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ONSI E' 'VAST9 AER TREAT MEN T SYSTEM PERMIT <br /> '1.�ZI:f:171iS L4.1,ii' Fft�IRONF.7EFi3^:L NEAmi bripAP$BAEHY - <br /> 00MAI PI TREET-45T4?CKTf)NGA 9151+ DMZ-(.209)0'H,,14'M <br /> PIGN-RIEFUN®ABLE PERMY! � SGA L(209)953.7��9 Ff1Fp Ims.:,arTions EXPIRES 9 YEAR FROM DATE ISSUER.100�d,ODRE�n4 517�L, W 6 TSI HW"( 1 7- _TnT2zIP - r 1.t'_,+ I �isem'•,;.q� <br /> CROSSs�iREET �-'r`,t 4k' t"L`=j C� �L.. APP 0,9:S--lkc'••"�,.1 <br /> i7Y'lN?R NA41E ``I Nrd� Y�4t t<jCE. - 1�HavE �-I •2.112: <br /> O1YNf'RA6DRfll;6 �?f°tC'TP o t� r)(bb V6 GITYISTATEIZIP 4 _•�� _ _,-__ <br /> CONrRAO Y6FI A (A G Vt-1Ulf�._._111 L FItamr <br /> CONVRACTORADDRE89 CITYI$TATMIP \)V_70 <br /> l LICErIQE QC.42 QC-*$ OTHER A NVMSER EXPIRATION DATE <br /> I — 4 <br /> WATER TABLE DEPTH: it GEOGRAPHICAL INFORMATION; Coordlmllaa X Y <br /> MATION; <br /> I <br /> 0 PRC T[ST f3U1t.DINC%PEf4PFIT I1 LgNq USE APPLICATION#I <br /> TYPE OF YORK: NEW INSTALLATION u RHPAIRIADDITtON 0 ENOIh EER DE51314EOIALTERNP,TIVE <br /> u REPL.ACEYENTU OUT-OF-SERMESEPTIC SYSTEM U DP.3TRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENOE CI COMMERCIAL ❑ OTHER <br /> ! NUmoEROF LPANO UNITE: r;ti NUM®ER OF BEDROOMS: NUia9ER OF EmpwyCE9; l <br /> i gEpTICTANK TYPEIMFG 5!4L 11-00 CAPACITYl'GPD-- 061 #OFCOMPARTMENTS 2 <br /> Q GREASETRAP TYPPJMFO __ CAPACIYY pet #Or COl,4PARTMEt1r.S <br /> DI6TANCETONFARE57; IPELL ft FOUNDATION ft PROPERTY LINE h <br /> ❑ LIFTSTATfON WE TYPEQFPUMP,,,. Q PKIDTXPLANT CT $AND OIL 6EPARATOR(ENCLOSED S YCIA) <br /> Ll LEACH LIHE$ 0 LEACH IFIG CHAIA13ERS V DF L1r1F6 LENGTfj OF L'NF.6 is <br /> 1?19TANCETOHFAR93T WELL Rl FWPjD,ATIOFI R PROPERTYLVE h <br /> FILTER BED Wlonl $Z� 7a� ,.M LcIJGTX --kid- (92- ft OEPYR it <br /> DISTANCE TO NEARED ANELL 106 '1" it FOVIDAT10N �,ft PROPERTY LINE,, <br /> L� MOUNDED WIDTH R LE14GTH H OEPTH__- Tt <br /> DISTANCE TO NEAR@ST %1�LL ft FOUNDA11ON h PROPERTYLINE R <br /> Q SUMP$ WRTTII fl LE140TH ft DEPTH �n <br /> D15TAIJCE TO NEAREST WELL ft FOUIMATlON_ ft PROPERTY UNE h <br /> ❑ p)5PO5AL PONDS IN,"I ft tE+4OTH R DEPTH ft <br /> DI9TAFICE TO NEAREST WELL ft FOUNDATION fl PROPERTY LIr1E R <br /> U SEEPAGU PITS NUUOER —- W107H ____ fl <br /> •� DI&TARCE TO 1�FE BT VIELI it FOUNI)ATION A PROPERTY LINE ^ Jft <br /> I HEREBY CERTIFY YNATI HAVE PREPARED YHIS APPUCATIOPI AND THE WORK WILL HE DONS IN ACCOROANCE WITH UATI JOAOUIN COUNTY ORDINANCES. <br /> STATe LAWS AND HULLS Alto REGULATAONU OF$AN JuAOtAN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE IJ07-ICE 13EQUIRED FOR INSPECTIONS-PLEASE CA LL(209)953-7697 <br /> 910FIED 'YJ TiTLF T(Uj3t I N f DATE l i-22.•201 <br /> 1 <br /> I ct <br /> ' <br /> - _' <br /> - -- - - Z P IY E 1T <br /> I <br /> I T� <br /> Ric, <br /> EMU <br /> --- — - - _ —AV 10E AAP r <br /> i <br /> ! ttLL ff <br /> _ D�fjl j?ThN SF D LY <br /> Appf c�tlen ACCbpttT•�! r Dyto I ZZ /p Ares Ernptoyee 10# <br /> Final Inspettlon B r '- F Date /,�/Z Agn ❑ SPECIAL PERMIT•ApPf0Y0d by <br /> Cflarlctcr of S6lI to Dt h of y Fk PIVBump Boll Character: <br /> COMMENTS uX-E y0w At_c r_LV(F_L_ 47f_- Lf,S mfll <br /> I. <br /> PE SC Rv'e� Choebl! Amount Por <br /> Date Involcc Rl Perrnit l0V <br /> Code INFO a ss Remitted __ SoNiceRoguesly <br />