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(CompleteMTrplkat/) <br /> AFPLICATION 16 HEREBY MADE TO THE GAN JOAOUIN COUNTY FOR A PERMIT TO CONSTRUCT ANOMR INSTALL THE WORK DESCRIBED. THIS APPLICATION 18 MADE IN COMRJA14CE WITH BAN <br /> 'JOAQUIN COUNTY DEVELOPMENT TITLE,CHAPTER R-111/0 3 AND THE STANDARDS OF BAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES,ENVIRONMENTAL HEALTH OINBMJN. <br /> JOB ADDRESSOR AMC , /typ' �(� CTry/� /J ���J�LOT SIZE_ <br /> OWNER'S NAME��I_ /���LciP�/'�FLi� ADORE89_ 'S �1�// �� '�/ PONE <br /> 'CONTRACTOR !✓:/�/�(./���i� A0011E68_ P/J Z7'-// <br /> SUB CONTRACTOR— AODKea LICF PONE <br /> 'TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAUADDITION CpTRUCTION O <br /> 040 SEPTIC SYSTEM PERMITTED E PIBLD 9E VER 18 AVAILABLE WITHIN 200 FEET OF BUI DING.( P91C Tplld 1 1 NOW MANY <br /> �� APTSoeBon e <br /> INWTALIATION WILL NC <br /> SERVE: IOSIOEE E{: COMMERCIAL ❑ OTHER 11'NUMBER OF LIVING UNITS:_ NWRE R TW SIEDROOMS:x NIMSER OF EMPLOYEES: <br /> CHARACTER OF SON.TO A DEPTH OF 3 FEET:yf4g D PIT/BUMP BOIL CHARACTER: WATER TAKE DEPTH <br /> SEPTIC TAIEKJUREASE TRAP ❑TIPERMFD_ CAPACITY NO.COMPAIITMENTS <br /> �PKO TREATMENT PLANT ❑ DISTANCE TO NEAREST: LVELLFOOHDATIDN PROPERTY UNE <br /> UFT STATION❑ SIZE TYPE OF PIMP Gam. BAND OIL SEPARATOR SENCLOSEO SYSTEMI F J� <br /> LEACHNO UNE pe NO.i LENGTH OF LINES 71�rSCI FT DISTANCE TO NEAREST:W FUL PJUNDATON��PERIY U IE — <br /> 'nLTM BED ❑WIDTH LENGTH__DEPTN DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY UNE <br /> MOUNDED E3 MOTH LENGTH__DEPTH DISTANCE TO NEAREST:WELL—FOUNDATION PROPERTY UNE <br /> SEEPAGE INTO ❑DEPTN 812E _NUMBER DISTANCE TO NEAREST:WELL__FOUNDATION POPERRY LINE <br /> BUMM ❑WROTH LENGTH DEPTH AN TO NEAREST:WELL__FOUNDATION PROPERTY LlW <br /> 'DISPOSAL PONOS Q WIDTH LENOTH DL'PD1 DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY UNE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE"PIN WILL SE DONE IN ACCORDANCE WTH SAN JOAQUIN COUNTY ORDINANCES AND STATE LAWS,AND RULER <br /> AND REGULATIONS OF THE BAN JOAQUIN COUNTY.HOME OWNER OR LICENSED AGENT-8 SIGNATURE CERTIFIES THE RULOW NIM'ICWTKV THAT W THE PEI FOPFAANCE OF THEMM FOR VMICH <br /> THIS PliN 18 ISSUED I SHALL NOT EMPLOY ANY PERSON IN SUCH A ALAINEH AS TO BECOME SUBJECT TO WO►AMAR'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTOR'S HANG OR <br /> SURCONTRACTINO SIGNATURE CERTIFIES THE FOLLOMNO:'I CERTIFY THAT W THE PERFORMANCE OF THE WOM FOR WHN:N THIS PEWIT It ISSUED,I SHALL EMPLOY PERSONS SUBJECT TO <br /> IKMAN'S COMPENS/ATIO✓N�LAWWS OOFFCCALIL/IIFFOORRNIA.- THE APPUC ANT MUST CALL 24 MOVIES US ADVANCE PON ALL REOVmIW INSPECTIONS, COMPETE DRAINING SEEM. <br /> 'SIGNED K !//� 19 �/� � TITLE: DATE: <br /> POT MN mMW TO SCALER SCALE lR <br /> 1. NAMES OF STREETS OR ROADS NEAREST TO OR SOUNDING THE PROPERTY. /. LOCATION OF HOUSE SEWAGE OIWP08AL SYSTEM OR PIOPOWm <br /> 3. OUTUNE OF THE PROPERTY,WITH DIMENSIONS AND NORTH DIRECTION- EKPANSON OF SEWAGE DISPOSAL SYSTEMS. <br /> T OWENSONED OUTLINES AND LOCATION OF ALL EKISTINO AND PROPOSED BTRDCTUNE8, S. LOCATION OF WELLS WITHIN MORNS OF ONE HUNDRED FIFTY FT,ON <br /> INCLUDING COVERED AREAS SUCHA9 PATMO,DRIVEWAYS,AHO WALKS. THE PROPERTY OR ADJOINSW PROPERTY. <br /> .a <br /> �\ <br /> YMENT <br /> /i9.uR�>1 0 0 I <br /> � 4 T JAN 2 61998 <br /> P9A�,101 WN CE,ILI <br /> . . T0.LXLd <br /> H C('NV C <br /> ONMEN <br /> NVIq L HeALTH SIIVmIBN <br /> C FOR DEPARTMENT USE ONLY <br /> �PPICATION ACCEPTED BY DATE: ATEA;__1 � <br /> MUM,RT OR BUMP INSPECTION BY GATE I 1 FINAL INSPECTION BY DATE_J_ 19 <br />