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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 E MAIN STREET-STOCKTON CA 95202-(209)468.3420 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697--OR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS ?5-0 5- W• STy --Ta^% Cr7Y,Z'P <br /> S&C 12 <br /> ' A wl T AP% Cc) J '- `4 3 PARCEL SZE�L'(r� <br /> CROSS STREET �• <br /> OWNER NAME `� �v�v, � PnOhE -4 L A^''Z 2'4'P4 <br /> - <br /> Z 8-C (Ll C f bti'DC CITY STATFIZIP s A N JySE C!k <br /> OWN:R ADDRESS <br /> CONTRACTOR L4 yr <br /> . PHONE �5/S <br /> Z�0 <br /> CONTRACTOR ADDRESS f0} Cc CITY(STATEZP <br /> LICE%SE _",C-42 _•C•36 OTHER NUMBER ExPIRAT10N DATE <br /> VJA`ER TABLE DEPTH: n GEOGRAPHICAL INFORMA".O'.: Coordinates X Y <br /> FERC TEST z Z BUILDING PERMIT# LAND USE APPLICATION# PA-L8OCC } <br /> TYPE OF WORK: = NEW INSTALLATION _ REPAIR'ADDITION ENGINEER-6 ESIGNED 1ALTERNATNE <br /> -" REPLACEMENT DESTRUCTION <br /> INSTALLATION WILL SERVE: _ RESIDENCE _. COMMERCIAL ._ OTHER <br /> NUMBER OF LING UNITS NUMBER OF BEDROOMS' NUMBER Of EMPLOYEES: <br /> 7 SEPTIC TANK T-,VAFG CAPACRY -al #OFCOMPAR-MEN•5 <br /> ZI GREASE TRAP T"PEMFG CAPACITY 9a' #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: "ELL ft FOUNDATION ft PROPER-LINE ft <br /> :3 LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 3 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> A IDI LINES LENGTH OF LINES O <br /> ZI LEACH LINES _ LEACHING CHAMBERS <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY UNE- <br /> FILTER BED WIDTH R LENGTH It DEPTH •1 �� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE l• <br /> L7 MOUNDED WIDTH ft LENGTH t DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft I ,00�����lr <br /> ZI SUMPS WIDTH ft LENGTH R DEPT•i R <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY UNE ft <br /> J DISPOSAL PONDS WIDTH R LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST ':.£._ R FOUNDATION ft PROPERTY Lal! ft i <br /> Zj SEEPAGE PITS NUMBER- <br /> W'D-H ft DEPTH 3 <br /> DISTANCE TO NEAREST AE:.: ft FOUNDATION R PROPER-Y UNE R <br /> `!EREBY CERTIFY THAT I HAVE PREPAR S THIS 11PVS AND RULES I4tiD REGULAiWILL <br /> SOF SANIN ACCORDANCEAQUIN COUNTY. SAN JOAQUIN COUNTY ORDMANCES, <br /> MINIMUMn242 UUR ADVANCE NOTICE REQUIRED FCR INSPECTIONS•PLEASE CALL(209)953-7697 ' <br /> SIGNED ,RC1'L(/C't �`� TITLE LU•f.JSY L"rt•�N./"T DATE <br /> 11 Q P <br /> 11 \ r <br /> 1� ,D;•yd, � � A.P.N. 001-190-45 ' <br /> 11 <br /> as ' <br /> 1 1 c t <br /> 1' o 5t <br /> A.P.N. 001-190-44 I <br /> 1 I aIV <br /> I <br /> Q� <br /> gEJART.Y.ENT U E N <br /> Application Accepted By / ate Area F1nPloyeel0/ <br /> Final Inspection By Date SPEC AL PERMIT•Approved by <br /> Character of Soil to Depth of 3 Ft PiUSump Soil Character: <br /> COMMENTS <br /> PE SC Received Amount Permit, Invoice# Permit IOM <br /> Code INFO Cash mittetl Wta Service R uest M <br /> 42�t ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />