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!AJ ll qV <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SANJOAONN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ON E MAW STREET-SrocRTON CA 99202.(10911894620 <br /> ✓✓✓___ NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Jo9AODRES3 It'+S+ N. DAYIS Ab - CTrmP L-0b( r 5-,Z fz <br /> CROSS STREET •'\S 1 I��ON��A/ ` APN OSSA 1 `/P^�MCELS� a <br /> ONNER NAME �o c^y II �(/II` S�oA t- iM rh�rLi l ^P1N�DHE WTO, 1-+13 <br /> GWMERAOORESS 11a�J -E N.DI V 1 S ISD cT1STRTEmP 11-EY✓t CA 41� -*-L <br /> CONTRACTOR I-'IUL 0f(W- 6EDENVII�'oNME7LITRL PHONE $(p 1 03�s <br /> CWTRACTORADDRESS 4Ol IA-1- OA' - gT- CTW/STATEmP I,nA l ('A 9SZ'f0 <br /> LICENSE C42 ,C�6 OTHER NUNBFA ERPIMTION DATE <br /> WATEATNLEDEPTH: IT GEOGRYNICALINFORMATNM: CWrEkattl X Y <br /> PERCTEST # I BUILDING PERMIT# LAND USE APPLICATION# A-1 000 <br /> TYPE OF WORK: NEWINSTALLATION ., REPmRJAw,TION .1 EHGWFER DESIGNED/ALTERMIWE <br /> REPLACEMENT J DE mcYoN <br /> INSTALLATION WILL SERVE: REWOENCE !: COMMERCMA II OTHER <br /> NUMBER OF LYING UNITS: NUMBER OF BEWLCO513: NUMBER OF EMPLOYEES: <br /> O SEPTIC TANK TYPE/MFG CAPACITY 99 #OF COMPARTMENTS <br /> O GREASETRAP TYPFIMFG CAPACITY gill #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL D FOUNDATION It PROPERTY LINE S <br /> D LIFTSTATION SUE TYPE OF PUMP Cl WGTXPLANT O SANDOILSEPARATOR(ENCLOSEDSYSTEM( <br /> D LEACH LINES L LEACWNGCHAMBERS #OFLINES LENGTHOFLINE3 R <br /> DISTANCE to NEMEST WELL R FWNMTNNI A PROPERTY LWE R <br /> Cl FILTER BED WIDTH R LENGTH R DEPTH R <br /> DMTAMEMNWM WELL R FOUNDATION R PROPERTY UNE R <br /> O HOUNDED WmlN R LENGTH R OERTN R <br /> DISTANCE TO NEAREST WELL R FOUNDATION fl PROPERTY UNE R <br /> D `�� <br /> SUMPS WIDTH R LEN3M H R DEPTH It FN <br /> D13TMCE TO NEMEST WELLR FOUNDATION R PROPERTY UNE R ECE,yF <br /> O DISPOSALPONOS W.. R LENGTH R DEPTH R <br /> DISTANCETONEAREET WFtL fl FOUNDATION R FROPERTY LWE R MqR (]1 <br /> O SEEPAGE PRS NUMBER WROTH fl DEPTH ,I G 2016 <br /> DISTANCE TO NEMEST WELL R FWMATIOY R PROPERTYUNE '11 <br /> I HEREBY CERTIFYTHATI HAVEPREPAPED TNISAPPMCATION AND TXE WOIUIWILL EE BONEINACCOftDNEWDH SANJOAQUIN COUNTYOROINANe, Q��CQuA/�� <br /> STATE LAWS AND RULES AND REWLATIONS OF SAN JOAOUW COUNTY. '+L -eE <br /> //�J� R OIR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953.7591 HbepAR gc <br /> SIGNED----Cf/L[�(/) C TITLE GONSVLTANT DATE 3-/-'-Ito ? <br /> AX <br /> ApplicatloR cc D P Dab L AItl� --I-I EmMOT3B 101L� <br /> Final lneped ❑ SPECIAL PERMIT-ApproYW by <br /> Characbrof Soilto WOf3Fl: PHIS um SWI CharacEeG <br /> COMMENTS <br /> PE SC RecehM# ChB Amount PemYU Imokef PMrnit 109 <br /> CG09 WC B R.MHURI S". E9tf <br /> -� I R <br /> 6201 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 10/40? <br />