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pt{$t OFFICE USE <br /> APPLICATION FOk SALTATION PERMIT Permit No. _A.r..Ij* <br /> . (Cawpbte in betel Dela Issued /.f-1� <br /> This Ptrwdt Expo," 1 Year Ram t/a+e 1""d <br /> Applica•;oe n hereby made to "re San Joegria Local Health District for a permit to Construct and instoi? the v.ori herein dater.Ued. <br /> i' Th-: application is Redo in compiienca with County Ord.nervice No, Sao. <br /> .09 ADDRESS AND .gCATIO/N�/L2.Q- ��}+. _G✓.. Tn`. Ali/�i+� ._..S, C �3� <br /> 0wrwr*% Name. . <br /> Addrea..... . <br /> contractor's fume.. . _..... . P � - w�Tsl�- <br /> Imtagaticn wi terve., Rat+dance 0 Apartment HOale 0 Corr medal ❑ Trager Col" 0 Mo1+ei E3 Olbee fly <br /> Nu.nbar of 644 Units: " !!+mbar of bedrooms":'... Number of baths •if- Lot sue <br /> Wetw SrPPfy: public system ':] Community systare 0 Prim** Wri`&pfh to Water Table V eft <br /> Character of tel to a depth of I fast• Sond C Gravel 0 Sandy Loam eCley Loam 0 Gay C Adobe 0 HardoaA ❑ <br /> Previous APP6tation Made: 114 vel.(Jo•c ) No 2!r' Now Construction: Yes JWO'Alo C FHAi VA Yes F-,, No P"it <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: `1• <br /> INo naptic tank or t evtpoel purniftad if pubik sewer is oval".rilltin 70i16w.1 T1 <br /> � <br /> Septic Tent- '�.hlanCe ire„ nrnrcsr we a'fr y DibfaKe fropy� Iciuu.pddo <br /> No. of cenpn•rr.n i•s ..-. Si2a �It 7/e .liqurC daplh.y. Caplc.ty�irPQ C� <br /> Dspt7ael Field: OisfarKe from nearest .ell �.. .D stance frMt {aundaC <br /> ��.. . Distance to aaeros't lir.►. <br /> Number of linos IZ Length of each I.ne PO-11 _ Wi Oce <br /> th of !.on /rr e <br /> APO <br /> Type of filter matanair Depth of filter rrate•iai A- Total longth. '.�Q! <br /> Seepage Pit Ditiaato to nearest -ail Defence !turn founoetysn._...._,_ .. . Dlstarce to reaatt lo- I ne <br /> ci Nurnbev of pits L-, :r,7 nator;e' . S.vi; D-aroerer. Dep•h. <br /> Casspooi: Distant* f:orn nearest .roll Dicta-.ce from lo,irdat`un .. i.rnnq material. <br /> 0 S- *. Diameter ._Dopth - . ._. . ._.._.Liquid Capacity_ . ..... .....gala. <br /> `,. Privy. "Ponce from nooresf wa'I . . .. -. Dhtance iron nearest building- <br /> 0 Diatesce to nearest lot i ne <br /> Rnnode.n d/or roo;m •ng acribol <br /> de : . s 1 ��1 Q, � <br /> .ro� s <br /> I Ifereby certify that I have prepared this appliuf.en and that the work WA be Jana in accordance with San JoequA County <br /> ordinances, State <br /> alaw7, and rules and ragutations of the Sen Joaquin Local HoMh District. <br /> (Sigrsedl. ,r\Q40- -'ee A& (Gli'111423MUr Contr.c,arj <br /> By: ............. Alr'44� <br /> IPlof plan. dsa.irsq sip of W.16WHoe tem w rele6en to relh, 6w3dings. Ne_, can be placed an reverse 64b1. <br /> . .�' FOR DEPARTTs MT M ONLY <br /> APPLICATION ACCEPTED 2Y. , WATE A A51—(e. <br /> REVIEWED BY _. DATE <br /> BUILDING PERMIT ISSUED ....... .- . _ . DATE <br /> ANerofic"avid/or reenntnteaiefienac __. <br /> F�hAL iNSPf{TICI: BY �l•r•'c.r,. � ,. �a•a Lam/ �'�/ t�� <br /> SAN JOAQUIN LOCAL HEALTH DIVIUCT <br /> /net a.wwrwr A. too Wr Ora sur 474 sr.e.nw.t+nr. 707 w...M Suer <br /> LeAUn,CwwwW l.a. Ga[.MrnN .Man..w.Cs tuna r.e.v. Ca..rr...y <br /> 1. •:.r r• ve.ew.tl M.. <br />