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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT, <br /> SAN JOACum COUHTY ENVIRONMENTAL IDEPARTMENT 300 E MAW STREET-STOCKTON CA 96202-(209)a6S•3120 <br /> NDN-REFUNDABLE PERMIT CALL aft 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSU <br /> JOSADOBESS he,i RO Clio/Zw ± C C� rn <br /> CROSS STNEET (4 I L,Dwnnn. APN 2D3-04.0-0gf' PARCELSRE <br /> OWNER NAME JIM 11Gl,Sor PHONE <br /> QNNER AODRE59 S Th A/ n - CITYBTATE/EIP /-��' p� <br /> LDNTMCTOR ✓111 IL[�S //l�c!] GD // !� S�LX�'A-C� PHoma <br /> CONTRACTOR ADDRESS CITY/STATEIZIP IM L/I�LC GPI' <br /> LICENSE QD42 QC-38 OTNSq�� NUMBER (Q-!IS EXPIMTON DATE <br /> j WATER TABLE DEm: R GEOogAgaOAL pFORMATON: COottllnatea X VV Y Vtl' <br /> ❑ PERC TEST # BUILDNIG PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK:. ❑ NEW INSTALLATION REPAIWApDITXW ❑ ENGINEER DESIGNEDIALTERNATNE <br /> ❑ RERACEMENT ❑ OUTOFSERWCESEPTICSYSTEM ❑ DESTRUCTpN <br /> INSTALLATION WILL SERVE: EIOENCE ❑ COMMEROWL ❑ OTHER <br /> NUMBER OF LYING UNITS: NUMBEROFBEDROOMS: -7 NUMBER OF EMPLOYEES: <br /> ❑ SEPOCTANK TTPFJMFG CAPACItt pal #OFCOMPAFT1I <br /> ❑ GREASETRAP TYPEIMFD CAPAGRY gal #OFCOMpMTMENTS <br /> OISTANCEAREST:TONEWELL R FOUNDATION ft PROPERTY LINE R <br /> ❑ LIFTSTATION St2E TYPEOFPUMP O PKGTXPLANT ,_O SANDOILSEPARATOR(ENCLOSED SYSTEM) <br /> I // <br /> U" EACKLINES ❑ LEACHINGCHAMBERS #oF LINE LENOTN OF GNES 4 / ft. <br /> DISTANCE TO NEAUEET WELL IA7t ft FOUNMi t ft PFI W'��F9'r p <br /> ❑ FILTER BED amH ft LENGTH ft DESTH p <br /> DISTANCE TO NEAREST WELL ft FOUNOATON _ ft PROPERTY LINE ft <br /> ❑ MOUNDED NTmn ft LENGTH ft DEPTH p <br /> DISTANCE TO NEAREST WFJ.1. ft FOUNDA'TWN ft MOI LINE R <br /> ❑ BUMPS W. R LEHl R DEPTH p <br /> DISTANCETONEAREST VuE❑, ft FOUNDATION p aIOPERTY UNE-ft <br /> ❑ DISPOSAL PONDS WIDTH fl LENGTH ft DEPTH p <br /> DIST CE TO\NEAgES WFJL R FOUNDATION R IROPERtt LINE R <br /> SEEPAGE PITS NU ER- Wlpin (F' 11 ft DEPTH �I. p <br /> `w I DIST ETO NEA T WF]j I A p FCVNDATION �. -1 R P PERtt LINE /oI ft <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HO RAR VANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953.7697 <br /> SIGNED TD C G✓OI� tom/ <br /> Ti <br /> EI <br /> EN u <br /> I t <br /> ART .ENT E NLY <br /> APPllcation Accspt Data Area EmPloyea 10* <br /> ' Fltml Irmpectlon By Date!� ❑ SPECIAL PERMIT-Appy d by <br /> Character W Soll w Depth oT 4 C P UMP Soil Clmrecler <br /> CO NTS _ <br /> i <br /> PE SC RecalveG AMOMnt Dab PemllO <br /> Co#e W W B Raml S.,1Ce Re uast# Involu tl PemIN ION <br /> Nzal <br /> ' S27H0 ONSRE WASTEWATER TRIMNT SYSTEM PERMIT <br /> e <br />