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T <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAggjIN COL:NTY ENYIRONMEN1'Al.HF.AurH DVP.aRTMENT 104 E WEBER AVE. -3"1PL-S FWkTX)%CA 9320 - (Z09)4(A-%;420 <br /> NON-REUUNDABLE PERMIT ALL U9 rl -7r5 7 I Oa I tiPkC l It} x EXFIRIPS l YEAR FROM DATE ISSUED <br /> JOB ADD14 VIS1,4;TZ Jf ! �+��#+�� CFrYtGIP �4 <br /> � <br /> APN /deD PARCEL SIZX or T <br /> CROSS 91'01FT � <br /> OWNER%AM)' PHONE � / <br /> IDwNgRA1}DRM � - - — CF7'4'JST.iTE��IP <br /> PHOtiF. <br /> CONTRAC"IT1R <br /> 1 <br /> co _ _ _ -- .. [.IT1'. T:►IEILIP _ <br /> LICENSE U C-42 LJ{'-36 {jTHE'R _ __ __ umarR _ E x KIR.AT7ON DA'I f' _ <br /> WATER TABLE 1DEPrl1:. - ft GEO(AtArIIICALINFORMATION. CourdilkAtes X Y - <br /> ❑ PERC TEST # I UILDL iG PER>i1T _ LANE)Vsg APFLICa'TI0N#_ <br /> TYPE OF vY[1RI€: ❑ NEW INSTALLArFI}N ] RFPAIRIADDrna i l] k N EER D' NED�AL7'F;P,a 79YF. <br /> 13 REPLACSMFFIF ?FSTRIICTION JLC — <br /> iNSTALLATION WILL SERVE. ❑ RE51ABNCP ❑ COMMPROAL 0 CMIER <br /> NUM$L.R OF tiyINC 11 KITS: NkIMTLER OF BE13IN4OMS? NUMBER()F EMMOYE19S' <br /> * SEPTICTANK TYI'E;N1F('- CAPACITY J gai i90PCGMPA1k1'Mb)--TS <br /> ❑ GREASE TRAP 'ryw m -- CAPACITY gal #OF COMPARTMEMS <br /> L7 Mr,TX PLANT f)jaANr.pTC1'~EnRC$F! WELL fl FOUNDAVON Ll PROPERTY UNE _ <br /> ❑ LILT STATION SITE TYPF OF Pumr U SAND OIL SEPARATOR{FNCLO9Ejl)SWLTrw} <br /> ❑ LEACH L1NFIS U LEACHING CHAMBERS #4F LIKES LENrTI L OF LIN ES fl <br /> DISraNCETONEAREST WELL ft N61)NDATDDN _ft PKOPEXIYLINE $ <br /> �- _ fss <br /> ❑ FILTER BED WIDTH _�L LFNCnL ^� LXPTH _ ft %Lffk'v� <br /> DISTANCE TO NEANFAT WELT.- f[ FOLINDhI'LON _ft PLIOPRRTY LLNE � l" <br /> 0 MM NDED W11 w . —p LE%;c.-nl ft L)EFFH � <br /> DISFANCET k NEALkUT WELL_ —ft FOUMDA:IU-4 ft VOOEBTY LINE <br /> ❑ Sl.'mPii WIDTH_ _Ll I.F.NCn[ fl DEXTH _ ft <br /> DISYANCF TO NTAkLST WELL ft FMINDAYLON _. ft PROPL7RTY LINE -- fl <br /> 7 DLSP(1 AL FONDS Wiorw1_ —ft LE-40TH _ft T)F.PTH ft <br /> 1)ISL'A.*ICL-IX)NF ARESY WELL fL FOUN DArICM RR4PER'FY LINE. f# <br /> ❑ SE EPAGE PITS NumaER WIIVFH ft DEPTH <br /> DISTANCE TO NBARFVF WELL� ft FQI:-NDXJ'ION _ _fl PROPERTY LINE ft L <br /> I11ERtBY FtTIEY THAT I HAVE rIIEPAREUTHIS!4PTI$CATVDN ANTI THF WORK WILL.RE DONE 1!L ACC-OR12ANCE WrrFj SALN JDAQLIIN CCIUN'FY <br /> ORDJ ANC STATE LAWS AND RULERAND RIECL71ALTICIN541PF SAN JOAQUIN COTILKTY. <br /> M IN MUNI 24 HOUR AD%Ati[:I•:NOTICE.RV.QI:IRE13 FOR tNSPF1r7I IVS-PLE:AsE c.m.1.{21))`I'53-7407 � <br /> SIGNE, TITLE OATIE <br /> ki VI <br /> NMI <br /> i <br /> F1 P <br /> LA <br /> ,lay: I Z.1. <br /> q <br /> i <br /> ii±, [ 1 ' 1 1 11 1 1 1 1 1 d <br /> MPARTMENT USL ONE V <br /> IIx r S F.m oyes LLD* t rr <br /> Applieatlan 14oCQpI�d '7 ATm � PL <br /> Flpal ln�ptetiva lip batc " [3 SPECIALPERMIT AppmwBd b}+ <br /> ChsruUr nl Sail io�hf PWSump Soil[;harac tcr. <br /> {�COMMENTS, <br /> PC $ l ccels e& htc ANISUOL I if Permit] Invoke# Parnit IIIA <br /> Ingo B h Remitted Scrvlte ue�tlF <br /> iF a fY7 S 1.41 q S-0 <br /> ONSITE WASTEWATER PERMIT <br /> 4�-02-041 <br /> 12rZ3+34Li3 <br />