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' ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAM JOAQUIN COUNTY ENVIRONMENTAL HEALTI DEFwnwm 1868EIG1gMNAVENUE- <br /> 0-3420 <br /> NON-REFUNDABLE PERMIT- �v..RESSTOI ON YEAR <br /> FROM <br /> -(ATE09) I SU <br /> CALL 09 953-7897 FOR/NSPEC7TON5 ..n�IREB 1 YEAR FROM DATE ISSUED <br /> t JOB ADDRESS_ 266Di fjWY Z6 CmZp 1-e1,j06rJ <br /> CROSS STREET -549LL-Y 9oAD APN_ _ !r PI <br /> � � .1 PAacELS� <br /> wxI/��• q> <br /> OER NAME �^A'[— �-f//aN�E�.LIT IAII . O <br /> ' OWNERADOREas sNEt'TdJ PHONE Zo°1 70-'Z'13� <br /> LT ISTATEMP L.I N Pwr.I G4. .15136 <br /> COxmACTOR DILdoN Mu2.�t+C <br /> �j �J o_ <br /> PHONE (Zowl� 334n- 6 <br /> ,6 /1 a3 <br /> p <br /> CONTiuumoRADDR, f O. oX 2-too <br /> LOO �•{ ( I.a-ter' <br /> UCENBE ❑EICJI2 0UC46 OTREB NUMBER EKPIRILTIDNDAW <br /> WATERTMLEDFPTN: It GEOGRAPNICALINFORMATION: Cooldlnebs % y <br /> PERCTEST # BUILDING PERMIT# LAND USE APPLICATION# / AD <br /> t TYPE OF WORK: C NEWINSTALLATION U NEPAINADDIION D ENGMEEUI DESIGNEDIALTERNIITNE <br /> C REPLACEMENT 0 OUR-OFSERVICESEPTICSYSIEM C OESTRUCDON <br /> INSTALLATION WILL SERVE: ❑ REGmwcE ❑ CoanweacL 0 O}NER <br /> NUMaEROFLWMGUNtra: NUNBEROFBEOROOMS: NUMBER OF EMPLOYEES: <br /> ' Cl SEPTIC TANK TYPFJMFG CAPACT' <br /> O gel #OF COMPARTMENTS <br /> GREASE TRAP TYPFJMFG CAPACITY gal #OFCOMPARTMENT6 <br /> DISTANCETONEAREaT: yv L R FOIMOATON fl PROPERTY LINE ft <br /> O UFTSTATION S2E TYPE OF PUMP O PKG TX PLANT O SANDOILSEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES Il LEACHING CHAMBERS #OF LINES LENGTHOFUM R <br /> DlS^HCETONEAREST WEIL R FOUNOATON fl t PROPERTYLRE ft O FILTER BED WWm R LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WB1 R FOUNDATION fl PROPERTY LINE ft <br /> O MOUNDED WartN ft LENGTTI R DEPTH It <br /> DISTANCETONEAREST WELL R FOUNOAMN ft PROPERTY LINE ft <br /> ' O SUMPS Wmm R LEtIGT1 it DEvrH ft <br /> DISTANCE w NEAREST W R FOUNDATION ft PROPERW ME ft <br /> O DISPOSAL PONDS Wmm ft LENGTH ft <br /> DEPTH ft <br /> DISTANCETONEAAEST WgL R PoUNDATON R PgOPERTYt#lE ft <br /> O SEEPAGE PITS Hamm WWTN ft DEPTH ft <br /> ' DISTANCE v NEAREST WELL R FOUNDATION It PROPERTYUNE R <br /> I HEREBY CERTFT'THAT I HAVE PREPARED THIS APPMA ION AND THE WORK WILL BE DONE IN ACCORDANCE WIN SAN JOAOUM COUNTY ORDMANCas' <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNT,. <br /> MINIMUM 24 HOUR ADVANCE NOTICEREQUIRED FOR INSYyPJJECTIONS-PLEASE CALL(2091953-7697 <br /> SIGNED <br /> _ V <br /> NM NEW <br /> 1 .g <br /> AN4 <br /> a <br /> s P <br /> al � ' RCF QED <br /> wlr .c PTaa 4hls <br /> F� 14 2015 <br /> q DA0 IV COIJ <br /> IV <br /> aF QRTjpfVryEN� <br /> DEPA RDT Dabs_ <br /> USE ONL <br /> Y Employee lD#�-a O <br /> Appltation Aaepbtl By ��1 +V' <br /> Final Inspection By Dab 0 SPECIAL PERMIT-Appmvad by <br /> Character of SOII b Depth of 3 FC PWSump Soil Character. <br /> COMMENTS <br /> ' PE SC Received Chee Amount PermN <br /> Code INFO B h 11111mift b Service Re uest# I^"°Ice# Parmit ID# <br /> / 3 <br /> i <br /> ' 4241 <br /> 4 <br /> 4x41 ONSITE WASTEWATER TRATEWSYSTEM PERMIT <br /> 1 <br />