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U1V5!1 t WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY EwRoNmENTAL HEALTH DEPARTMENT 600 E MAIN STREET-STOCKTON CA 95202-(209)468-3620 <br /> NON-REFUNDABLE PERMIT CALL 2(39 953-7697 FOR INSPECTIONS EXPIRES 7 YEAR FROM DATE ISSUED <br /> JOB AOORE59,Z�EH'M A ni (2-b CrTYzP <br /> CROSS 5 RAE _ APN ZSS' L�'-I-�'LZ9 PA>xMSrcE <br /> OWNER NAME -i OZCA-GaC.(4� nyLyD1h7 CY.S�pL LrCy� C10 3 jM Tf+Dy"tAq G' �jPHONE a'J�"'?V31-+'�j'�1`"7' N <br /> OWNERADoR£SS _�f J i O tJ. ! pL..N�y. n C(TYISTATIEZIP 1 Y.!"T+Y�'GR '? ? —+ •• <br /> CONTRACTOR WV ,. LJI �'£O 11i C" o,yWt ,/�!`il�i L- PHONE 3(011—L�3�✓�� <br /> CONTRACTOR AaoRE55 03 w• q-ftK ST- CITYtSrnTC-JZP L-obI <br /> L=NS£ QjC-42 i.{C-36 OTHER NUMBER EXPIRATION!:TATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INPORAtATIOW Coordinates X Y <br /> ! PERC TEST # j BUILDING PERMIT# LAND USE APPL1cAnON#TYPE OF WORK: NEW INSTALLATION REPAMADOITION ENGINEER DESIOXEDIALTERNATrVE <br /> P-EPLACEIVENT Dess RUCTION <br /> INSTALLATION WILL SERVE: IRESIa£NCS COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS:: NuMa£R of SEDRoomst NUMBER OF EMPLOYEES: <br /> ZI SEPTIC TANK TYPFilm FO CAPACtTy gal tt OF COMPARTMENTS <br /> C ^GREASETRAP tYPEmFG <br /> CAPACITY pal '#OF CO?APA'YTfid£NTS <br /> DISTANCE To NEAREST: WELL It FOUNOATiON ft PROPERTY LIN£ ft <br /> C3 UFT STATION SIZE TYPE OF PUMP O PKG TIC PLANT D SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> 0 LEACH LINES L LEACHING CHAMBERS #OF LINES LENGTH OF UNEs ft <br /> DISTANce To NEAREST VP-LL ft FOUNDATION ft PROPERTY LINE ft <br /> O FILTER BED WIDTH R LENGTH It DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNOAT;ON ft PROPERTY LINE a <br /> 3 MOUNDED MOTH ft LENGTH It DEP-H ft <br /> DISTANCE TO NEAREST W-'" ft FCUNOA T ICN ft PROPSR'Y LINE R <br /> L SUMPS MOTH ft LENGTH ft D£a--?+, ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPER""-LINE R <br /> C3 DISPOSAL PONDS WIDTH ft L£NG-H ft DEPTH ft <br /> DISTANCE To NEAREST "S-1 ft FOJNDAT)ON ft PROPERTY UNE ft <br /> C3 SEEPAGE PITS NUMBER WIDTH ft DEP7H ft <br /> DISTANCE TO NEAREST ASLL ft FOUNDATION w PAC,PERTY UN£ "ft <br /> I HEREBY CERTIFY THAT i HAVE PREPARED THIS APPUCATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> N11N3 22`4 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)9S?-7697 r_ <br /> SIGNED !— ` TITLE CIS tJ,SLfL-- prvjT DATE <br /> r <br /> tv <br /> i �L=DC7 J�( Y•N <br /> { <br /> 1h6�'+x. I <br /> a <br /> W75X5TATC zc <br /> IC"AY NOIliL N0.5 ✓.i°' I t��' /ti p �} <br /> I 1 y I I I i j" f U20 <br /> EPARTMENT U L 4`; J`� JAS <br /> Application Accepted BY Date � Area Employee ID» �Ht��`.Q�N7..�, <br /> Charade a SoiIFinal Inspection BY Depth of 3 Ft Date Pit/Sump Soil Character OIAI 15ERMIT-Approved bye/j7� <br /> COMMENTS lWPAYMENT <br /> { RECEIVED <br /> PE SC Received Check#/ Amount Permiti <br /> Code INFO Cassr .Remitted Date Service R Gast# ; Invoice Permit 10# NOV 2 8 2018 <br /> ?iII kV11 I <br /> N JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> a2-C'1, ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />