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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />6/.M J00LOV000 CON I Y 9WOW1101009HITAII, HE-,&_TH DEPARTMENT 1BBA 1,HAZELTOnAYflitif • Sfoo;Kfo"CA9fM-(209)46S­3420 <br />MON-REFUNDABLE PERMIT CALL 1200) 053-7597p000v lNopscTIONs EXPIRES I YEAR FROM DATE ISSUED <br />PARCEL SIZE <br />OWPWfi Pww <br />Owwn Anon <br />C01ty'RACTOR tJ VV pmm ;aq. <br />Coto rnwitox Awar" CITYSTATfalF <br />Lock"" fjoc-a 1Y vx Ow" 46 MAMA, EVMAT*n DATE to <br />WATER TAKE OEM, I GEOGRAP"ICAJ- 100`00MATWN: Coordkwtes X Y_ <br />fj PERO TEST III LBUILDING PERMIT # LAND USE APPLICATION 11 <br />DEGTRUCTIM <br />INSTALLATION WILL SERVE! se REOMWE I I comuffselm OTHER — <br />Nuumoorl.NMUNITS , OF sappoo", NUMBER of EunmEffs; <br />0 SEPTIC TANK Tv,f/Wo cvAwY I -Z,00 9,91 0 CW COMPAMMEOT11-- <br />0 GREASE TRAP TYv(/MF(3CAPAC4" 041 TTC)FCo)MpARTMFHT4_,___ <br />DwrAnca TO NEAREST: WELL F~ATIM s It PW)PFRTY LiNc --it <br />0 LIFT STATION SIZE -TYPE OF PUMP_ O P9aTXPLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM <br />0EPARTMENZ ONLY <br />Applicado" Ac Emp" 100_6kv_tt� <br />e 44, Arca <br />FkW kNIpealon b i I SPECIAL PERMlT - Approved by <br />Data 7i�l <br />u <br />Cherader of Sall to Of 3 ft. Pitts, omp Son Character: <br />COMMENTS; ItA, 43,�,dfavf <br />1536 1 �W <br />PE Am" D111114 Permw <br />Code kwal"# Permit IDS <br />. I SWVW Rmuest 0 <br />WA�( <br />r <br />Ai{ f ONSITE WASTEWATER TATMNT SYSTEM POW <br />4??4112! <br />LEACH LINES <br />LEACHING CHAMBERS —11, LENGTH OF LOM <br />Disroia To NF-~ WELL IT FOUNDATION ry PROPERTY UWE <br />U <br />FILTER BED <br />wityrfl — it LOW04 DEPTH— <br />it <br />DISTANCE TO NEAREST WELL...,.-_-_.. it FOUWATON —0 PAD"ATYUNE <br />it <br />.3 <br />MOUNDED <br />WIM" ­_ # LENGTH ft DEPTH <br />it <br />Dts,rAwA TO NEAREST WELL---- ft FOLMATION _, ft PROPERTYLINE <br />fl <br />U <br />sumps <br />winfoo -­ ---_ft LOW"__ It DEPTH <br />DISTANCE TO NEAREST WELL—_- it FOUNDATION _it PROPERTY LINE <br />it <br />Cl <br />DISPOSAL PONDS <br />Wwrot - - LENGTH--- it DEPTH <br />it <br />DtorAncE To NEAnw WELL—_ --ti f"MATION - it PROPERTY Low, <br />it <br />0 <br />SEEPAGE PITS <br />Nuum WIM It DEPT14 <br />R <br />Disuxu To NEAREST WELL It 0`19)NI)ANON IT PROPERTY I INk <br />it <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH BAN JOAOUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br />MINIMUM 24 <br />HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL 12091 <br />SIONED <br />TITLE, . .... DATE <br />0EPARTMENZ ONLY <br />Applicado" Ac Emp" 100_6kv_tt� <br />e 44, Arca <br />FkW kNIpealon b i I SPECIAL PERMlT - Approved by <br />Data 7i�l <br />u <br />Cherader of Sall to Of 3 ft. Pitts, omp Son Character: <br />COMMENTS; ItA, 43,�,dfavf <br />1536 1 �W <br />PE Am" D111114 Permw <br />Code kwal"# Permit IDS <br />. I SWVW Rmuest 0 <br />WA�( <br />r <br />Ai{ f ONSITE WASTEWATER TATMNT SYSTEM POW <br />4??4112! <br />