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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 306E WEBER AVE-3"FL-STOCKTONCA95202 - <br /> NON-REFUNDABLE PERMIT (209)16&7120 <br /> =ADDRM '/ T- CALL 209 953-7497 POR INSPECTIONSEXPIRES 1 YEAR FROM DATE 18SUED <br /> ��-J yL�"Y �J R�C n�,pt AL go CITVaIP ,'1 LtJ- Q;�+,�T a1 —Iles- 35' 11 jj � ] APN PARCEL SS. >TI('.d �,rY(ACj, PHONE <br /> SCiYNLCITY/STATFIZIPrALK2N <br /> C PHONE <br /> COMMCTOR ADORES4 <br /> CITY/$iATF/ZIP P C <br /> LICENSE 0C-02 13 C-36 OTHER NUMBEq <br /> EXPIMTION DATF. <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: C.Tdinares X <br /> ❑ PERC TEST # Y UI <br /> BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WpRK: NEW INSTALLATION ❑ REPAIR/ADDITION <br /> 13 REPLACEMENT ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> INSTALLATION WILL SER ❑ DESTRUCTION' W <br /> : ❑ RESIDENCE COMMERCIAL <br /> OTHER LJ' f GII <br /> NUAIBP,q OF LIVING DNTTETb: NUMBER OF BEDROOMS: <br /> NUMBEROFEMPLOYEEB: I <br /> SEPTIC TANK TYPEYMFG_ P -) CAPACITY <br /> ❑ CREASE TRAP ttPF/MFc CAPACITY <br /> gal poF CornPARTMENTs�_ <br /> CAPACSRI 4 OF COMPARTMENTS <br /> EI PKC TX PLANT ED; <br /> WELL SyS R FOUNDATION ,30%/S1 R PROPERTY LINE <br /> ❑ LIFTSTATION SIEE TVPEOFPUMP ❑ SAND OIL SEPARATOR <br /> � W� �+�, ppBB (ENCLOSED$YiEEM) <br /> CY LEACH LINES EACHINGCHAMBERS f-L_ jL #OF LINESLENGTH OFLIHE IOOI ft <br /> DHTANCETONEAREST WELL ; gal R FOUNDATION 1❑1 ft PROPERTY LINE Jq R <br /> ❑ FILTER BED W,——ft LENGTH <br /> fl DEPTH R <br /> OIBTANCETO NEAREST WELL fl FOUNDATION 13 MOUNDED WIDTH fl PROPERTY LINE q <br /> ❑ LENGTH ft DEPTH ft <br /> DIBTANC¢TONWgEST WELL fl FOUNDATION <br /> C3 SUMPS WmTH ft PROPERTY LINE ft <br /> R IPNGTN R DEPTH <br /> DISTANCETO NEAREST WELL ft <br /> R FOUNDATION <br /> (3 DISPOSAL PONDS WIDTHIDTx fl R PROPERTY LINE ft <br /> LENGTH fl DEPTH fl <br /> DISTANCE TO NGREBE WELL fl FOUNDATION <br /> EI SEEPAGE PITS NUMBER R PROPERTY LINT, R <br /> W <br /> DISTANCE TO NEAREST WELL <br /> ft <br /> ft fl DEPTH <br /> FOUNDATION <br /> fl PROPERTY SAN <br /> R <br /> I HEREBY CERTIFY THAT HAVE RDPREPAREDTHIS APPLICATION AND THE WORK WILL ODONEINQUIN ACCORDANCE WITH BAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF BAN JOAQUIN COUNTY. <br /> Y11�.N(/�MM�U.m v—ii(OUHM"ANCE:NOTICF.REQUIkIDFURINSPECTIONS-PI,EASECAI.I.20I)Qu )-]6UT <br /> �ti� TITLE j1-,-{`Y.�, f DATE <br /> o - � <br /> / 5 <br /> I1L <br /> A � <br /> P ✓/ / C <br /> n <br /> EPARTME.N�T p/�S�E(/).N.EL_V NT �- <br /> Appllwbon ATcepkE WE A:4 T <br /> FDA lne - l—T—�— A. F.mployreiDp / <br /> pecHon By Dgle <br /> C4arR<ter of SoiltY_e of3PO y+�' �� ❑ SPECIALPERMIT-ApprovNby <br /> COMMENTS IBX PIUSRmp Suli Cbgnmer: <br /> • PE SC Rebid C Amount _ <br /> Code InrOV B Cub RemIHN Dqte ServkeR luutp IDvdup Permll lD# <br /> Z! SD Cs 2FJ CS 4 16 6 GC7 <br /> 4E-0Z-001 <br /> I1�2001 ONSITE WASTEWATER PERMIT <br />