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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> BAN JOAGDW COUNTY ENVRONMENTAL HEALTH DEPARTMENT 600 E MAW STREET-STOCKTON CA 96202.(209)4669420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> 'JOB ADOREs6 O\ 15 <br /> T' (� /- �tCm2r m Saari <br /> CROSBSTREET UJST/� R� APIP Q.6-QEO-T'It PARCEL SDE O AA. <br /> OWNER NAME NUNI'IEAnS p1gHE <br /> OWNER ADmaee Cml$TATE21P <br /> CDNTRACTaR \l.p _ ��Lp�pJ kEp6d.�-�Al1SSapG, '�s PHDNE 36L0w-O�73 ,'AI`OGz <br /> CaH It ADOREBt 1181 F [aK-I iIYI'_ Yee CmISTATEMP /4cdemp C�A <br /> L=MBE QC42 QC46 OTHER NUMBER SONB'f EMRATION DATE <br /> � <br /> WATER TABLE DEPTH: 4 GEOGRARMICALINFORMATKIN: COOIOIDaM5 X Y <br /> " PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# - - <br /> -TYPE OFWORK: ❑ NEw WSTALL nm ❑ REPAIRIADD N ❑ EMONEER DE NED IALTERNATVE <br /> ❑ REPLACEMENT ❑ OUT-OF,5ERVICE SEPTIC SYSTEM ❑ DESTRUCTION \1 <br /> INSTALLATION WILL SERVE: ❑ RFARtence COMMERVAL:' Zy6 <br /> NUMBER OF LMMG UNITS: NUMBEROFBFDROO1,16: NUMBEROFEMPLOYEES: <br /> I ❑ SEPTIC TANK TY MFG CAPACITY gal #OFCOMPARTMEWS \ <br /> Q GREASE TRAP TYPEIMFG CAPACITYI� <br /> gal #OF GDLIPARTMENT6 <br /> DISTANCE TO NEAREST. WELL R FOUNDATION It PROPERTYLt R <br /> ❑ LIFTSTATION SIZE TYPEOFPUAP O PKGTXPLANT 9 SAND OILSEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS #OFLINES LENGTHOFLINES R <br /> DMTmm m NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> ❑ FILTER BED Wan" R LENm k DEPTH It <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPER IJNE R <br /> ❑ MOUNDED WIDTH R LENGTH R DEPTH It <br /> \ <br /> D6TANCE TO NEAREST WELL R FWNDATIW k PROPERTY LINE ft <br /> O SUMPS WKRH T 'LENGTH fl DEPTH R <br /> OWANCETONEAREST WELL R FWNDATION It PROPERTY LINE It <br /> ❑ DISPOSAL PONDS WBRH ft LENGTH R DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft FROPERtt LNE ft <br /> ❑ SEEPAGE PITS Nurm WIDTH ft DEPTH fl <br /> DURANCE TO NEAREST WELL R FOUNDATIW ft PROPERTY UNE_R <br /> I HEREBY CENT" I HAVE PREPARED THIS APPLICATION AND THE WORK WILL SE DONE IN ACCORDANCE WITH BAN JOAQUIN COUNTY ORDINANCES, .Av <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. V` <br /> I' F YJ 4 HO R ADVANCE NOTICE REQUIRED FOR INSPECTIONS•PLEASE CALL(2 9)953.7697 <br /> �LL InT11-E.�'�kEJEn/T DATsA�.� <br /> Ntl <br /> F � <br /> o <br /> DEPARTM ENE ONLYi - - _ -- - <br /> �-ar _ _ _ <br /> AlplleNlon ACG Data -�cr'�/O Area �j�� Emp_b1�ID# ✓SLL <br /> FlrW Nupspll'm DaN 1 113110 ❑ SPECIAL PERMIT-AppmwKI Dy <br /> ChrBCMr of Still t of]fl: PluSump SoU Character. <br /> COMMENTSOO?37 .ar�z�r_�, _� <br /> z7,?4sJ,BuAre Anila <br /> _L'oA/Y�b.,.s d/Gy,r�,✓J�5 b.<-bBvF�G <br /> PE SC RauiYee Amount DME PHNmItl Imola# Permit 100 <br /> DOBe IMPO B h RemkteD 96rviu Request0 <br /> 4241 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> I 82&09 <br />