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a <br /> ONSITL ASTEWATER TREATMENT SYSTEI, ERMIT <br /> SAN JOACUIN COUNTY EMMOKIxENTAL1116LTH DEPARTMENT 600 E MAIN STREET-STOCKTON CAM02-PN)4W-34U <br /> NON-REFWIOABLE PERmrT CALL 04 453.76$7 FOR INSPECTIOMBEXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB AOORE6f ��//�� //CY�'Z <br /> CROSS8TRECT APiN�F'ti� "Lig —W __ PARCELSIZE <br /> Owir.R NAME PHONE ACR" <br /> QWMERAmimm CITW$TATE21 / eA <br /> GONTRICTOR T P.IDNe <br /> CONTRACTOR ADDRESS CRYISTAT.W <br /> LICENSE QC_Z 36 OTHER NUMBEREXPIRATION DATE <br /> �A <br /> YYAmm TABLE DEPTH: R GEA4RAPIIICAL INFORMATION: Caordlrlates X Y �'S <br /> [IPERC TESL 6 SWLDUIG PERMIT LAND USE APPLICATION 9 V 1 <br /> Tym F WORK A NSW INSTALLATION ❑ REF-AIRIADoffm ❑ EN9w0°t OESI@dO TMUM'"M <br /> ❑ REPLACEMewr ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE X CDumERCAL D OTHER <br /> NUMBER OP UwA lUmm, NUMBER Of BEDR6OMS: NVMBER OF EMPLOYEES: <br /> I� SEPTIC TANK TYEIACAAC „ gal #oCOAPAME6 _ <br /> 9--samE TRAP TYPswG CAPACrrY gal #OF COMPARTMENTS <br /> �. DurrAHce TD NEAREST: WELL It FO4JNDATI0N R PROPERTY LwF ft <br /> a LIFT STATION SUE TYPE OF PUMP O PKG TX PLANT U SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> p LEACH LINES )t LEACHING CHAMBERS //++ #o> Lelee LENGTH OF Luis_ PIZ ft <br /> RES <br /> DISTANCE To NEAT wml` Q,FOU"TTON ft PROPEATYLINE R y <br /> O FILTER BED WmIN R LEN" ft DEPTH R <br /> DISTANCE To NEAREST WELL It FOUNDATION R PROPERTY LINE R <br /> O MOUNDED WArrN R LEN4TH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOLMDAT1ON A PROPERTY LINE R <br /> Q Sumps WmTH R LENGTH ft DEPTH a <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPEATYUNE R <br /> d DI$POSALPONDS VJZTx ft LENMIA ft DEPTH R <br /> DISTANCE TO NEAREST WELL ft FpUNOATION ft PROPERTY LINE R <br /> $EEPAdiEP1T8 NUMBER ".T. i1 R DEPTH _& R <br /> Daammce To NEAREST WELL L-OUNOATION R PROPERTY UNE R <br /> I HEREBY CERTIFY THAT i HAVE PREPARED TM APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN CQIINTY ORDINANCES, <br /> ATE LAWS AND RULES AND REGULATIONS OF 6AN JOAQUIN COUNTY. <br /> I M R ADVANCE NOTICE REQUW43D FOR E F� INS-P C LL(209)9153-7097 <br /> SIGNED TITLE _ DATE " L <br /> PROPOSED 5 I <br /> X9,350 S.F. a <br /> TTS-=1--�—�•,-,�.-_ - A <br /> Asx I <br /> -_fV m uc w ays nwnexu rwese <br /> 1 <br /> IT- <br /> 1 <br /> 1 <br /> - ki <br /> rT _ <br /> ARTMENT - <br /> AppllcatloTl Aar Data Area Employee ID#' <br /> FkW tnspectlon 094 O'�3� ❑ SPECIAL PERMIT-Approved by—��a <br /> Clulr_m oI Sal to Depth of 3 Pttl3ump So11 CheeBder <br /> COMMENTS <br /> Cde tWO By mh Remi Date 9emice By PermReqtwOIa B kwoice# PermRlD8 <br /> 3 tl Vey- <br /> �-�...��o'.�-..� �j -- C Ch-raF-nrrZ. ��� -� •��i.A�C''a-s-�--GdL -!_ <br /> gNSITE WASTEWATER I�WYSM�P ! <br />} 10A*7�'�b^ r��r/.�.ar O�.C.AC�s �7/ �^�c '`G+�.�rhi•,'a�.at� �!.P r'�Jl�' <br />