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p3' - <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNT'EXPREONMENTAL HULTM DEPARTIONT IW E WEBCR AVE.3-IR-STOCRP VCA 95M.(HIP)46g-3410 <br /> NON-REFUNDABLE PERMIT CALL(209)9517697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JORADDRESS 9755. J0.t, TTbJ �.� Cn.y� S/,rW_KTL.+ iti 1.f <br /> CROSS STREET L./J�TGLNJ�J.�.- 1 IT APN IAO`.-E - 7-3J-IS PARCELSIPER W $O <br /> OWNEENAME { ,&5,T Y'L�V:N\1 •�.` PHONE <br /> OWNER ADDRESS 4-1C S / J'S..�.TVtir CIIY/SEAT lr SI_..L 2VN cs 9TZ /ti" <br /> CONTRALTO. OILA RJ•.. 7 JAy ft-IT(.(Yy <br /> 11 PxonE F <br /> ConTwcrD.ADDRESS F•Q �I1---F <br /> LI u..� CrrY/SrA'MlLIr- Y�1. 17 y-2.' 1/ <br /> LICENSE OC42 ❑C-I0 OTHER NyMDER EXPIRATION DATE <br /> WA RTARLE DpDI: R GEOGRAPIIICALINFOWMATION: C..ldmn XIff y <br /> PERCTESTBI NUMBER -7 LANDUSEAMOCATKx+X <br /> TYPE OFWORK: ❑ NEW INSTALIwiroN O REPAIWADDrt10N O ENcINEERDEtIc.ED/ALTERN.PvE <br /> O RVIACCMCNT ❑ DEBrRuCraN <br /> INSTALLATION WILL SERVE: ❑ 11mveNa ❑ COMMERCML ❑ OTHER <br /> NUMBMMLIVIMGDNTR: NUMRE.OP B[DROOM{: NUMBEROPExt"y9d: <br /> ❑ SEPTIC TANK TTPFIMPG CAPACTY BE] NOFCOMPARTMEMS <br /> ❑ GREASE TMP TYPIUM. CAPAOTY BRI XOPCOMPARTMENTS <br /> ❑ PRG TK PLANT DISTANCE TO NEAREST: WELL A FOUNDATION R PROPERTY LINE R <br /> ❑ LIPTSTATION Sim- TYPEOFPuev ❑ SAND OIL SEPARATOR(ENa.DJEDSMEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMRERS N LINES LENGTxOF LRFF.9 n - <br /> DISTANa TO NEAREST WELL R FOUNDATION R PROPERTY LINE R V( <br /> ❑ FILTER BED WD . R LENGTH R DEPTH ft <br /> DLTTAxC2 TO NEAMTd} <br /> WELL R TWNDATION fl PROPERTY LINE fl <br /> ❑ MOUNDED WIDTH fl LENOIR ft DEPTH R <br /> DISTANCETONERBRE WE11 ft PoUNDATRIN fl MOPERTY LINE fl <br /> ❑ SUMPS WIDTH ft IPNODI It DEPTH R h <br /> DISTA!Ia TO NEApEST wELL R FOUNDATION R PROPERTY LINE R (S <br /> ❑ DISPOSAL PONDS W.. fl LENOM ft DEPTII R <br /> DISTANCE TO NEARM WELL ft TOUNDATpN ft PROPERTY LINE ft <br /> Cl SEEPAGE PITS WIDTH ft IENOTH ft DEPTH- ft 'I; <br /> DINTANCETONGEU'T WELL ft FOUNDATUN R PROPERTY LINE R (TO <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COURT,OBDINANCLS <br /> MUM STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> )IMIn'I LNOUj ANEENOEICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2011953-707 <br /> SIGNED �/ 1`// TITLE PMM Qh CP DATE <br /> v J <br /> J <br /> -trAL <br /> WE <br /> 71- t77 <br /> DEPARTMEN USE ONLY <br /> AlFnL.non AueptM DAN U6 Arta EI ploy99IDN SC(Tt o <br /> FIPERMIT-Apps YM by / <br /> CmI.mT9fSM10 bofSPc Pkft"SBRCBRrR. <br /> COMMENTS S/.�II-//7�t�h7 <br /> PE SC RMtlrM CYs Am9DR1 pRTWU <br /> CMR I. B IOD RemINM DRH ServIRRR TMRN IenkTN PXr9tlt IDN <br /> 147 521 t-UO Is �9 <br /> uo1JN1 <br /> 1J ONSITE WASTEWATER PERMIT <br />