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LIQUID WASTE PERMIT <br /> SAN X2A4XIN COUNTY PUBLIC HEAI TH SERVICES ENVRt0AIMENTAL HEALTH DIVISION <br /> 3M E WEBER AVE 3�"F1 009,GTOC'CTOH•CA 9320212091 PAR•N211 ,��1 <br /> DABLE PERMIT FXPIRFS 1 TEAR FROM DAT�EIISSUF.D <br /> JOB ADDRL45G_� `w'Vfi __ AfN_ `J DD rV PARCf1.Size:Ae 4 <br /> cmi-LIP_ �� _-�j—�- .--_ BUILDING PERMITR <br /> OWNER NAME^�F+ �Q <br /> : Vie ADBRESS, A)14 <br /> PHONE NUMBER__ rr <br /> CONTRACTOR„ -� ADDRESS17-:i3�-I (p I <br /> 1 <br /> CITV17JrP -g PHONE NUstBER- <br /> GEOGRAP HICAL INFORM ATION: COORDINATLS X__ _-._._._...-_ Y ,i, TOWNSHIP__RAKE SECTION <br /> TYPE OF SEPTIC WORK: INSTALLA'"ON WILL SF.RVF: NUMBER OF LIVING UNITS: <br /> ❑ NEW NSTALLATION ❑ RESIDENCE NUMBER Of BEDROOMS: <br /> REPAIRIADDITIONMMERCIAL r <br /> ❑ DE.RT'RUCTION 0 OTHER— ,-­ yUMBER OF EMPLOYEES: <br /> Cl ENGINEERED/ALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF 2' PIT/SUMP SOIL CHARACTER WATER TABLE <br /> PERC TM(SW HOW MANY APPLICATION« <br /> O SEPTIC TANK TYPEIMFG_ --- CAPACITY — A OF COMPARTMENTS <br /> Q GREASETRAP TYPFIMFG __ _ CAPACITY_ MOFCOMPARTMFNTS <br /> PKGTX PLANT DISTANCE TO NLARf.ST: WELL FOUNDATION PROPERTY LINE <br /> O LIFT STATION SIZE- TYPEOF h:Mr_ SAND OIL SEPARATOR iENCLOSEUSYSTFJHI__-.__--__-___ <br /> � <br /> LEACH UNI a OF LINES: / _LENGTH OF LINES'. aRF„NCR roMRARR.Q: wELL/cn:§) Fol.'NDATION� PROPERTY LINF ��_ <br /> 114FL IIRATOR CHAMBERS: <br /> O FILTERBED WIDTH LENCTH OEPn{__ wRTAMCE TO naARRRr. WEIL FOUNDATION—_ PROPERTY I INF. <br /> 0 MOUNDED WIDTH LENGTH DEPTH-_T PWI.MCL TOM4.RERT: WELL FOUNDATION PROPERTY LINE <br /> Q SUMPS WIDTH LENGTH DEPTH__ omlwETORtARLTr: WELL FOUNDATION PROPERTY LINE <br /> O DISPOSAL PONDS WIDTH LENOTH DEPTH u1 TN+co.--m- WELT FOUNDATIONPROPERTY LINE <br /> F <br /> yy t <br /> SEEPAGE PITS 0�_ DIAMETERS DEPT,�� DUT V.TT TO NCAAF.T: WELL FOUNOATION�10'"PROPPATY LINE ISS <br /> is o <br /> 1 HLRERY CILIMPY THAT E HAVE PREPARED THIS APPLICATION AND THE WORK WILL BF.DONE IN ACCORDANCE WITH SAN JOAQUIN C'OVNTV ORDINANCES STATE LAWS <br /> AND RULES AND RECULATIONSOV SAN JOAQUIV COVPaTY. <br /> Ml. ME{m 21 P IRA fENOT%CE REI*U1RED FOR INspE(TIOYS-PLEASE CALL(209)"-3423 3 -Z 7 <br /> SIGNED: 6// TITLE: DATA: <br /> -�� <br /> r... ... <br /> - <br /> , <br /> M-._y_F._L_. .._...��....- -- _--i-_•�--�---t-- ---1----t-$. .�--j'--f- ^--1. -1 � _r_i --r-!--4- -'�-- --1---}-'- - <br /> 1 I 1 I <br /> DEPA M NT USE AN'11I.Y �J <br /> APPLWATION ACCF.P720 RY._ -_ _ AREA���_EMPLOV6ErrITTOP_� �DISTRICT��Z LOCATION <br /> INSPECTED SY._1 _DA 1F.:_ ,(y Q�PERMIT ANAL OK Y55 DM1TE �^ �INS PF.I,T. f3/A/�/�Y <br /> CDMMENTS: J -T 7 <br /> PE CODE SC INFO AMOLNrHECK ASH kF.CEI VFD DATF. P6 RMFURVICEREQ",, INVOICE. SEPTIC Im <br /> REMITTED SY <br /> w2�s �s� 3517° <br /> -31-171D 22ZILI <br /> RLVMCD►/fPt �~ <br />