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%."LIQUID WASTE PERMIT // <br /> SAN JOAQUIN-CMJNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> 304E.WEBER AVE.,3RD FLOOR.STOCKTON,CA 95202 (209)468-3420 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS�4ZZ.L G• LGlh�lt� IAcwwaJ <br /> CITY/ZIP 161tC" gRS2j�(P PARCEL SIZF/APN 71..(73'U1n"Z{ <br /> OWNERNAMEn� i�((yM�,���� .!!l ���.3L� �^y//�//,,..�� ADDRESS�Z E- LJ. J <br /> CITY/ZIP TC.E1-L.r ,C^ C7 U049 PHONE <br /> CONTRACTOR W N0 I..I`6J�WIZZbr I�. ADDRESS 4'G19 VENOM IA\juy L/I L.ISCfrVV <br /> CITY/zip � C.I'[ "1�'7,,�� PHONE_ 4-16—GO �^�¢ 1 <br /> GEOGRAPHICAL INFORMATION: COORDIANTES: X Y TOWNSHIPIS yR�A,N�GEyECTION�'� <br /> PERC TESTIS) 00 HOW MANY - APPLICATION#: i�AS-00--al <br /> TYPE OF SEPTIC WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑RESIDENCE ❑COMMERICIAL ❑OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS:_ NUMBER OF EMPLOYEES:_ <br /> CHARACTER OF SOIL TO A DEPTH OF 3 FEET: PIT/SUMP SOIL CHARACTER: WATER TABLE DEPTH <br /> ❑SEPTIC TANK/GREASE TRAP TYPEIMFG CAPACITY NUMBER OF COMPARTMENTS <br /> ❑PRO TREATMENT PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTYLINE <br /> 13 LIFT STATION SIZE TYPE OF PUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑LEACHING LINE NUMBER&LENGTH OF LINES I INFILTRATOR CHAMBERS <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑FILTER BED WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION: PROPERTY LINE <br /> ❑MOUNDED WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑SEEPAGE PITS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑SUMPS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTYLINE <br /> ❑DISPOSAL PONDS WIDTH LENGTH DEPTH <br /> DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCES TATE AW,SR,.,A.�N�D RUU'LE�SIANND.REGULATIONS OF SAN JOAQUIN COUNTY. om" o4u 'r <br /> SIGNED: �'V!V y •VCJ'� TITLE:_ 'V' DATE: <br /> TENTATIVE MAP <br /> MINOR SUBDIVISION <br /> r.cCP*Et fa 2v2v <br /> DEL9vRi11 ! s <br /> r•CPM1iRE mimbilineu <br /> Rql„INR{ [� rum.u. <br /> WM. ` v auw run <br /> mr,` � �„ CCRi61G.i[1OM�O(raVrC! <br /> .u.rtu ren. `a neeena=ro .R *•�•••�SV"lut3$—li <br /> •KxVC <br /> 7:.,, <br /> --- — — -----; o— <br /> TENTATIVE MAP"""" APolicationu.l]._.S'00 .07_ ..�r� RacorvrO By pnVONG ENGINEERS, INC <br /> vR�Y.11x�CrR � 11 <br /> Iz <br /> F6RBEYARPh/LNT t EON6Y- - J � - --_ <br /> APPLICATION ACCEPTED BY: `"'y �'�-- � �' � tl CC'��V I- DATE: I �' I �1G <br /> TANK.PR,OR SUMP INSPECTED BY: TB <br /> U <br /> FINAL INSPECI]ON BY: <br /> COMMENTS: 1 IUI'I Y <br /> SAN• 1atP151t`�II„!i OPJFyI v <br /> PE CODE SC AMOUNT RECEIVED BY DATE PERMII/SERVICER SEPTIC BJ# <br /> INFO REM07ED I CASH <br /> ZZ 5�1laffewb Ooh l <br /> IT-6413L61 <br />