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L-of-431 " <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />.1.416 <br />REPLACEMENT CI DESTRUCTION <br />NEW INSTALLATION REPAIR/ADDITION • <br />gal CAPACITY 1 koD OF COMPARTMENTS t9"-• <br />U SAND OIL SEPARATOR (ENCLOSED SYSTEM) LIFT STATION Size TYPE OF PUMP <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE - 3 ° FL - STOCKTON CA 95202 - (209)468-3420 <br />NON-REFUNDABLE PERMIT CAI I (21191 951-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br />I LICENSE XC-42 0 C-36 OTHER <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT # 062 y LAND USE APPLICATION # <br />NUMBER ysticqc- EXPIRATION DATE <br />PERC TEST 4 :SS3H00V 3'JS )21 RESIDENCE ZI COMMERCIAL <br />NUMBER OF BEDROOMS: <br /> <br />SEPTIC TANK TYPE/MFG fiencre,4e— <br /> <br />Li GREASE TRAP TYPE/MFG CAPACITY <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: <br />0 OTHER <br />NUMBER OF EMPLOYEES: <br />OF COMPARTMENTS gal <br />PKG TX PLANT DISTANCE TO NEAREST: WELL /?O ft FOUNDATION / ft PROPERTY LINE /60 <br /> <br />/ LEACH LINES 0 LEACHING CHAMBERS HOFLINES LENGTH OF LINES ft <br />DISTANCE TO NEAREST WELL / 4l / ft FOUNDATION Oft PROPERTY LINE 70 1 ft <br />FILTER BED WIDTH ft LENGTH ft DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />MOUNDED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ",....., <br />SUMPS WIDTH ft LENGTH ft DEPTH ft _C.. <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ' qn <br />DISPOSAL PONDS WIDTH fi LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL 7 FOUNDATION ft PROPERTY LINE <br />X SEEPAGE PITS NUmBuit Li WiDT H Lig- ' ft DEPTH g5 <br />DISTANCE TO NEAREST WELL /0B ft FOUNDATION / 00 ° ft PROPERTY LINE <br />SCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CAI,I, (209) 953-7697 <br />TITLE orwl.-4.64,44- DATE /7f7/ SIGNED <br />MINIMUM 24 HOUR ADV <br />9b\ri <br />Id <br />42-02-001 <br />12/2212003 <br />ONSITE WASTEWATER PERMIT <br />Character of Soil to Dept <br />COMMENTS <br />c:›? <br />of 3 Ft: <br />al Ie....:404.a Amor.e r <br />1,4 <br />- <br />Date <br />...---- <br />0 Area <br />_ <br />Employee II)# 5.--0 ///99 <br />Date c.-',-) 7 0 SPECIAL PERMIT - Approved by <br /> Pit/Sump Soil Character: C.--gamo4- „. 7 - <br />Application A <br />Final Inspectlo <br />c=4-• <br />146174E. <br />-tr 6 i --•.' i <br />-le-772 b <br />01t.IVI <br />._CFIVt _) <br />17 20:r <br />'" '1 OUNTt <br />EN4(1)-(:)N LIENTAl <br />h‘r-AL " OtPAramENT <br />SAN <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />Check4/ <br />Cash <br />Amount <br />Remitted Date Permit/ <br />Service Refines # Permit ID4 <br />(-124(i /17 i <br />.4, <br />, '1,6i?) . - / --'•,- •:.- 5f 0 4 9 LI t <br />ft <br />TYPE OF WORK: 0 ENGINEER DESIGNED /ALTERNATIVE <br />,L1 61L/12-4°1^0(k CITY/ZIP 2164-_NIFt) - <br />APN F)05.2)000_5 PARCEL SIZE - <br />PHONE <br />(TV/STATE/ZIP 543E12 4Pn fc 2/ <br />c, PHONE .347q -___-_-50,97 <br />CITY/ ST A T Z1 P <br />JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS <br />CONTRACTOR <br />CONTRACTOR ADDRESS