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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 301 E WEBER AVE-3'P[-STOCKTON CA 95202 <br /> NON-REFUNDABLE PERMIT -(209)R6E-30J0 <br /> Jos ADDRESS CALL 209 953.7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> G6.�eJcy� CHYZP <br /> CRDE56Taeer 1 m <br /> APN{-,E,)5.-"L( Q'�41 /jPA,RC^E[SIZE /�'�� Ca <br /> OWNER �I�!/Pl- IQ� y <br /> OWNERADDRDDRL98 PRONE� � <br /> GYTY/SYATi/ZIP 2 <br /> CONTRACTOR .}2.5 I .� <br /> T �N PRONE <br /> CONTR.ACTO A D RTi�S23 � /T1 (ti <br /> LICENSE ❑C42 C-36 OTHER NUMBER <br /> WATER TABLE DEPTH: EKPIMTION DATE <br /> R GEOGMPHICALINPo ATIOX: CODrd1OVI01 ,Y y <br /> ❑ PERCTEST N BUILDING PERMIT# LAND USE APPLICATION# 11]11 <br /> TVPEOFWORK: NEw lnerA[wiwn ❑ REFAINADDITM ' <br /> ❑ REPWCLMENT ENGINEERDeSIGXED/ALTERS TIVE I <br /> ❑ DESTRUCTION <br /> INSTALLATION WT rNc,Um <br /> : ❑ RestDEncE COMMERCIAL <br /> NUMBER OP LIVING UNITS: ❑ OM4 <br /> a NUMBEROF BEDROOMS: NVMSeROFEMPLOVeFB: T� <br /> SEPTIC TANK TYPE/MFGy�r QP CAPACITY X <br /> pl N OFCOMPARTMENT5.2___— f•1N➢^ <br /> ❑ GREASE TRAP TYPF/MFO CAPACITY <br /> Eel NOFCOMPARTMENIS <br /> ❑ PKG TX PLANT DISIANCETONEARm. WELL S R FOUNDATION -5-10 R PROnnTY LINE <br /> 57— R <br /> ❑ LIFT STATION SITJ! TVPE OFPUMP O SAND OIL SEPARATOR(EwUDNEDSYSTEM) <br /> LEACH LINES ❑ LEACHING CHAMBERS— — #OFUNES_'3 <br /> HAMBERS #OFLINES_'3 E9 � <br /> LEN(MoFLINVl <br /> fl <br /> DISI'ANCCTO NEARF3T WELL fl FOUNDATIONS R PROPERTY LIN <br /> O FILTER BED WIDTx ft <br /> fl LENGTH R DEmI fl <br /> DISTANCETONEARESI WELL fl FOUNDATION R PROPERTY LME <br /> O MOUNDED WIDTxft <br /> fl IeN'OTH ft DEPTH fl <br /> DISTANCET,PH,, T WELL ft FOUNDATION R PROPERTY LINE <br /> O SUMPS WIDTHft <br /> fl LENGTH R DEPTH fl <br /> DISTANCE TO NEAREST WELL fl FOUNDATION fl PRM <br /> OPERTYLE ft <br /> ❑ <br /> DISPOSAL MINES WIDTH It LENUTH fl DEVTH <br /> DISTANCETONEAREST WELL_III <br /> FOUNR <br /> .� �ATN)N fl PROPERTY LJE It <br /> SEEPAGE PITS NUMDER WIDTH �-p DEml ft <br /> DISTANCE TO NEAREST WELL 4.raL 0 FOUNDATION— R PROPERTY LINE It <br /> I HERBBy CENT'"THAT 1 HAVE FREPARED THIS APPWCATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQVIN COUNTY <br /> ORD IN ICES,ST TE LAWS AND ROLES AND REGULATIONS OF IRAN JOAQUDI COUNTY. <br /> MI 1 UM EA UR ADICE NOTICE REQUIRED FOR INS ONS-PLEASE.CALL(209)953-7697 <br /> SIGNED <br /> TITLE_1[� DATE bL-IZ_t�7 <br /> 1111777 <br /> !`f <br /> �1J LIY4� V <br /> D-2i"fc (E)�iJltlb <br /> �✓� � 4taD' K R O' IN <br /> ly VI <br /> CSA "wo c <br /> i9tD L0d1- <br /> Thy. <br /> VIA <br /> r--- 13x5 —3 <br /> D[IiERTME 7/U/B/Rt�Ni/}/�Y��. .'. <br /> Apgi,:: Att< �4��< � A. EmpbYa lDY <br /> VIA.[ /(77 ❑ SPECIAL PERMIT- ppmrM <br /> COM Mr NTS to DI r3FL NUSRMp 5011 CbveMr: .� <br /> COMMENTS �. <br /> PE NH RerHved m Anwm PvmIV <br /> Cade INFO B G1rX ReMMUNI Defe SeN1[rR uFTt IF IRvOK:e0 Permit HIS <br /> 1 155 r�— c 3' <br /> I2rz2rsoo2 � �'+�- / _ '�'£-�'� '� f '��t��� �--P�-($SRRHIFMEwarea PERMIT <br />