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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT' 300E WEBER AVE-3"FL-STOCKTON CA 95202 -(209)166-3424 <br /> NON-REFUNDABLE PERMIT CAL ZP 953-76997 FOR INSPECTIONS EXPI ES I Y FROM DATE ISSUED <br /> JOB ADDRESS , •! 07 CITY/�sZ.le�� ;2 <br /> CROSS STREET C.K MC/✓� • ' �E APN 6/JJ /�V'- I� IPA'RCELSIEE_ (�/y <br /> OWNERNAME ��9-e✓Itr N/'F � P.E <br /> OWNERADORP.95 CRWSrATEJZIP <br /> 3(08 <br /> cow w.cToa N PHONE <br /> CONTRACI'00.AODREBS CITYISTAMZIP <br /> / <br /> LICENSE -/2 CIC-36 OTHER NUMBER ExPlawnON DATE <br /> WATERTABLEDEM' 15J2 ft GnmBAPHICALINFORMATION: Coordinates X Y <br /> ❑ PERCTEST M BUILDING PERMIT# LAND USE APPLICATION# A` <br /> TYPE OF WORK: NLWINSTALLATION ❑ KEPAHVADDnION ❑ ENGINEERDESIGNED/ALTERNATIVE 1 <br /> ❑ REPLACEMENT ❑ DESTRUCTION <br /> INSTALLATION=,R:.: EsiD[NCE ❑ COMMERCIAL ❑ OTNEn <br /> r�Vy NUMBEROF /y��� ,r� NUMBEROPBEDROOMS: ',-,Tn NUMBER OF EMPLOWER: <br /> yw SEPTICTANK TYPeIMFG(,:¢Al/L`/VlT!! ��tr� CAPACm' YI NOF COMPARTMENT3� <br /> ❑ GREASETRAP TYPF/MFG CAPACITY 991 NOFCOMPARTMENTS <br /> ❑ PKGTXPLANT DISTANC[TONEARESr: WELL 1990 ft FOUNDATIONH PROPERTY LME <br /> ❑ LIFTSTATION SOE TVeEOFPUMr 13SAND OIL SEPARATOR(EN OUEEDGSV3TEM) S <br /> drJ LEACH LINES ❑ LEACHING CHAMBERS � ..� /1 NOFLINES12 LENGTH oT LINM <br /> DISTANC[TQNEARFSr WELL / 4(1ft FOUNDATnNPROPERTY LME 7S� it <br /> ❑ FILTER BED WIDTH fl LENUTH R DEPTH fl <br /> DuTAWCETONEAREST WELL fl FOUNDATION It PROPERTY LINE H <br /> ❑ MOUNDED WIDTH R LENGTH 6 DEPTH ft <br /> DISTANCCTONEARFST WELL ft FOUNDATION it MOPERTYLME fl <br /> O SUMPR WIDTH fl LENGTH ft DEPTH fl <br /> DISTANCETONEAmnr WELL ft FOUNDATION H PROMRTY LME ft <br /> ❑ DISPOSALPONDS WWTx fl LENGTH It DEPTN ft <br /> DDTANCETONW WELL R FOUNDATION R PROPERTY LINE fl <br /> SEEPAGE PITS NUxaaa;_WIDTH _� fl DEPTH a-5 fl <br /> DISTANC[TONBAREST WELL�ft FOUNDATION /,0 ft PROPERTY LINE 7 fl <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OP SAN JOAQUIN COUNTY. <br /> I ' UM SI#OUR DVANCE#OTIC REQUIRED FOR INSPECT <br /> /T�_NS-PLEASE CALL Q09)953-7697 <br /> SIGNED .S TITLE 1��'�-�M-i� DATE <br /> U19 1 <br /> tn I Dj, I I L I I <br /> klAh.k L1+ <br /> 'Dj <br /> viau�c TA <br /> AppllcoH n Aaept I Date �3 Ara pmployee IDN <br /> Final lmpection Ry Dale 1 ❑ SPECIAL PERMIT-ApP.1Wbby <br /> Chancier of Soli to Depth of 3 R: � USump Soll Chancier: <br /> COMMENTS-M An6ATJi—=� ECAC <br /> PE SC ReceivedIdo Amount ate Per du IBwIceN Permll IDN <br /> Code INeo B uh mixad ServkeR uevtN <br /> Ill G 40 1 <br /> 4242-001 ONSITE WASTEWATER PERMIT <br /> 1=212003 <br />