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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMFNT 709E WERER AVE-g'"FL-SToa ON CA 95292 -(209)16&3420 <br /> NON-REFUNDAEBLPERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES I YEAR MOM DATE ISSUED <br /> A6 <br /> JOB ADDRESS f. 0 cDY2m ZATH.QOP 95-370 <br /> ? r 23G3oo8 �e6'A <br /> CROES STFEET 1—:J APN PARflL SIS G 0 <br /> f/TP-12 . <br /> �I� cQ tl <br /> OWNERNAME �JLJ �p�Y"'Enc, PHONE <br /> OWNER ADIlNP33 r- LY�,y gel;- /Re CT'ISTATUZIP�47A —)P ,e-A VS <br /> COMMCTOA C CONSELLT'tiI� PNUnL 7 <br /> ConTW LTOR ADIN E RS CJW/&rATEaJP <br /> LICENSE 13 C-42 OC-36 OTHFR NUMBER EXHRATION DATE <br /> WATFATABLEDEPI'x: IO/7` O GEOGRAPHILALINFORMATION: CPUrMIUMN X Y O <br /> ❑ PERCTEST MBUILDING PERMIT# LAND USE APPLICATION# NSA <br /> TYPE OF WORK: 13NEW INSTALLATION U REPAIRIADDITION ❑ ENGINUADFSICNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ DLSTRULTION <br /> IN.NTALI.ATION WILL SERVE: CIRVmvENcL ❑ CoMwKmujL CI OTHER <br /> NUMB Ea OF LMIW)UMTS: NUNnrm OFBEDROOMS' NUMBEBOFEMPLOYEV <br /> I <br /> ❑ SEPTJCTANK TYIFIMFG CAPACDY gal NOE'COMPARTMENTS <br /> ❑ GREASE TRAP TYPWMFO CAPA= III X0FCUMFARTMENTS U1 <br /> ❑ PKG TX PLANT DMTANCETONEAUST: WELL R FOIMDAMN B PROPERTY LMF. R <br /> ❑ LIFT STATION SIPS TYPEOPPUMP ❑ SAND OIL SEPARATOR(EmcL061DSVSTEM) <br /> ❑ LEACH LINES ❑ LEACHINGCHAMBERS NOF LINFI LENOTHOFLMES ft <br /> DHRTAN(.E TO NEAREST WM- __ <br /> L R FOUNDATIONft PROPERTY LNE ft <br /> ❑ FILTER BED Wim ft LENGTH 0 DEPTH R <br /> DKTANCETONEAREST WELL ft FOUNDATION It PROPERTY LME R <br /> ❑ MOUNDED WIDTH R LF.FGTI R DLTTH It <br /> IRWAH¢TONEAREBT WELL R FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WmTI R LENGTH ft DEPTH R <br /> DISTANCRTONEARESF WO I. Q FOUNDATION R PROPERTY LME R <br /> ❑ DISPOSAL PONDS WIDnI R LENGTH 0 DEPTH R <br /> DISTANCFTONEARFSI' WELL. R FOINDATION R PROPERTY LME R <br /> ❑ SEEPAGE PITS NUMBER WWII R DEPni It <br /> DHSTANCF:TONWREST WELL R F NDATION R PROFERTY LMe It <br /> I HEREBY CE FY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BR DONE IN ACCORDANCE WITH BAN JOAQUIN COUNTY <br /> OMANCE&STATE LAWS AND RULER AND RGU LATIONS OF SAN JOAQUIN COUNTY. <br /> MIN /5P�JR ADVANCE NOTICE REQUI RED FOR INSPECTIONS-PLEASE CALL 11_091453-]697 <br /> SIGNED T.y/ACL TITLE Ba✓AJEIL DATE lL^ 7- <br /> fs fn 1-if V <br /> VIF Ot ME NT U- <br /> I t2 7,06J H <br /> i PARTMENT USE �L � <br /> Appil anon AnRptmi B-v MM L 7 AIo � EmP"ION <br /> Final lnaplmtlen By DBtr��^ ❑ SPECIAL RMIT-Applovrd by <br /> Characl of Sollto Depth OT3Ft: IUSump Soil[lander: <br /> COMMENTS <br /> PE I SC Rered n Amount MM PerHIUU IDvokeN Permli lDN <br /> Cud, InPo M AemiMeO ServlmR ueftl <br /> a)7 f 1� SQnn 4 us srA <br /> jjz.zs�I I ' <br /> 93-040)( ONSITE WASTEWATER PERMIT <br /> I IRYL003 <br />