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' ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> [ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DF,PARTMFNT 360 E WEBER AVP•-3t0 FL•STOCKrON CA 95202-(LOP)468.3420 <br /> NON-REFUNDABLE PERMIT CALII,/20 413-7697 FOR IPiSPE. IONS X R I YEAR PROM DATE ISSUE <br /> JOB ABBxEas D <br /> �" `i�.��L/[{�i CTTY21P N <br /> r <br /> ' CROSS STREET q---rad! APN �`--��1 `f IO' D� PARCEL SIZE CJ C/1_1 2, e <br /> _o?ssa <br /> OWNERNAME e�PIOF <br /> OWNER AOOREw d �-+ •• Cf[YISTATTJLIPV G <br /> CONTRACTOR F-/`� W FRONE <br /> CONTRAUTOx ADUxES5 L) CITY/$I'ATE/ti.IP <br /> LICENSE -42 C-36 ATHP.R NUMBER _ EXPIRATION DATE <br /> WATER•I ABLE DEPTIIt }t GEOGRAPHICALINFtIRMATION: CWrdinaleF X--- <br /> C3 <br /> _❑ PERC TEST # BUILDING PERMIT# LAND USE APPLICATION#___ _• <br /> TYPE OF WORK: NEwINsIALWTION ❑ RoPAIR/ADDITION ❑ ENG`INEERDP.BIGNED/ALTCRNACIVE <br /> ❑ REPLACEMENT _ ❑ DFSTRUCFION <br /> INSTALLATION WILL SERVE: RFADENCE ❑ COMMERCIAL ❑ OTIIF.R__ <br /> ' NUMBER OF'LIVING UNTIE: NUMBER OF BEDROOMS. 3 NUMBER OF EMPLOYEES: <br /> �C SEPTIC TANK TYPE/MFi CAPn(tTY // pl IIOFCOMPARTMENTS�. _ _- <br /> ❑ CREASE TRAP TYPRIMFO ` C CAPACITY gal #OPCOMPARTMF.NTS \ <br /> ❑ PKC TX PLANT DIWANCETO NEARE.SI': WrI.L It FOUNDATION /0..- 0 PKUPE@'IY LING_,•, It <br /> ❑ LIFE STATION SIZE TYPE OF PUMP ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) I1y� <br /> LEACH LINES ❑ LEACHING CHAMBERS #OF LINPSfX_ LENGTH OF LINES <br /> DISTANCE TO NEAKESI' `HELL./�D ti FUUNDATION,�(/_•_.-R PROPP.RTY LINK <br /> ' C3 FILTER BED wIDTIIR LENGTH----tt - DrPTH_ t1 <br /> DISTANCE'1'O NEAREST WELL it FOUNDATION It PROPERTY[.No R <br /> ❑ MOUNDED WIDTH __,•tt LENGTH R nEPTP It <br /> DISTANCE TO NEAREST WELL Il t'OUNDATION „,_• It PROPERTY I.INr fl <br /> ' ❑ SUMPS WIDTH.,,-.. ft LENGTH (1 DErrki tt <br /> DISTANCE TO NEAREST WELL R FOUNDATR)N ___....,_ It PROPERTY LINE tt <br /> ❑ DISPOSAT,FONDS wIBTn R LENG-m _ _ft ORPTH tt <br /> DMIANCE'1'U NEA T WELL It FOUNDATION ., __..-.... .. It PROPPAT.V7 I..,IN4�F ^ It <br /> SEEPAGE PITS NOAIDER —WIDTH � tt DEPTH_ GCO 8 <br /> ' DISTANC6'1'O NEAREST WELL FOUNDATION ._.,. —_L ft DROPP.RTV LNF. J fl <br /> I HEREBY CEx'PIFY'I'RAT'1liOkONANCES.STATE LAWS ANDAPPLICATION <br /> RULES AND REGULATIONS OFDONE <br /> SAN JOAQUIN COUNI'YWfIU SAN JOAQUIN COUNTY <br /> /� (` p11Nh fIM 24 H( RADV� C.E VOT®ER'QUIRED FOR INSPECTIONS-PLF.ASF C 41J.(269)95}.7(97 <br /> SIGNED G� ff/r` It�� /TITLE hl.4�f� - TF. �/� <br /> �I <br /> —Ff <br /> V� <br /> �l / <br /> NT <br /> I E® <br /> Z007I <br /> ' COUNTY <br /> N ENTAL <br /> ARTMENT <br /> DEPARTM N SE O:)ILY <br /> Application Accepted 3 3 u e Alen Employx <br /> Date <br /> Final Intpecdon 11Date <br /> - D SPECIAL PERMIT•Approved tIY <br /> 7 Rt:�_ P,itlSump Soil Cha E3 <br /> ' (:haracteT EN <br /> Snit to Depth ol. _ ^^ //te�a. �--� <br /> CO ENTS 0C 6 l-G i GA21EG0 14—is:Ie--fr- <br /> sv <br /> ' <br /> PE SC Reeeivod (. / Amount Date PermiU invoice# Perm It IDN Code INFO B .Remlttsd Service Request# <br /> 1 I oZ <br /> ^,tN ONSITE WASTLWATER PERMIT <br /> ' <br /> 42-02401 d Q <br /> t111111lY)i SEW 'ON Xtld : WOad <br /> Ld WFi65:80 L00E 02 <br />