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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> A+JvarnRONMENTALHEALIkfDziAwwENT 1868 E.HAzFLION Aw.:i t .uC 1oNGA95205•{2 9)h68-342q <br /> CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> LiNC Oah tZ U. CIrY1ZI-P ^� 1 S2-t z— ;r <br /> ew 1�_ctaAr'U. APN oSS _.�._..._ PARCEL SIZE <br /> 2 <br /> N: �y.. C�LO„ti. PHONEC <br /> __rte:......._..._.._ _.._____..._—_.....__._..._ .._.._._.._..,....,.._.,...__ <br /> P �C r;.L-LL, v%tL L✓k '< CI IIIST'ATEIZIP L. '1. <br /> CDNTRACTOf<',.. .._.,._L� .w>✓ ilSS«c c.. lK.c ta�c.� C:. ..•.ra`: PHONE �Z.ct,� 3e,7 ' ...,...._._._._.r......._..._....._._. <br /> C014TRACTOR AC•DRES$ C'7C 1rN 451 .iY L L.) 1 CITYISTATE/ZIP <br /> LICMM C : C36 OTHER N;,r�,Ecf:R_(.aC^_r3L� �.__....ExP!RAs�ON D;TE `h I-7.x 2_J� <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> X. FERC TEST 2 BUILDING PERMIT# LAND USE APPLICATION#__�� .._._ <br /> TYPE OF WORK. REPAIRtADDt u': EhIiINEER DESIGNEDIALTERNA INC <br /> OLIT-OF-SERVICF.SEPTIC SYSTEM DESTRUCTION <br /> <.NSTALLA710N WILL.SERVE: RESIDENCf. COMMERCIAi. <br /> "I 'Vir4C..:.Uht'TS:..... _ NUMtIEROr BEDROOMS:� NUMBER OF E+,. .::5' <br /> 3EPTK:T ANTS TYPEIMFG ...... :na CIr -._ 8t #"1 <br /> %3 +CREASE "'RAP TYPE/MFG '.;'tV .a;! ....: <br /> DISTANCE TO NEAREST. VVI LE. .. _ <br /> LIF"'I 5'T'AT3'pN 5t7..f TYPE OF PUMP__._..._._ '-1 P KC -,,•,LANT J SA a., <br /> LEACH€.€NFR LEACHING CHAMBERS #"'A I.14t•`S_____ LENGTH OF UNEs ft <br /> •c-:'ANCE TC NEAREsi :^:r�.i aR'JPERTYL'^:t?. r` <br /> :. TER SED W'w'H_ It LFNGTH t`. DEPTH r' <br /> DISTANCE TO NEAResT :HELL It FOUNDATK)N._....�._�...__._�..It >q0p�:"+`:'Na`.; <br /> "j MOUNDED Wil-TO ..._ It LfNfitf+ <br /> Dts* •O NEAREST YELL It :O'JNDATIDN Ii 8•?PEI:? #Nf <br /> SUMP W= r It LENGTH .._—.. _ 'I _ D=.PTH z <br /> *O NEAREST WELL It FO0NDATr:7N St PROP[rpt Y tiNF, <br /> DISP7SAL PONDS WaoTti It LENGTH ft 1EPTt! ft <br /> DISTANCE TO NEAREST WELL '' It FO'JNDAT:<N tI PROPERTY L INE y <br /> 7 SEEPAGE PITS NUMBER WHaTH —It 6�F-PTxj <br /> DISTANCE To NEAREST 'AfEt.t. S FJUNC)Al'Ir,v ^11(1141EV4-v LINE ft <br /> i'?Intl C F.,P rWV*HAT i HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY OROtNANrF.& <br /> STATE.LAWS AND RULES AND REGULATIONS OF-SAN JOAOU!N COUNTY. <br /> NEJM 24 t#t3Uf:A VAIJC NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL„(209i X53-75?7 <br /> Tt* .d ?ATF .._ ... <br /> er <br /> r � r <br /> . .. ,. <br /> 7 A R «y+ <br /> Appairation ACCepu7 e e, .. _ Date.— , _: ._.... _ .. <br /> trsp"etlmaR, _ _ Date ll' iu ....._ SPECIAL PERMIT.ArprovedQTY _,..�._...__.__._..._....._ <br /> Gtantactol o!Orn;rc;)f;4;tt1"J3 f t: PittSump Sail Character: ...............__.._.___.... <br /> ._.._..___._._..__......._..,._.,...__.._..... <br /> J n <br /> (..*. 1_t`-!.(..i-416. 1!'.1cx .._........ <br /> heeAmount ; -T— —...Persnitl.._.... <br /> — _T� _._�._ <br /> ;r n �y 1 ata Invoice# I Permit 10# <br /> ' D <br /> i8b ReTn!ttad _j ! Service Ra uest illI <br /> 1 <br /> �:' ONSITE WASTEWATER TRTK!NT SYSSTEM PERM17 <br />