pp <br /> NE <br /> Dirienc.to rrw.tt WW .__=_FowNaN+n <br /> LEACHING LINE <br /> FILTER SED O No.\ LoNlh o1 nese• _ Tatyolol MM—roto/T'�-�e•:0, <br /> ❑ Dm —� _— t <br /> erKv b MMMT Was <br /> Ery <br /> SEEPAGE MS 11 Drptn Sue _— <br /> SUMPS LI D•Io1ce b neom.T WON_ Fewwom' n ... <br /> DISPOSAL PONDS O hatwRr L+w D1V1SIDi! <br /> haftbv C.RRY P•.t 1 hM wWereO tb•WOAe4tan era Rwt"'a ww. wa W June n errwMrKe wnb Sen J <br /> rows and wptKator•N W4 Sen Jeeaun CPonty oeeun<wnN wtNwnel m,new lone, and <br /> ItbM 0- NIP or YCetMW epmn'm•pnenlre oertd•m We 1 "1 <br /> e 010Y"Penh N much Nf&nnW Y to b l:P rMor Rut,n 1N 1•r1wm..Ke 0I the WwA Iw RNKh"Ponml Y•mttW, I or"not <br /> m,.erecj 1 t0 o.ro..mM'.rwnpwwtan 11M1.of Ce.twr.m Cnnu tor.11"a mubcon m l r g 4pnetun <br /> ton love N Calffontlm"I prlrly Nml n itte paRarnotcm of Ry Rar4 lar rrNKh:la Wnrl•,lona I WYbpct b Ronlmn m <br /> Mpby MloMm w typetw, <br /> [en,�ptEN <br /> 4.__ Tow _ i�A1ZO�tl — <br /> C Tt Aceepr <br /> AppecmfFOR DEPARTMENT USE ONIf <br /> •n W <br /> by —�_-�"M.7e.1_\M Dow • r T AM�� <br /> PR or 6ratR 0llpeepen W <br /> _ DAN r.,w Nleomctan lef'om now <br /> AdaRle,wl Denlnww. <br /> Aprllun - Pe r.res .11 rortq to: P.. Jnes01e hwrety Ptbllr R.Alth Rrrvl res. <br /> / bllre..tel Reells M1relt/Awes lrw. <br /> IP��n/ 44% R Re. .Lyo.l., p 11 M. I", R,k., t.A POvol <br /> 1111 AMOUNT pot Also~RIMRt1D � 11111, 11 \r All e[AN I NO <br /> / I PUp <br /> t.IIN..N , uL� - <br /> t.,.N �; A-71A <br />