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AlPIPLI C,AT FOR RE <br /> ,)Ak OAQUM 7,0UNTY PUBLIC ES <br /> WV1R0NMTAj, HE�EEALTIEHffj IVI <br /> 4145 M SAZ JOAQUIB, PHONE �,2LA) ffpq <br /> P (a got 2009, STOCKTON, CA <br /> t,F?AIMMVM <br /> PERMIT EXPIRES i YE" FROM DAT <br /> _� _ __ <br /> (Complete in Triplicate <br /> Awlication la hereby MAde tjo Ban Joaquin County ror a permit W construct and/aP-1ffr0='%He vorx herein described. T-h-,a <br /> applacataun is Made IR *CaPliance with fan Joaquin CoiaxI• Ordinance No549 and 1862 and the Einar and Regulations or San <br /> Jas min �awty Publlp gea!Zh Berviees. <br /> J <br /> Lot sasejAcreage ob Addfraa�-, <br /> 1, <br /> 33 <br /> Addveos phony <br /> -17 J <br /> Adtinass 7ez <br /> LiCeflse NOIIL� Phamb <br /> TYPE OF WELL"PUMP: NEW WELL 0 WELL REPLACEMENT n DESTRUCTION 10 mat oL Service loll <br /> PUMP 9NSTALLATIOi,� 0 SYSTEM REPAIR 0 OTHER 0 wongtorlaa dell <br /> 111VANCI TO,'IIEAR187SEPTIC T111111 SEWER LINES DISK'SAL FLDffl"I, L161E <br /> WE <br /> FOUNDATION AGRICULTURE WELL 0 TIER LL— PITSiSUMPS <br /> INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS <br /> r1mdwndsl 0 Open Bonom 0 Manwcn Die.04 Wall G-Ncovation ale. Of FP900 Casing <br /> ' S3 DommicipgAvaw Cl GravQ1 PJC4 0 Tvacy Type of Casing— <br /> CI pla0v M oqhw C1 NNO Depth of Gro u2 SallTypo of avam <br /> Appan, DOPM E I amwvp Sunhies Beal Insiailcad by*, <br /> 'AGRaiv Wooft DaAg J 7yipo t&Funip H.F— Svmo Week Done <br /> ,Wall Wmquglim 0 WOH uiaffaqw Sealing Naterlal A Depth <br /> yular Material 8 Depth <br /> TYPE OF SEPTIC VYORK-, NEW MSTALLATZN REPAIWADDRTION I I DESTRUCTION I lNo sepoic sysaam peeme uad N piabiic mbvw io <br /> available%viohin 20 1wJ <br /> k� <br /> Rcwwanco � commmial thw <br /> mumbo 09 at anka. —I— mumbav of b. r AM53 d <br /> C&inex1a,01[f WE 0 a dep h loll 3 Im"01, <br /> SEPTIC TAMM Me, Cmponmn i <br /> A46. <br /> -A- <br /> TREATMENT PLT',a 09 oiypoadl <br /> WaIg Fieen­dation gr a Lina <br /> LEACHING LINE No �Langth of finee Togai iongth/siz@ <br /> NL7(ER DEC ¢0 RNTGot W80 Foundation <br /> 8REPAGE PITS 5tp¢h si,78 umu@e <br /> 113uj MPS L &% <br /> Ll DiGaanra ae gtoR* W,0 Foundadovl--J.�— P?opanv Lino <br /> DISPOSAL PONDS 0 <br /> I horibV goniqy qhao,] Iiove prapaged chis appiicmitin and thaq 00 wodc will be done in accovdan.cr.oi9h Seri Joaquin county oydinancao,oww and <br /> NO3 OHO TQ@UiQQC� Jq qhO SOTO JOCqUin 0@=tY <br /> H@=,wRMv 0-v ftcwy)J asong,q 6sgnaquro ugni im aho following: 1 esetilv 1hal 4a she p36ormance of iho%wovk Vocwhioh 1hio parry K 5a ioauod,I ahali uiw <br /> offiPivy onw pm@p oR IA*h ffonnn?no 10 botelm'Ubiav 10 woFftman'3 compenmion two al California."Convacqof'o hiving @v @ub-com7ominq wgn@a1119 <br /> ganftr,Rho Iabv4ng, '1 6 a0domnopto-aq,�ho wavh for vAit-h ahi2 vovmia b imued,i ahaiI ampgoV pefeanookabioce ve MavE mtn'o companso- <br /> don lom z)9 <br /> opplIfton im(mfi !InWp�iovo. Compiwo dv&Rfino an eova7y3a 3'd <br /> 3 ak <br /> 4- , <br /> FOR Dep 1PM m7f USE 00447 <br /> ,4A <br /> , ? <br /> Ph @T adavv Nop�=lop bly Daae Final Wvqction 71) <br /> AdOdamAl <br /> ApPLI'leant Return S11.1 coplea to.' Saga -joaquin County Publlr, Health sev,ises <br /> Soviroamentallfealth PermltiServicee <br /> 445 A San JO&Quin, V 0 BOR 2009, Stku, OA 95201 <br /> 0011i <br /> 0 OIL <br /> AMOUNT DUE AMOUMT REWTTEV ECIIVEO 1", UA7T <br /> RN121-24M <br />