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LIQUID WASTE PERMIT <br /> r SAN JOAQUIN COUNTY PUALIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> 304 E.WEBER AVE 3"FLOOR,STOCKTON.CA 95_202(309)46X.3470 <br /> NON-REF DABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED G <br /> J )ADDRESS 1,0T00 , APN_ 0 9- 34-11 - 02 PARCEL SIZE:40---1 -� <br /> n- _ BUILDING PERMIT <br /> (�NERNAME�bt ,40-k`-L o, �12.i1n O <br /> ADDRESS�_�"A"l <br /> CITY/ZIP - _ PHONE NUMBER ! /� <br /> O.NTRACTOR ADDRESS u —2161 <br /> 2J61 <br /> 2 ? <br /> CCPV/ZIP PHONE NUMBER <br /> (rOGRAPHICAL INFORMATION: COORDINATES: X V_ _TOWNSHIP RANGE SECTION <br /> TYPE OF SEPTIC WORK: ION WILL SERVE: NUMBER OF LIVING UNITS:__ <br /> NEW INSTALLATION INSTAI RESIDENCE <br /> NUMBER OF BEDROOMS: <br /> �REPAIR/ADDITION ❑ COMMERCIAL <br /> ❑ DESTRUCTION ❑ OTHER NUMBER OF EMPLOYEES: <br /> t <br /> F.NGINEERED/ALTERNATIVE � <br /> CHARACTER OF SOIL TO DEPTH OF3': PIT/SUMP SOIL CHARACTER: "Q WATER TABLE DEPTH:" <br /> FERC TESTS) HOW MANY APPLICATION <br /> !Z SEPTIC TANK TYPE/MFG_ CAPACITY NOFCOMPARTMENTS <br /> CREASE TRAP TYPE/MFG CAPACITY NOFCOMPARTMENTS <br /> _ PKLTX PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br /> ❑ LIFT STATION SIZE TYPE OF PUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM)_ C <br /> P C <br /> P <br /> LEACH LINE NOF LINE$: LENGTiI OF LINES:�D pBTANc[iorv[AR[ET: WELLI�� FOUNDATION�r PROPERTY LINE O� _ <br /> ((( INFLITRATOR CHAMBERS: <br /> L <br /> FILTER BED WIDTH LENGTH DEPTH_ DIWANCETONEAREST: WELL_ FOUNDATION PROPERTY LINE <br /> C MOUNDED WIDTH LENGTH DEPTH_ DUTANCE TO NEAR"M WELL_ FOUNDATION PROPERTY LINE <br /> Fl SUMPS WIDTH LENGTH DEPTH_ DIETANCETONEARGNT: WELL_ FOUNDATION PROPERTY LINE <br /> _ DISPOSAL PONDS WIDTH LENGTH DEPTH_ DIRTANCETONFAREM WELL FOUNDATION PROPERTYUNE <br /> SEEPAGE PITS', N_L DIAMETERyZ DEPTHIZ2��A / DKTANCETONEAREET: WELI ^y��P FOUNDATIONzo PROPERTY LINE , <br /> HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 2A HOUR A CE N CE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)468-3473 <br /> GNED: Liu`{ ZZ-� TITLE: HATE: -I�n <br /> 41 <br /> D <br /> V' h <br /> AYMEN ! <br /> RFCEIVEC <br /> JUN 3 2003 <br /> \ rjD <br /> i <br /> SPIN do�TN SES' <br /> PUBLIC e�� <br />