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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> $tiN JOACUIN COUNTY EN'.,ACNMENTAL HEATH DEPARTMENT 60C E MAIN STREET-STOCKTON CA 96202-(209)488-3420 <br /> NON-REFUNDABLE PERMIT CALL(209)953-'69;FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE.ISSUED <br /> i <br /> - J08 AODR[ff �1 ti L.L CITv2vy•�« j <br /> /J <br /> APN –ILL-7— <br /> CRCSS STREET , ,� Zr�— --P' El SIZE I $� <br /> �I� P,gNE 1 m <br /> OWNER NAME (!:�P11,y1QL I) CML D�M I 1, <br /> 1 ' <br /> i CITYISTATE//JJP --__ <br /> OvrrfR ADDRESS .7F 1_ , <br /> pHON i" <br /> CONTRACTOR / t. !, - d'r•.- -- <br /> _ CITYISTAT9ZP L <br /> CONTRACTOR ADORM f. <br /> LICENSE gC-42 :,-C-36 OTHfR ExPWAT10N DATLO ,t ' <br /> Y 1 WATER TABLE DEmL: R GEOGRAPtUCAI INFORMATION: Coordinate/ % 11 <br /> BUILDING PERMITS LAND USE/ifPLICJ►T10M <br /> C TEST t3pt - ErK3pTEER pEgICNEDI IEltNATM! <br /> TYPE OF WORK' O NC (NSTALLATIOFJ REPAYUADOITION <br /> OUTIk—TICESEPTICSYSTEM DESTRUCTIONl- <br /> Q REPLACEMENT�__— OTHER <br /> IN57ALLAT10t7 WILL SERVE= Rla1olNCE -, COMMERCIAL NUMBER OF EMPLOYEES'------- <br /> NUMBER Of IJVHiG UNITS: NUMBER OF BEDROOMS. --- -_ <br /> _ _ CAPACITY C.�� -- 9dl 0 GF COMP ARTM£MS <br /> ❑ SEPTIC TANK +�E1MFG ``'"' <br /> CAPACITY 90l Y OF COMPAXT MENTS <br /> 3 GREASETRAP TYfE&V,; h pRUpeR'YL%W____R <br /> OtSTANCE TO NEAREST: WELLDEED SYSTEM) <br /> ❑ LIFTSTATION TYPE Of PUMP SQE <br /> 7 PKGTxPLANT O SAM OLLSEPARATOR(ENCL <br /> v— B of LwEs _ <br /> LENGTH OF Ltw-S <br /> f <br /> J] LEACH LINES P.G LEACHING CHAMBERS Y� 7�_'t <br /> DISTANCE TO NEAREST JE �`^ <br /> LL w `=t R I'Ol1hl�TtOr�—"'' R PROPERTY , <br /> n DEP- <br /> FILTER BED WbTH h LENGTH PROPERTY�—_" <br /> DISTANCE TO NEAREST WEil h FOUNDATION�--n h <br /> h DEPTH <br /> _J TLOJ4�EL WIDTH --n LENGTH n FOUNDATION---.n PRCWERTY Lv*__--------'-h <br /> WELL <br /> DISTANCE TO NEARlST h DEPTrI <br /> ❑ SUMPS VNoT,1 J_.—ft LtN0YH h PROPERTY Lu'�.,�---- -h I <br /> OtSTANCE TO NEARESTFp1x.OATON <br /> h La 'sTrt n DEPTH II <br /> [3 DISPOSAL PONDS WrT- h PROPERTY L�r'E._---- -h <br /> D&STANCE TO Nemks- NLII _h FOLpK:AT1ON F. t <br /> h DEPTH <br /> U SEEPAGE PITS NUMBER WwTH----- h PROPERTY LR,E_�h <br /> DtaTILNCE'01`lt" 4T _'t FOL,%DATION_� <br /> ITH <br /> -.,,EREBY CERTIFY THAT I HAVE PREPARESTATE THIS ULWS AND RN AND THE <br /> REGU,MLL 9EGDF ONE SAN NOAOUINO OUNETW TH SAN�AWW COUNTY A CES, <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR IN PEC`TIONS PLEASE CAL L. -7697 <br /> TITLE - <br /> s <br /> )12 <br /> R ' <br /> ( I 1 <br /> I <br /> P TDaa 'L. Arta Emp!0YOG IDI ! <br /> Application AC u / /L �� SPECIAL PERMIT-ApyOvai DY._..----- <br /> _ Dow T _ — <br /> Final Inspection V pwSp Soil Character: <br /> Charactar Ot Soli to Depth of f Pt v . <br /> COMMENTS _�----- <br /> �'--Vtrmlt7 Invoice• Ptrmit <br /> vW ►Os 1 <br /> A[ <br /> Code two BMminet SBrv1p <br /> nhb <br /> d 07t/ — --_ ---_-_-)--� <br /> ONSITE%YASTEWATER TRTW SYSTEM PERMIT <br /> a:.ot <br /> ar2tno <br />