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i3ckc4t.41 <br />Ic1et56 S. Mat...NAANtAir -()Nre <br />0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />SEPTIC TANK TYPE/MFG <br />CI GREASE TRAP TYPE/MFG <br />CI PKG TX PLANT DISTANCE TO NEAREST: WELL <br />LIFT STATION SIZE TYPE OP PUMP <br /> ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH <br />WELL <br />tt LENGTH <br />WELL <br />Wrom <br />ft LENGTH ft DEPTH ft <br /> ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />42-02-001 <br />12/22/2003 <br />ONSITE WASTEWATER PERMIT <br />° ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE - 3"° FL - SrocicroN CA 95202 - (209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> CITv/ZIP Titaje CS/j_ <br />OC LA/ • <br /> APN Nti-'• IN; r" 7.10 PARCEL SIZE 1 5 AICY*CS <br />CONTRACTOR ADDRESS CITY/STATE/ZIP <br />LICENSE 0 C-42 CI C-36 OTHER EXPIRATION DATE NUMBER <br />;4 PERC TEST <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X <br /> <br />LAND USE APPLICATION # 0 0 05 2 2 CM- <br />TYPE OF WORK: a NEW INSTALLATION <br />0 REPLACEMENT <br />BUILDING PERMIT # <br />0 REPAIR/ADDITION <br />DESTRUCTION <br />CI ENGINEER DESIGNED /ALTERNATIVE <br /> <br />INSTALLATION WILL SERVE: C:1 RESIDENCE <br /> <br />NUMBER OF LIVING UNITS: <br />CI COMMERCIAL <br />NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />U OTHER <br />LEACH LINES CI LEACHING CHAMBERS # Of LINES LENGTH OF LINES <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />FILTER BED WIDTH ft LENGTH ft DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />ft FOUNDATION ft PROPERTY LINE ft <br />HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br />ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-97 51-.57+ <br />TITLE \--\--7K DATE Vi 2. -- OS— • <br />V s <br />,A" <br />c....../.--____ <br />-/---v-- --4114.4d 1 4 7 0,10. '1U4 "Nkt•mk. KNInt(11-12C1Y 121iii el),44 ../ Apr.-, riT14- <br />.4- flIW Awsrfai 14 <br />1,40ftraY WE <br />PARCEL '1' .8. <br />Tat / nilitmtgli5 2.5k ACKES I) •---- g}.: 5.--"S• 3 137" )1'1 LI 5.1 \C <br />- - e- 1 1489.53,3tA mama. f,Sfe) (J.-2,3 ---- ` 48 PARCEL z .0 Atm <br />t PPS <br />44:e.'" r 1.1A1'... fliTir , $.. Li— 1 m..v. —4. <br />tel 2 1 10 )5 3 I 4115,1TOVW .19S, <br />—," X.. UM <br />r40-77P-D, rA-930-04 ..11. k AU. CONK WM. <br />ICCULLAN a PIM a <br /> UN 0)-44" <br />ii./0 ERVVR(77;A:Valt <br />, <br />VI <br />I I <br />JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS <br />CONTRACTOR NOP, <br />PtiorsE(2-0C4V it 3'5 "" 45)4 <br />CITY/STATE/ZIP 1yo j ) C631 (0 <br />PHONE :50_:32Pli_ <br />CI MOUNDED WIDTH <br />DISTANCE TO NEAREST <br />SUMPS WIDTH <br /> <br />DISTANCE TO NEAREST WELL <br />DISPOSAL PONDS WIDTH <br />DISTANCE TO NEAREST <br />SEEPAGE PITS NUMBER <br /> <br />DISTANCE TO NEAREST WELL <br />ft PROPERTY LINE <br />ft DEPTH <br />ft <br />ft <br />ft <br />ft <br />ft <br />I HEREBY CERTIFY THAT I <br />DEPARTMENT U <br />Date 1/ <br />ore6 tair,e0.4 Date A <br />Character of Soil to Dint 3 Ft: <br />COMMENTS <br />-S- <br />Area Employee 104 COTD <br />, <br />0 SPECIAL PERMIT - Approved by <br />Soil Character: <br />Applicadon Accepted By <br />Final inspection By <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />11L‘cidti:.--11 Amount <br />Remitted <br />Permit/ Date Service Request a Invoke # Permit Ma <br />Cash <br />-7,01.- /D37 t ,30, /11,3410S75-rieeoitc/9/3 <br />SIGNED <br /># OF COMPARTMENTS <br /># OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE ft <br />CAPACITY <br />CAPACITY <br />gal <br /> Sal