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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JoAawN COUNTY ENvoraNAmMTAL H@A.0 DlPAXVW$Nr 800 E MAIN STR W STOCKTON CA 95202-(20)468.3+20 <br /> NON-REFUNDABLE PERMIT CALL(M 933-7897 FOR INSPECTION ,EXpIRES <br /> 1 YEAR FROM DATE <br /> .306 ADDRESS � �j C,�ifP�a-PP_ <br /> S � �.,.. <br /> CROSS STREET_Z.'�.✓a APN / '�(�(4f <br /> 1_...LiYC.3tZt10-1.Gj PARCEL 912E 1•S , <br /> 93 89 <br /> OWNER NAME S J _ PNONA <br /> 2.-7 <br /> 4 �.. <br /> OWNER ADDRESS—_,... __. CtTY13TATFIZw <br /> ? <br /> CONTRACTOR�r�� ..fid' ,_ iNIOfAs r�, ,�r�r� <br /> /rYlrSr7 >�^ i l/ "L CttYi5TATF1ZIP Gi., <br /> CONTRACTOR ADDRESS i-� <br /> 3 � <br /> i ExnRATTOM DATE . <br /> LICENSE�CrZ yG-m 07MER <br /> Lo-._...« <br /> WATER TABLE OEM: #i >;*OG*A0WALk0O WAT0OW COWOMW X Y , <br /> PERC TEST 0 BWLDN G PERwT 8_ LAUD t1SE APPUCATK)N 8_ I i <br /> OWALLATION RPA dAODmON O ENG:wreER 00MMAALMOMWE <br /> INSTALLATION WILL SERV£: t"J Am—* � COMMARtML � OtMER <br /> NUMBER bF LNUNi tAATB: -_Numar.R OF BEDROOMS: NUMBER OF EMPLOYEES <br /> U SEPTICTANK TYaE1wG a_{ CAPAC Y_,-._... ga: +CSP OAaARTAi S_ <br /> ❑ GREASE TRAP TYPEN,dFGCA9ACt::r �__ Pat #OF COLPARTu£iTS <br /> DLST.WCETONL'AREST: MdELi„­h.J_,I� -.__ Pt FOUNDA-iON :i RR--A,YLINE ...v.�..._,...R <br /> 0 LIFT STATION S+ZE�._..�TYPE OF PUMP 0 PKG TX PLANT D SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> .PCH LIKES LEACHING CHAliIBERS-.-. <br /> #OF L+FyS_-�_m,__......._. iENGTt3F LNES <br /> V� /.a sh PROPERTY LINE <br /> DTANCE TO NEARASm; T <br /> D FILTER BED ....._......._— _#R ft DEPTH--. <br /> _.�. <br /> DISTANCE TO NEAREST W-_LL PI <br /> ❑ MOUNDED <br /> DISTANCE TONEAREST Vf..-IL R fOUNDAITON ft PROPERTY LUNE R A <br /> `.,i SUMPS wto"._..... <br /> .-.... <br /> DISTANCE TO NEAREST WEL: <br /> DISPOSAL PONDS wto x _t LENCTN r DEPTH R I <br /> 't Dwoix TO NtmmST W L;..._._....-- �.1FOUSOAT`ON <br /> EPROPERTYLMc....._.._-...._.—.. <br /> �,.�+ .- <br /> �..—k <br /> 's+t, SEEPAGE PITS NuRit <br /> DISTANCE TO NEAREST '"VELL ., K FOUN'JATICW �...1L. PFtOPERT`.'UN£ ? n <br /> 7EREBT CERTIFY:MAT t HALE PREPARED 1185 APPLICATION AND TAA WORK WAIL BE DONE IN ACCORDANCE wdTM SAN JOAQUIN COUNTY ORDINANCES. (` <br /> STATE LAWS ANO RULES AND REGULATIONS OF SAN JOAOURN COUNTY. I <br /> MINIMttl1,24 HO ADVANCE NOTICE REQUIRED FOR INSPECT)N+S•PLEASE CALL-t209}853.7697 <br /> < SIGNED %✓ _._ ,.�....�-.. WnE DATE <br /> s 7 <br /> t <br /> FI i I i <br /> ( <br /> 1 7 <br /> "I <br /> # t s <br /> a <br /> I <br /> I I <br /> t � <br /> r # <br /> DEPARTMENT U ONL <br /> Application A"opted Date..., t_./ Alga <br /> Final Inspection Data ... 11 ;r SPECIAL PERMIT«ApprOwed byr-,�,,._.,-.._ <br /> Chx6Cter&Soil III U of S Ft: Pwsump Soil CNfaeler: <br /> COMMENTS <br /> PE P.rmw � IrrAscoo Perm+IDS <br /> Code bBRCr <br /> "Z4 i .a 1 J 85 <br /> A2-0Y ONSITE wASTEWAT6R TRT7NNr SYSTEO PEWr <br /> 70l4i0T <br />