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('0STRACTOH ` PIIONt. <br /> ('0%] CAC'TC►kADUN1.Sa i2d-za L� jI� �Ly CIfF'tililt?%IN �lfr�s ,�� <br /> LIC'LNSF k_42 J C-34 C IIHER Nt'NRER�yt�[�_� ESPikAt1UN DA1l <br /> WATER TABLE DLPIIi: It GEoGitAP1OcAt.1%.foitN1,,nIJN: Cuordin.Ics \ <br /> L RC TEST"IS} NI %lHtR I wnU5EAPPI i.iIni1,A <br /> TYPEOF%SORK: ;J NINSTALI-ATION ❑ REPAIRIADDITIO\ .2 ENGINEERDFSIf:NEDlALTERNATIYF <br /> REPLACEMENT J DENT Rt 11.7110% <br /> INSTAI.LATION WILL SFRVE: F-SIDF110: U comma RI UI_ ❑ OTHER _ <br /> Nt'him F4tit-Ll1l\Gt'SITS; �11'S11lFkllFBFItN/M1Si5:.-� NU uotOIESIPLOsaS: <br /> Yt SEPTI( TANK 11PE-,41Fi; � �/?L� C'SPnItTY _� pl #OFCOMPARI`.IENTS _/_=_ <br /> V CREASE TRAP rypukIFt: _ CAPACITY pi N OF COMPARTMENTS <br /> L� PK(-:TXPI.ANT DISTANCETONEARESt: WI-1I L A FouNDATIo,� 9f�-_—_- it PROPERt11_1%1 +'� Q It K <br /> D LIFI S"IAT10% SIZE ' YVPE0FP(NPj�Q/� �'�_ J SAND OIL SFPARAIOR(FmcIoSEDSYSTE-%1) V <br /> Lk"I,F.A(FI LINES, O LEACHING CHAMBERS A OF LISt'c � � LENGTH OF LINES—za R <br /> UIS I-ANCE 1'O`EARF_CT WELL R FMM)ATION �N _ft PROPERTY U%1_ !t <br /> ❑ FILI ER BED HIDTIt R LENGTH w It DEPTH !t <br /> DISI%NCF.TO%'FARF-4T WELL. It FOUNDATK)%_ !1 PROPERTY LINE fl <br /> • NIOt.NDED «InT►1 _ 11 LE%"m _ .- ft DEPT11 It kl�'__ <br /> DISTANCE TO NLARF.ST WELL It FOUNDATION A PROPERTY LINE ft <br /> 17 SUMPS N m'tH R LEMItx ft DEPTH it <br /> D1s[AtifF TO NFARFST WELL ft FOUNDATION fl PROPERTY LINF it <br /> Cl DISPOSAL PONDS N%m is R LENGTH It DFPTH _ it <br /> DISI.SNt'E TO NEAREST' WELL 11 FOUNDATIO'.S 11 PROPERTY LINE 11 <br /> D SEEPAGE PITS N<«ITI1 ft LENGTH _ --- !t ur-Pnl_ it <br /> INSI%%(L 14)-%1.4.k1`Vr WELL r t' I,7C'ti1IA?ITIS -.ft PROPERTYLJ%E 11 <br /> 1 H% C'ERI IP1 I HA 1 I H.k%11 PREPARED I HIS APPt ICATTON AND THF.%&ORK R'Il 1,HE INTNE IN ACCORDANCE E\%'1111 SAN JOAQCIN CO(INTY ORDINANCES. <br /> NI ATL r A%kS ANI►RLLE.S AND REGI 1.ATIO SOF S.AN JOAQUI%COC\Tl. <br /> %11N N INI 24 HOt R.%D% ;NOTICF REQ(-IRED FOR INSPECTIONS-PLEASE CALL IIIlV)453,-7 007 <br /> ,p� � n <br /> SIGNED ��� TI11 F' 2 -Ire< -_ DATE <br /> I I <br /> IT <br /> - � I <br /> - - <br /> I - <br /> - - <br /> �_ <br /> J I tu JA <br /> I <br /> k HE 1i NT <br /> - - '� - — <br /> Applicalion A, cceplcdlltt-' Date A!,a Fmployre I[)a f� <br /> find Inspection I!�'__ ��.CGLCr=!/ D>ttc - - 0 SPECIAL PERSIIT • 1Pv:.�Lc9 h}. <br /> / y <br /> — -------- -------- <br /> Chrracler of Soil to Depth of T Ft: PIVSump Soil('hxrrcler <br /> COMMENTS � � �-- - '=j� y' �G�/�.,� wrl� �&P-"f* e•t_ 4111 �� - <br />