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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HF.ALTII DEPARTMENT 304 E%VEBER AVE-3"FL-ST'OCKTON CA 95202 -(2W)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 53-7697 ri li INSPEC'TIONS EXPIRES 1 VEAR FROM DATE ISSUED <br /> JODADDRESS 4KI AVS CITY/ZIP <br /> APN YO�/�"'© 7 Y <br /> CA055$TAF.FT PARCE[.yt7J', 3-7 <br /> . .� p. <br /> QWNC <br /> /'����� <br /> EA NAMFi <br /> OAkNF',.A ADDRESS (/ h� r y -, CTTVfSTATFMP <br /> PHONE <br /> CONTRACTI)k ADORRR$ CIT VlSYATTJZIP <br /> LICENSE C-42 -"=0 C-3G OTHER __ NL'MOGR EXPIRATION DdE <br /> WATER TABLE DEPTH: �d GEOGRAPHICAL INFORMAVON: Coordinates X Y <br /> d FERC TEST P FUIIJ ING PYRMIT# LAND[ISE APPI-1(:ATION# I p <br /> TYPEOF WORK: NEW INSTALLATION U REPAIR/ADDITION O ENG19lLRDkSIGNED/ALfERNATIVF. "t <br /> 0 REPLACEMENT Q DESTRUCTION <br /> INSTALLATfQN WILL SERVE: &RFSIDENCE ❑ COMMERCIAL Cl CYFRrR <br /> NUMBER OF.LlvINC UNFI'$: NUMB' OF BEDROOMS: 3 NuMBERUFL:MPLCJYrFS: <br /> Y.. , <br /> SEPTIO(ANK TYPIJMFR` �YT _"., CAPACITY ga] H or COMPARTMENTS <br /> Q CREASE TRAP TYPPJMFG CAPACITY _ Sat #OP COMPARTMENTS <br /> ❑ PKC.TX PLANT DISTANCETONEAREVI': WELL Tga— 41 (L YOUNDATIONR PROPERTY LINT. s> n <br /> ❑ LIFT STATION Say. TYPF OF PUMP Q SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES Ar LEACHING CHAMBERS 17 #OF LINES LENS;-Llt DT LlNrs J Sl <br /> DISTANCETO NEAREST WELL! A rUUNDATION _ti PROPERTY I,INF. a }} <br /> ❑ RILTERBED WIDrn R LENGTH R DEN iiR <br /> DISTANCE TO NEAREST WELL fI FOUNDATION ._,- -tl PROPERTY LINE it <br /> Cl MOUNDED WIDrn ft LENGTH _ —ti DP,PTH tt <br /> DI51'ANCL TO NEAREST WELL H FIN INDATION R PRUPEK I'Y LINE R <br /> ❑ NUMPS WIDTH tl LENC:TH __.., ---"_tt DP.PTH <br /> DISTANCF,TO NPARP.SI' WPI I R POLILMATION ft PROPER'IY LINE ft V V <br /> ❑q INSPOSAL PONDS WwTIl ft L.ENG711,_ _ft ur.PTH R <br /> DISTANCE TO NEA WELL R FOUN1)KrION_...."___...,, .. ft PROTy PRRLINE R <br /> /�,� _ QI4J ,. <br /> SF.F.PAGEPITS NumxxR , W <br /> y6L InTN R Dr:1•rN _ ,_.,.. ft <br /> DISTANC'EToNEAREST wnu-� �R EOUNUA'I{UN (Y PI(OrERTY LINE <br /> 1 HEREBY CERTIFY THAT'I HAVE PREPARED THIS ArruCATIHN AND THF'WORK WILL BE DONE.IN ACCORDANCE,WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOLIN COUNT'Y, <br /> INIMUM H(JU ADVAN'CE:JVCYF CF.RF.QIfIRFII hOH iNhvKDNS-FLEASF.CALL.(209)953.7697 <br /> SIGNED /d/J(/ � 1'1'I'LE DATE �7 <br /> i <br /> 7,,r <br /> I r <br /> ------------ <br /> TT <br /> I 1 - <br /> DEPARTMENT SEO V <br /> Appllesdon Acrepse k/ <br /> ate Ar <br /> Proal Inspe don _ ❑ SPECIAL PERMIT.Approved by <br /> Character of Soll to De 0(3 FI: Pi , MP,%o11 C.h <br /> COMMENTS�D "�p 1c- <br /> PE SC Received [.heck#! Amount Date Permit/ <br /> Cade InrO B .IIS6 Reml[led Scrvi—R deaf# Invoke# Permit 1D# <br /> I SSL )SLS 5-q 3 <br /> 42.02.00) <br /> 1111M ONSITE WASTEWATER PERN11T <br /> Td WH£S:139 6992 82'udN '9N Xb2 unqunj: Woad <br />