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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304E WORM AVE-r"FL-STOCKTON CA 95202-(209)16,7120 <br /> I NON-REFUNDABLE 0-3-51) <br /> P�ERMrIT r� CALL(2091953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JOB ADDRESS fo'3J L�31..J'. 'le C11TMP <br /> • Ca05s STREET ---.-•'St('f(CsKe/R-'� T / wPN ( 7- 070;2$ <br /> PARCEL$IZEIs .! <br /> OWNER NAME TOIu OPNONC 374-2 <br /> OWERADDRS _ <br /> i0 <br /> G�G6 --54, , I_ ✓ �OI _ C"STATWZIP <br /> CONTRACTOR (� PHONE Y <br /> CONTRACTOR ADDRESS CITVIST'ATVZIP <br /> LICCNSL 0C4 0C-36 OTHER NIIMReR EXPIRATION DATE <br /> WATER TABLE DEPTH: R GEOGRAPHICALINPORMATMN: Coordlnata X Y <br /> ❑ -ERC TEST q BUILDING PERMIT$_JL -0 6(oY LANDUSEAPPLICATIONA <br /> TYPE OF WORK: NEWINSTALUTION El REPAIWADDITION ❑ ENGINECRDESIGA'ED/ALTERNATIVE <br /> REPLACEMENT ❑ DG4ERUC1'ION cY <br /> INSTALLATION WILL SERVE: ❑ REBIDENCE ❑ COMMERCIAL 5 on `I- <br /> NUMBEROPLIVINGUNITS: NUMBER(OPBSDROOMS: �S EROS EMPIOVELS: <br /> Q SEPTICTANK TYPFJMFG +I- CO VLCN teff CAPACITY /JIOD PI CIOFCOMPARTMENTS .Z <br /> ❑ CREASE TRAP TYPE/MFG CAPACITY ERI qOF COMPARTMENTS <br /> ❑ PKC TX PLANT DLSTANCETo NEAREST: WELL /On R FOUNDATION /D R PROPERTY LINE .20e J It <br /> ❑ LIFT STATION Slu TYPE OF PUMP ❑ SAND OIL SEPARATOR(ENCLOSED SVBTRM) <br /> ❑ LEACH LINES '`Iy LEACHING CHAMBERS /'- Z/_ qOP LINFS� LEHOTH OF LIrves J{D r fl (b <br /> DISTANCETONEARESr WE _L.5, <br /> r 11 FOUNDATION /O It PROPERTY LINE In 0 It <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCETONEARAsr WELL ft FOUNDATION A PROPERTY LINE ft, <br /> ❑ MOUNDED WIDTH R LEKm, R DEPTH R <br /> DISTANCETONEAREBT WELL R FOUNDATION ft PROPERTY LME R I_ <br /> ❑ SUMPS - Wt. ft LENGTH '1 ft DEPTH ft 3 <br /> DISTANCETONEARCurr WF1L R FOUNDATION R PROPERTY LME R <br /> ❑ DISPOSAL PONDS Wom It LEH0111 ft DEPTH It <br /> DIbTANCE TO NEAREST WELL B FOUNDATION H PROPERTY LINE A 1 <br /> • ' ❑ SEEPAGE PITS NUMBER 2WIDTH 3,6 JA ft DEPTH ft fi <br /> DISTANCETONEARESP WELL >jh0 ft FOUNDATION 'Z _ft PROPERTY LINE /7 R <br /> I HEREBY LEFTIST THAT I HAVE PREPARED TRIM APPLICATION AND THE WORK WILL BE DONE IN ACCOROANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF DAN JOAQUIN COUNTY: <br /> MI..N_,I�Np1y�M7A HOUR DVw��ryQQ^^ENOTICE REQUI RED FOR INSPECTIONS-PLE,1ASECALL(209)953-7697 <br /> SIGNED -✓_/AL. jbJ�-r/Rrs-�: TITLE `R17TT`9C�P" DATE 9'S`D� <br /> Lk I J <br /> y <br /> S N <br /> . J <br /> 2. <br /> �a. <br /> 44, <br /> 11 LL I I FT— <br /> `DEPARTMENT EO LY Y~-• <br /> AppllulbDAceept Dale .1 �6 Am Employ«HIS 13�C !� <br /> FIRM[.M ttoDB Date [3SPECIAL PERMIT-AppmvN by <br /> Chander Df SDil to De hOf3F, TTNUSCHnP SDII Chenetx: _ <br /> • COMMENTS iO4F-W A.P-ra®," - - <br /> I <br /> P£ 6C R.B.,1 d A. I 1e _ Perm1U Invoinq PerIDR IDI <br /> Code INFO B Q11 RemiRM Sl9vke until <br /> FL3 b Fsn.DO <br /> 42-02001 ONSITE WASTEWATER PERMIT <br /> I7R2I2003 <br />