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ONSII WASTEWATER TREATMENT SYST PERMIT <br /> SAN Pal um COUNTY OwRommERTAL HEALTH DEPARTMENT 600 E MAIN STREET-STOCJ(7ON CA 9=2.(209)466-34,20 <br /> NON-REFUNDABLE PER;w CALL 209 953-7697 FOR INSPECTIONS ExPIRES 1 YEAR FRom DATE ISSUED <br /> JOB ADDRESS�/17/ KG1 i«N.N ZA-a CrtTRm� ,;,_.. �1S•15t7 G0 <br /> CROSS STREET �+i;.(.fG�!.y J4 Z/E _ APN D�9—Z.3'a-l� PARCEL SIZE <br /> OWNER NAM2 L)C f,4 A�tX,;,a_ _-- _ .-PITONS 32! 4 51 <br /> k OWNERADDRESS CRYMTATEMP <br /> GONTAAC70R rte.-�.I j ,� les. SenH7� PHONE„ 3Uf�-�ot� _ <br /> CaLrsRASTdRADDRESS D /�.yArkl�i� w2. CITY13TAA2lP <br /> LSE AG-42 QC-W OTHER NUMBER XPIRATION DATE 927-1i-lb <br /> WATER TABLE DEPTH: fl GEOGRAPHICAL MFORYA77ON: Coordinates K Y <br /> 5 PERE TEST # SUiLDINfl PERhIi?# LAND USE APPLICATION# <br /> TYPE OF RK: 0 NEW INSTALLATION EPAIR/ADDMON ❑ GalaERDPmamm1ALTERHATNE <br /> ❑ REPLACEMENT ❑ OUT-OFSERVIGES10"IMSYSTEM ❑ DESTRUCTION <br /> INSTALLATION MILL SERVE: ❑ RESt> COMMERCIAL Q OTHER <br /> NUMBER OF LIVING UNITS: d-01 J NUMBER OF BEDROOMS:„ Q- NLIKM OF EMPLOYEES: <br /> EP <br /> 13 STIC TANK TYPEIMFQ AXf s!I " CAP.�� gat p OF COMPARTMENTS 7_ <br /> 17 GREASE TRAP TYPERdFG CAPAC,TY QS1 #OF COMPARTMENTS <br /> fDISTANCETONEAR63T. WELL R FOUNDATION R PROPERTYLiNz ft <br /> O LIFT STATMN SIZE TYPE OF PUMP O PKG TX PLANT O SANDOIL SEPARATOR(ENCLOSED STBTEINj <br /> LEACH LINES ❑ LEACHING CHAMBERS #OF UNES LENGTH OF LINES 40' ft {[, <br /> DMT•ANCETONEAREST WELL ZIl ft FOUNDATION­4&�__fl PROPERTYUNE /00' ft <br /> O FILTERSED WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NE AREST WELL ft FOUNDATLON fl PROPERTY UNE ft <br /> a MOUNDED WIDTH ft LENGTH R DEPTH ft <br /> - DISTANCE TO NEAREST VVE.L fl FOUNDATION ft PROPERTY UNE It <br /> I� O SUMPS VAM R LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL it FOUNDEATION ft PROPERTY LINE.—ft <br /> O DISPOSAL PONDS WIDTH it LENGTH it DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft <br /> O SEEPAGE PITS NUMBER WIDTH ZLft DEPTH ��- ft <br /> DWANCE TO NEAREST WEII 4 Tt.. OUr DATION-_- 4'. ' it PRDPERTY LIME fl <br /> 1t1EREBY CERTIFY THAT I HAYS PREPARED 7}[IS APPLICATION AND THE WORT YALE BE DONE M ACCORDANCE WITHSAN JOAOUIN COUNTY ORDINANCES, - <br /> STATE LAWS AND RULES AND REGUTAMNS OF SAN JOAQUIN COUNTY. <br /> MINI 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2091953.7687 <br /> SIGNED TITLE DATE <br /> a <br /> r A - <br /> r - <br /> �f <br /> e J <br /> '� JOQI <br /> P T <br /> I <br /> { <br /> I <br /> DjqPRT,MENT U E QN.LY - --;�,. ,yR..,�s <br /> ,AppliCJttlon ,• �— Dade `� z �o AreB Emaioyaa ID#=S9 WSF �Q9 <br /> Final htlpeCtion By Do. 9/ ❑ sPECiAL PERMIT-Appmred by <br /> Character al <br /> IS <br /> to pth at 3 Ft. P IRnp Solt Character: <br /> COMMENTS /NEZLJ L-07—aE e::9Fa 44 <br /> SC <br /> Code' R # <br /> Rtieeetvad Ch Amount <br /> Remltted Date Permw MvalcelF PermftIDN <br /> Code' INFG B <br /> 42-4-v 2-sI, 6q,5-pgp vqsll6q,5-p <br /> 42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMR <br /> D . <br />