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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT (209)469-3420 <br /> CC,—;"SNVIkON!MENTAL HEALvit DEPARTMENT �A E WEBER AVE-V FIL-STOCKTON CA 95202- <br /> 4 913 :X - ES I YEAR FROM DATE ISSUED <br /> FUN"k PERMIT CA L(209)1 1-7697 FOR INgk- JONS F FIR <br /> NON-RE f <br /> Crrvlzlp L <br /> JOB ADDRESS <br /> > <br /> AD PARCELSIZE I- <br /> CROSS STREET APN <br /> X <br /> PHONE <br /> OWNER NAME 2- <br /> ADDRESS CITY/STATE/ZIP <br /> OWNER <br /> HONE <br /> CONTRACTOR <br /> L4,- r . + — <br /> CITVISTATEMP <br /> ADDRESS <br /> 0 C42 0 C-36 OTHER NUMBER ExPIRATIoN DATE <br /> Y <br /> WATER TABLE DEPTH: fl GEOGRAPHWAILINFokw-rim Coordinates X <br /> MIT# L <br /> BUILDING PFR AND USE APPLICATION# <br /> LI) PERC TEST # LI ENGINFER DESIGNED/ALTERNATIVE <br /> L K: EI NEW INSTALLATION Ll REPAIWADDITIUN <br /> TYPE OF WOR <br /> 0 DESTRUCnON <br /> REPLACEMENT <br /> COMMERCIY 0 OTHE <br /> INiTALLATION WILL SERVE: )IQ RESIDENCE <br /> NUMBE <br /> NUMBER OF BEDROOMS: <br /> NUMBER OF LIVING UNITS: <br /> CAPACITY kn2 gal 60FCOMPARTMENTS <br /> SEPTIC TANK TYPE/MFG <br /> gal ft OF COMPARTMENTS <br /> GREASE TRAP TYPE1MF(j CAPACITY. <br /> ft FOUNDATION b PROPERTY LINE <br /> PKr-TX PLANT DISTANCETONFAREST. WELL fi �Ip <br /> SAND OIL SEPARATOR(JENCLA)SEDSVSTEM) <br /> 0� LIFT STATION SIZE— TYPEOFPDMP— <br /> J' <br /> OF LINES LENGTH OF LINES <br /> LEACH LINES 0 LEACHING CHAMBERS <br /> DISTANCE To NEAREST WELL FOLJNDA1)ON— ft PROPERTY LINE <br /> ft <br /> LENGTH ft DEPTH <br /> FILTER BED WIDTH_ft Ft <br /> i FOUNDATION PROPERTY LINE <br /> DISTANCE To NEAREST WELL—I't A <br /> ft DEPTH ft <br /> MOUNDED WIDTH_f� LENGT14 <br /> PROPERTY LINE <br /> DISTANCEToNFARm WELL_ft FOUNDATION <br /> 0, sumps WIDTH_ft LENGTH A DEPTH <br /> PROPERTY LINE_ft <br /> DISTANCF'ro NEAREST )VELL ft FOUNDATION <br /> DEPTH <br /> L3 DISPOSAL PONDS WIDTH I't LENOV <br /> EnsrA�CE To NEAREST WfiL Ft F T[ON fl PROPERTY LINE ft <br /> ft <br /> DEPTH <br /> SEEPAGE PITS Numull TH <br /> DISTANCE To NEAREST WELL—ft FOUNDATION PROPERTY LINE <br /> A CORDANCL WITH SAN JOAQUIN COUNTY <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN C <br /> E LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> C ORDINANCES,STAT <br /> LL(20)953-7697 <br /> MINI UM24 R ADVANCr NOTICE REQUI RED FOR ENSPECTIONSr pLFAV.CA <br /> St GNED TITLE DATE <br /> I j <br /> F <br /> '0. <br /> V <br /> F— —————————— <br /> ul <br /> t--L) 111 <br /> --- - -------- <br /> j ---------- <br /> �j 104 FIN <br /> ——————--Fj <br /> hr <br /> DEPARTMENT US <br /> Area Employee IDff <br /> pted B, Date <br /> Application Acce <br /> [3 SPECIAL PERMIT-Appmved by <br /> Date <br /> Final Inspection By <br /> -7.:;.1- 4L <br /> plySump Soil Character; <br /> to Depth of 3 Ft: <br /> Character of Soil <br /> COM <br /> Per Permit IDN <br /> Amount Invoice <br /> 1 PE SC Received Date m <br /> Se"ice Reiguest N <br /> ash Remitted <br /> Code INFO C <br /> ONSITE WASTEWATER PERMIT <br /> hr=200 <br />