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OWNER ADDRESS 135 1 t _ -r, o�C�iSISI fe. (J CITY/STATE/ZIP 1-f)4/1 <br /> tCONTRACTORy 4jw !f}e- evm b., 'J , PHONE <br /> CONTRACTOR ADDRESS CITY/STATEIZIP <br /> LICENSE ❑C42 ❑C-36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinate! X y <br /> ❑ PERC TEST # I BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> 1 <br /> ❑❑/ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> !1,LGREASE TRAP TYPE/MFG�J V{/J CAPACITY , <br /> � 3+SmD QcT ���/r OF COMPARTMENTS�L <br /> ❑ PKC TX PLANT DISTANCE TO NEAREST: WELL ft FOUNDATION R PROPERTY LME R <br /> ❑ LIFT STATION SIZE TveE OF PUMP �Se[ND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> �, <br /> O LEACH LINES ❑ LEACHING CHAMBERS OF LINES LENGTH OF LINES <br /> LANE ANCNEAR T tlr LL �" ft FOU DATION ft PROPERTY LME R� <br /> ' ❑ FILTER BED / EN TH /CLJiAtiG .bIL fl D xE L R FOUND TION / 7y❑ MOUNDED ftR -� R <br /> NEARE T WELL FOUND TIONV/R'��R LI <br /> ❑ SUMPS ft LENG R DEPTH RNEA WELL R FOUND TION R PROPERTY LME❑ DISPOSAL PONDS H NEA WELL ft FOUND TION ft PROPERTY LINE❑ SEEPAGE PITSWIDTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LME R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ���7►/�FI�� rOR�DyjINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> RA CE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGN 1 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> C <br /> ti 7 <br /> R zlo' s�D oon wr s-omn zoo' S-Moon <br /> 9 I . <br /> I <br /> i <br /> TRAILER <br /> gig <br /> 92 <br /> €fig la <br /> y -rs• s�o.00n ® reors,o.00n ® zaz• s-�aDoir<' <br /> .1K - SAND/0R StPARATOR.DESIGN_11v <br /> II �❑ <br /> pE olA� I EXISTING STORM DRAM PDD Dt51GN ROWS 11.0 OF.S <br /> IN I <br /> Application Accepted By Dale ?S Area EN SAN J "�m' r�-p <br /> v f <br /> Pinel Inspection By Date SPECIAL PERiKe L7NpqW%jWayENT <br /> Character of Soil to Depth of Tit: Pit/Sump Soil Character: <br /> COMMENTS SPMA /,c7 i �rx-Aa"—.n C..-. C.L nA-^ 1 . .,1 1 A SVC __ I <br />