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LIQUID WASTE PERMIT <br /> SAN 1DAQUIN COUNTY PUBLIC HEALTH SERVICE4ENVIRONMENTAL HEALTH DIVISION <br /> lb E.WEBER AVE In FLOOR,ST CKTON.CA MOO ry%I RMLEAN <br /> :i <br /> '/'/1 / 1/ / NOWaeFUXDAABLE PERMIT EXPIRESIY �R/{SROM DATE ISSUED <br /> IOBADDRER4 �l <br /> � ^ `1 p, I <br /> CITYM, �e'l/Y/\'Q C/P 1 BUILDING PERMIT <br /> owNea NAME �OP/1^/AY} ADDRESS 2 <br /> WM. CHYMP /y+/.?,NY�L'C ( PHONE NUMBER <br /> corvTRAcroR/t AJL Sl?)tiL d .SCNd/ Aooaess / yG(.� /-t�/L(/el. <..J 4)/ <br /> OTVTUP //L� �S3 SS^ PHONE NUMBER <br /> BR, <br /> GEOGRAPHICAL INFORMATION:COORDINATES:% Y T0WNSHIP_0.ANOESECIpN_ <br /> TYPEOFSEPTICWORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: / <br /> ❑ NEW INSTALLATION fr RESIDENCE j <br /> NUMBER OF BEDROOMS: <br /> IN. <br /> 9 DESTRUCTION <br /> O COMMERCIAL <br /> DESTRUCTION O OTHER NUMBER OF EMPLOYEES: <br /> O ENGDIEEREDIALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 3% PIT/SUMP SOIL CHARACPER: WATER TABLE DEPTH: <br /> RIP ❑ PERCTEAT(SI HOW MANY APPLICATION <br /> APPLICATIONS <br /> 49 SEPTICTANK TYPFIMFG If C �A' tALJ-!_ CAPACITY�ZCJ(— SOFCOMPARTMENTS� <br /> ❑ GRT.ASETRAP TYFEYMFG CAPACITY SOFCOMPARTMENTS <br /> R. ❑ PKCTR PLANT DISTANCETONEAREST. WELL WVNDATION PROPERTY UNE <br /> ❑ LIFTBTATON SIZE )J' TY OF POW SSSAN D OI L S EPARATOR(ENCLOSED SYSTEM) <br /> ���� <br /> 0 LEACH LINE R OF LINES:_f�__,LENGTH��2,, o4TRxc{iOx{uLai: WELL FOUNDATON_/)J� PROPERTY IINE� `NT <br /> INFUTRATORCHAMBERS: v� <br /> ` M <br /> L3FILTER BLD WIDTH_ LENGM DEPTH dbT'LM'Lro FttAxuT. WELL_ FgIMDATON PROPPRIY LINE <br /> ❑ MOUNDED WI LENGTH_ DEPTH_ NUTRERTOMAROFU WELL IMECAODN PROPERTY UNE� <br /> ❑ SGMPS WIDTH LENGTH_ DEPTH_ N . CITOxAURT: NEIL FOUNDATION_ PROPERTYLINE <br /> ` ❑ DISPOSAL PONDS WIDTH_ LENOIN DEPTH_ —AAUTONF VOz WELL FOONOATIOH PICKET,LINE_ <br /> ❑ SEEPAGE PITS N LL_ NDUNGATON PROPERTY LINE_ Ev <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN HIAQUIN COUNTY ORDINANCES STATE LAWS fie(` <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. 1YIrL <br /> . MINI M3A HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(309)i64N11 `V <br /> SIGNED: TITLE: ltl.N(/ DATE; I oL `` <br /> — ry1 <br /> ` _ <br /> I <br /> IF <br /> 11 92 F1 <br /> Iiiyf <br /> 1• <br /> SH EH <br /> .B^.IP+. Ri <br /> DEPARTM E FLY <br /> L APPUCATONACCETEDBY: DATE REA R/x SWUU,.E. MSTRHT LOU <br /> ODE-Ty <br /> EUPECIFDBY: DATE PRRMRiINAIL YFS DATE: INSPECTOR <br /> is : <br /> OMMC R <br /> ir <br /> FECODE AMOUM C SN RFCEIVFA DATE .... KEAE011Ef T1 SEMI[Ib <br /> Nrt D DY <br /> a o ris <br /> REN <br />