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SAN JDAOUIN COUNTY PUBLIC HEALTH SERVICES �", <br /> 88, <br /> ENVIRONMENTAL HEALTH DIVISION SEPTI V <br /> PA BOX 3904 EAST WEBER AVENUE,STOCKTON,CA X5MI-M V <br /> (209)4693420 <br /> pOp•1p;UApM1pLE PEtIEiT ElCtt�p Fp6M tl T_ Elm IpiUED <br /> ICSsPIau it TriPiaLl <br /> APRJCA"M 7 HUSSY MAIN TO THE RAN JOA"COUNTY FOR A PSW O TO MWWJCT AM O R INSTALL THE VMM WSCRE®.THIS ARUCATION 0 MADE W COWEMMCa WITH/SAN <br /> JOAOLSFI COMjJD Q" PUBLIC HEALTH go It.BNE^�R•BETAi HEALTH dVlMd.,1EOTJOS ADrESWOR <br /> SIZE 4;20 <br /> OX/ a2c <br /> OW"I"NAAAE ' AOP'ESS i' l �) RgTF <br /> r4' 146"°°RF'" <XJ <br /> ISIS CONITIACTOR `' / AbdEss LJCF PNOK <br /> ;TyFs OF SEPTIC wows: raw INSTALLATION O REPAwlAnortloN Jill cu mamm Q <br /> �W SEFTC SYSTM POWITTED IF RJKX SEWIEII M AVAILABLE NTTHIN 200 FEET Of MmIIN0.) TOIL TSSTM t I MM WAT <br /> AOPtsSoB/ <br /> INSTALLATION WILL SONG IrSIOM-F 6 COMMEWtAL O OTHER❑ <br /> "SAM OP MYDs NITS: NULvEI OF s�DNO�O/I•�Y: � IRA<•SR Of eAPLOVESS, <br /> CNARJCTM OF SOL TO A OMN OF 7 FEET-S!'9.fL/ PrTM MP SOIL CHAACTM WATER TABU OEFTEI <br /> SIP71C TAMLINE'ASS TRAP ❑TYPEA:W CAPACITY NO.COAs'Mr%MNTE <br /> PEO THEATMENT NAM� U DISTANCE TO MEANEST; TOUNDATiOH PmpEw f LINE <br /> LIT STATION L VM TlPL Of All.® �r BAND OIL SEPARATION ENCLOSM SYNTEM) <br /> LJJACHM LM M HA.A LENOM R)F LIF-_2 — YO OISTANCE tO IiMEQr:WELL�IKY�' FOIJ D TgN_�PWAMM OY LINE <br /> NITD Em Q VAM" UMTH- OFmw DISTANCE TO NEATEST:WVl, FOLJIIOATI%N "ors TY LI! <br /> ' St0'INIEM E3 WOTH LENOI`H DEPTH DISTANCE TO NRAR7T:WELL P MMASDN PIOPENrY LIE <br /> BLASE IRR ❑O nm__MmSER OWANCE TO NEATEST:WELL FDLWATON PROPERTY L.IN <br /> SIMPS 0ry WOTH LENOTII,_�•—DEPTH DISTANCE TO NEMET:ATLL FOVHDAMN PwIPMry LINE <br /> i DISPOSAL FOOMO U WSOTH LENGTH__OEPTF 0SfA10E TO NENEST;N/HL NAMATION PNOPEHTY LINE <br /> 1 I""MW CUM"THAT 1 HAA PAITAPED T"W APPLICATION AND TWAT TIE WOM WILL W OMR IN ACCONOANCE WITH SAN"AGLAN COUNTY dONANCEs AND STATE LAWS,AND ISLES <br /> AND MWJLAMW OF THE S.WJOAQJ COIINEY.NOLl OYNJE11lH1GK'DJSID AOWT't SONATIIIECERIiEt Tf1EFOLLAWMq:"ICERTIFYTNAT WTIEPOIOMEANCE OR THEWpa(/DNNIR'!1 <br /> I TNN I""r E tw)m t SHALL MOT FHPLOY I WY Pv"O"IN SUCH A WAHNEI A7 TO UCO&A D,w.R.CT TO WOMMA"COW"SATON LAWS W CM)OW4,10 CWMACT'M's FSA dl <br /> . Sl16CONTPACTNO PLANA CEHTT[S THE POtLVVV M-T CERTIFY THAT SJ TLE PE RPOISAANCE Of THE WOM FOR WNW..'"THIS PEWAIT N ISRI®,I SHALL 9ESOy FONOIN SUSECT TO <br /> WOIR .OOMPENSA LAWS OF CALIFORNIA_•THE APPLICANT MUTT CALL JA HOW IN ADVANCE POLI ALL ASMAI H MOWT MM CONIRM MAIMA S6.OW. <br /> HONED X �-. <br /> TITLE:�IMLI JN'ir DATE: <br /> • 1 PLOT RAN mRAW TO SCALP SCALE <br /> 4 T.W1A1lS OF sTIB,TE OP FIORDS NEAFEST 70 M ROU140M THE PIOPEFITY. A.LOCATION OF HOUSE SEWAGE DWOMOAL 6Y9M OR NOFOM <br /> S.O(ftLSE OF THE NOwFFY.WIIM 0141BJAONS AND NONTH m*CTON. E%PAMSICFJ OF SEAMS DISPOSAL RYSTEEM. <br /> r s,OSADINONED OI nmio AND LOCATION OF AL mwr*A MLO AOPOSEO ItNUCT11'ES, S.LOCATION OP VM"WrOM RAO"N OP ONE I"ADISID ILLY W.ON t^• <br /> , G <br /> INCLUDING,CO WEO AEN SLICN AS PATIOS,OwVEWAYS,AND WALKS, TER PIORRTY OR ADJOs M I)P[m. <br /> • <br /> i <br /> • f <br /> • <br /> ... ' <br /> ..... :. ..... .'L..1 ... <br /> L <br /> f t� <br /> FAV <br /> aIFENT <br /> I . . <br /> �s <br /> C <br /> 14 '1998. <br /> �.. , ENV+RpPMEhTgI KMTM p <br /> N' JLIgI6sT LIN ONLY <br /> �' APRPCAIION ARxEPTm SY^`� s `/{r,•� CAT, <br /> TAW,PIT OL SURA INSFWTI4N SY MTI. / / <br /> FINAL <br /> WSPCS TON BY <br /> pamwm L coFATAf•'Flrs:� E TX } <br /> ACCOWFIIS Cray, AN)/ FACJI <br /> A cow f0 P" ANIOUM NW I-TEO C. JC. mcipo sY "TE /P/SET NLNIDEI RFLTRCI a <br /> I 4q 4/ <br /> PJb.+inch SQIV.-ErMFO.174(,%W) <br /> Q 4 <br /> -S I'lu I <br />