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PGGL6— 6 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SANJOAQVIN COUNTYENVIRONMENTAL HEALTH DEPART'M¢NT 304E WEBER AVE-3"FL-STOCKTON CA 95202-(209)4"E3,10 <br /> NON-REFUNDABLE PERMIT 'I CALL 209 953-7697 O INNPECTIONS EXPIRESI YEAR FROM DATE ISSUED <br /> JOBADDRESS ]D 9'Fy /�(JU'/FJ5 CFIV/ZIP ep ,Q le Q4=4pf <br /> CROSS STREET I� Ley APN-96 -2h-IL PARCELSM <br /> • OWNER NAME G� <br /> PHONE $$$ <br /> OWNERADDRE55 C (lrpan 9lr-.3 nL <br /> RY/$TATFJLIP <br /> CONTPACTOR P ["1 / PHONE 3/ <br /> CONTTGCTORADPRLSS O N CT'/STATE2IP 3' <br /> LICENSE ❑Ci2 <br /> 13 C-36 OTHER NUMBER 1 EXPIRATIONDATE gi <br /> WATER TABLE DEPTH: fl GEO(At PHICALINFORIHATION: CWrdluetel X y <br /> ❑ PERC TEST M EUILDINGPERMIT# —OSO LAND USE APPLICATION <br /> TYPEOFWORK: V NEW INSTALWTION ❑ REPAIR/ADDITION ❑ ENGINEERDESIGNED/ALTERNATNE <br /> ❑ REPLACEMENT ❑ DESrnumoN <br /> INSTALLATION WILL SERVE: VQ RESIDENCE ❑ COMMERCIAL Cl OTHER m <br /> NUMEEROF LIVING UNITS: NUMBEROFBED Nws: <br /> NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK T PE/MFGL(_�L AO L}(„ CAPACITY �(voo 3BI MOF COMPARIMENIS Z <br /> (3GREASE TRAP TYPFlMFO CAPACDY $EI eOFCOMPARTMENTS <br /> (3 PKG TX PLANT DIWANCET'ONEAREST: WELL OJ ft FOUNDATION PO R PROPERTY LANE ft Tk <br /> 0 LIFT STATION SIPS TMOFPUMP O SAND OIL SEPARATOR(ENCLoSBD SVRV,4) H <br /> e LEACH LINES O LEACHING CHAMBERS M OF L NEs 2 LENGTH of LMES LOO ft <br /> DI6TANCETONMEEI, WELL It FOUNDATION fl PROPERTY LME }T <br /> O FILTER BED WRYTH ft LENGTTI ft DEPTH ft <br /> DISTANCETONEAREST WELL R FOUNDATION fl PROPERTY LME ft <br /> Cl MOUNDED WIDTH fl LENOOI R DEPTH ft <br /> DISTANCETONEAEEET WELL R FOUNDATION ft PROPERTY LINE ft <br /> O SUMPS WIOTTI ft LENGTH fl DEFrN ft <br /> DISTANCE TO NEAEE6T WELL ft FOUNDATION ft PROPERTY LME ft <br /> LlDISPOSAL PONDS WIDTH R LENQrx R DEPTH g <br /> DISTANCETONEAREST WELL ft FOUNDATION R PROPERTY LME ft <br /> f SEEPAGE PITS NulABea WIDTH `.j$' R DEnH <br /> DISTANCETO NEAREST WELL, '21 It FOUNDATION X70 ft PROPERTYLNE R <br /> • I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCER,STATE LAWS AND RULES AND REGULATIONS OP SAN JOAQUIN COUNTY. <br /> A <br /> IGNED IMUM24,(MIR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2091 953-7697 <br /> STITLE 4:()A-At4S, DATE 9 ZOos- <br /> WA <br /> f 6 <br /> L <br /> i <br /> DEPARTMENT U. ON <br /> APPIImNon Am By ✓ DRte JEz"K � Arm Emplo)m IDp <br /> Finallmpmtion By - DRte ❑ SPECIAL PERMIT-Approved by <br /> ChoMM N S To of3 FD I� PI ump Solicimmor. <br /> COMMENTS A/fiTf (,y( /� F�tA�s�.CISCJ..P,T Tr/.�E-t!' 6J3.v-•, �I , ,i��7�-« <br /> C�/i7rtr..� <br /> (Z/e!L-a 7rf <br /> • PE SC Rmelved Amount PerMt/ <br /> Code INPo B RenutH:d Mte &OTm Hath Invokep PernIt IDM <br /> s-o u s 45S <br /> 63-01-001 <br /> i 12/212007 ONSITE WASTEWATER PERMIT <br />