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0N$lTE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENNAaIBRENTAI HEALTH DEPARTMENT ON E MAW STRER-STOCKTON CA N203-(209)4413420 <br /> NON-REFUNDABLEPERMIT CALL 209 963.7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DAIS ISSUED <br /> Jn ADIareEE <br /> 154 0-b S J A'GK-TbP-IC-A-z� CITwzv CK1310 11 <br /> maw smBST 'rRe.Nc." C/k"Y1ti? APM 203-01Q0 -1j PAMMLS¢F 13"t Ax, It <br /> OWNER NAAE 17P5�j V ttl'LS C'r12'0"I NVEAJ PHONE <br /> ' I OWNER ADDRESS 5^mc CT'ISTAIMP <br /> CONTRACTOR VIDE Of�K CsC�rEJV1F2A7NF'✓IENY�t, PHDNE _4LPGi ` 03-1-V <br /> iCOliTIUCTORAmEew W'o $ w. Q^W- ST- <br /> LICENSE []C42 -C-36 OTHER NLNEFP €V4IATCNDATE <br /> WATER TABLE DEFTN% ft GEOaRAPHNIALINFORMATM: Cophil"Wes X Y <br /> ©UlLDIRG PERMIYMLANO USE ApPLa;AEON IF <br /> TYPE OF WORK: 0 NEWINBTALLATION 0 REFAIRIA001710N ❑ ENGINEER Ee1aNE6l TFANATNE <br /> 0 RV CST LEFiWUCRCH_ <br /> INSTALLATION WILL SERVE: ❑ REmLRMCE Cl COwIMCML G OTHER <br /> NUAWER CS WNa UNTC NUMBd Of BE01100ME: NU.lIR OF EAROIIEB: <br /> ❑ SEPTIC TANK TYPE)Mr,__._. _--_—_ CAPAfrtY____—_. gel #OFCOLPARTI£NrS____.__ <br /> ❑ GREASE TRAP TON ME_ _ -_.-__—.. CAPAARY------- gat #CFCOWf`ARTAENTs__ <br /> DI#TANCETONFAREBT: WEU. ft FOIMDATICN________ It P.)rEP,CINE _fl <br /> • LIFTSTATION SIZE TYPEOFPUMP G PKGTXPLANT O SANOOILSEPARATOR(ENCLOSEDSYSTEM) <br /> ❑ LEACH LINES C LEACHINGCHAMSER9 #aFLefS `LEN6THOF LINES_ __—___0 <br /> DWANCETONRARESx <br /> Q FILTER DED WmTx__. ______fl LENGTH__--__--____R DEPTH <br /> DMITANCE TO NEAREST WELL C FgMGATION PROERTYLWE .__ <br /> . II <br /> ❑ MOUNDED WmTH _. ___R LENNTH__----_._.__—__fl TDEPM_____-_--___ _R <br /> DISTANCE TO NEAREIT WELL _R fONOAT*NR PRCPERIY LINE_______f( <br /> ❑ @imps WBrrw._____It Lpwx TN —______��.._ft DEPTN__-..- ft <br /> DISTANCE2NEAREET WELL—-—It fi VAMN___,__R PiNX+EifR'LFE___ If <br /> ❑ DISPOSAL PONDS W=I <br /> k LFNfifH__________E Dili___,.______._ <br /> Di STANCE TONGREST WELL___ tt FdNOAT*N ___ft PROPEhTY LFE h <br /> ❑ SEEPAGE PITS N.-_— <br /> I HEREBY <br /> twDmeIHEREBY CERTIFY THAT I HAVE PREPARED THIS APFl1LA4aN ANp TXFN9RK WILL EE OONEIN AFCOROWCE WIRI BAI. AOUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF BAN JOAQUIN COUNTY. <br /> A!j!IML N2% iOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(309)9534927 <br /> SIGNED TITLE WN3yL-Th FST OATS__IL -Z-TP -I Z, <br /> ka <br /> g a N pCC1B <br /> a0 ZwQ <br /> Z 0 Lar <br /> y <br /> -zz <br /> UVON 3NO1 "yr .y\ § A Rhe <br /> ...-eR � \ <br /> r „N�m: Y Old 'Eli .r <br /> 5a �€ <br /> I <br /> - DEPARTMEN USED LY <br /> ApphcaRan Accaptatl F __ . .__ Dete .�2 AfeO <br /> Fine l l pAwt ,R 8y--------- ❑ SPECIAL PERMIT-ApprcNed by <br /> Charaolw of Sod to Depth of S PL: piuSump son character. <br /> COMMENTS <br /> PE SC RacalvaO AmoulR PapP1U <br /> Catle INFO S Cwh Remitletl Ume BCNIceR uovl B. I^vo(wR Permit lDi <br /> - I , /Rta� a rr Czq� <br /> A3L1 CHSRE WASTEWATER TRTMNT SYSTEM PERMR <br /> INfN> <br />