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CONTRACTOR ADDRESS z:P-As -1 CITAISTATErZ <br />EXPIRATION DATE 13 i/..7 7 7 <br />V <br />LICENSE 0 C-42 0 C-36 0: tittt NLNIBER s'or <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X <br />LI ENCiN EFR DESIGNED /ALTERNATIVE NEW INSTALLATION 3 REPAIR/ADD TION <br />DIATRuCTioN REPLACEMENT <br />BUILDING FERMI # LAND USE APPLICATION 0 PERC TEST 13 <br />TN Pi OF wORK: <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE r FL- SirocicroN CA 95202 - (209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (2091 953-7697 FOR INSPECTIONS iEXPIRES I YEAR FROM DATE ISSUED <br />JOR ADDRESS (3)-74, 0 ":LLicrr2j k A) Cavan, <br />CROSS STREET -1-C--7 APN cc 7 - 3 4 PARCEL SIZE <br />OWNER NAME YLEwilkM atodFr PHONE .34 Coco -N./ <br />OurNER ADDRESS da 3100 al4.4.0Aarr- CM/S1ATE/2w .44.4 <br />CONTRACTOR PHONE 444„,„11:1ZY <br /> <br />INSTALLATION NILL SERVE: <br />El RESIDENCE COMMERCIAI El OTHER <br /> <br />Numnr.R OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />SEPTIC TANK l'ereiMett <br />GREASE TRAP TyperMro <br />PKG TX PI ANT DISTANCE TO NEAREST: WELL ft <br />LIFT STATION SIZE TIME OF PEMP Cri <br />I.FACH LIMES U LEACHING CHARMERS <br />DisTANCFTO NEAREST <br />0 FILTER RED Winn. <br />DIST* ricz TO NEAREST WaL ft <br />MOUNDED WHITII ti Lbm,im <br />DISTANCE TO NEAREST W'RLI. <br />CI SUMPS WIDTH it LCsOTH <br />DISTANCE TO NLARES1 WELL <br />DISPOSAL PONDS Wwait ft LEWIN <br />DISTANCT TO NEAREST WEI <br />SEEPAGE PITS NUMBER WIDTH <br />DISTANCE TO NEAREST WELL _ <br />I HEREBY cc:tut rt• TH CT I HAVE PREPARED 'THIS APPLICATION AND THE WORE WILL BE DONE IN ACCORDANCE WITH NAN JOAQUIN COUNTY <br />ORDINANCES, STATE LAWS AND RULES AND REGULATIONS CIF NAN JOAQUIN COUNTY. <br />MINIMUM 24 HOUR ADS .ANCE. NOTICE 'I RED EILIR INSPECTIONS - PLEASE CM,11.(2n41 .).” ?tor <br />TITLE 07-,b044. DA' E I SIGNED <br />CAPACITY <br />CAPACELY <br />FOI INOATION <br /> gal DI COMPARTMENTS <br /> gal 0 or COMPAR WWI S <br />PROPEXTY LINE <br />SAND OIL SEPARATOR (ENcievut0 Ward) <br />ft <br />0 Of LIVES LcNant or LINES It <br />WELL It tottNuArtuvr 11 PROEERTY LINE ft <br />II LcHunt ft DEPT1C <br /> <br />FouNDATION ft Pitt:PERI./ LINE ft <br /> <br />ft DER rn ft <br /> <br />ft FOIINDATION It PROPER! y LINE it <br /> it ISErrn it <br /> It FOUNDATION ft PROPERTY LINE ft <br /> ft Dora ft <br /> <br />fl, H.miNDATION ft PROPERTY LINE II <br /> ft OEPTII fl <br /> <br />_ 0 FOUNDATION ft Nu IPERTV I IMF ft <br />LeIt <br />r- <br />6 <br />Li <br />Applkation Accepted By ***-t----- <br />Finn] Inspection By <br />Chrracter of Sail In Depth ur 3 Ft: <br />DEPARTMENT 'SE MIS <br />' ^-,- - --. Date / '/r',: -A— Area employee lDd <br /> Dale If 1 ?A 5 0 SPECIAL PERMIT - Approved by <br />Pit'Susnp Soil Character: <br />COMMENTS , ,...e <br />PE <br />Code. <br />SC <br />INr0 <br />littered <br />By <br />1-'—C4ecidtt," <br />"OM <br />Amount <br />REDS lied Dote Permit/ <br />Service Request e Invoice* Permit IDS <br />4 :' - C 7 7."-Z- ..511 -7 -1; , i. • r L....li (.10 S---.:111L-Ici 17 y <br />4242411 <br />12021001 oNS1TE WASTEWAI ER KEW:-