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i <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COt'NTV ENVIRONMENTAL HEALTH DEPARTmFTT 600 E!VAIN STREET•STOCKTON CA 95202-(209)469-3420 <br /> N')N-REFUNDABLE PERMIT /� ,C.ALL(209)953-7697 FOR INSPECTIONS ExPIREs 1 YEAR FROM DATE Is.quFP <br /> JOB ADDRESS ��q� �• �Ae-C.,e+,3T �, CITY/ZIP t.P0= 957,4Q <br /> CROSS STREET -T �.F'`"! APN ! _ 12 PARCEL SIZE A <br /> wy� 70 <br /> OWNER NAME HC/tc t— � PHONE <br /> OWNER ADDRCSS Pox (2y^ �/' CITY/STATE/ZIIP �r 7 <br /> CONTRACTOR c T����` 2� \1��/� T,*j PHONE Ijoq-� <br /> CONTRACTOR ADDRESS l <br /> � <br /> � �� &)s. 4+k �03 CITY/STATE/ZIP �. C �Zttn <br /> LICENSE M C42 7 C-36 OnIFR '.NUMBER EXPIRATION DATE %4ZA <br /> WATER TABL19 DEPTH: fl GFOCRAPHIC^L INFORMATION: Coordinates X _ Y <br /> O PFRC TEST N BUILDING PERMIT#_ 0CT732 LAND USE APPLICATION# <br /> TYPE OF WORK: V NEW INSTALL.Ano-, Ll REPAIR/ADDtTION Cl ENGINEER DESIGNF.D/ALTERNATIVE <br /> O REPLACEMENT O DESTRUCTION <br /> INSTALLATION WILL SERVE: 01 RESIDENCE O COMMERCIAL /�`` O OTHER <br /> NUMBER OF LIVING KNITS: �yy..��( NUMBER OF BEDROOMS: tCJ NUMB'LR OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG LA,f�7T _ CAPACITY _ ?,i.Liao� grl #OFCOMPARTMFI�fS�i <br /> O GREASE TRAP TtrPE/MFG_ _ C.APAC:rry —_ gal #OFCUMPARTMENTS <br /> DISTANCE TO NEAREST: WELL 1��kt- fl FOUNDATION 5 _ ft PROPERTY LINE. 1"S�r fl <br /> (3 LIFT STATION SIZE TYPE ON PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES V LEACHING CHAMBER—S, ik OF LINES 1-j LENGTH OF LINES (00 <br /> 1 ft <br /> DISTANCE TO NEAREST wEi.l. ISOe'1- ft FOUNDATION ?i51_ ft PROPF-RTYLINE j Z , ft <br /> O FILTER BED WEYM fl LENGRI _ ft DEPTH fl <br /> DisTANC'R TO NFAREsT WELL— ft FOUNDATION ft PROPERTY LINT ft <br /> O MOUNDED WMTH R L.ENCrrii _ fl DEPTH fl <br /> DISTANCE TO NEAREST WELL ft FOUNDATION _ fl PROPERTY LINE R ft <br /> O SUMPS WmTH fl LENGTH ft DEPTH <br /> DISTANCE TO NEAREST N'FLL _ ft FOUNDAT40N R PROPERTY LINE R <br /> D DISPOSAL PONDS WmrH ft LJaG'rH_ fl DEPTH ft <br /> DISTA-NCE TO NEAREST WELL _ R11 FOUNDATION fl PROPFRTY LIVE- ft <br /> SEEPAGE PITS NLMDER 4 WIDTH 44Z I til DEPTH -4451 ft <br /> DISTANCE TO!NEAREST WELL�—O ft FOUNDATION 11100 fl PROPERTY LINE (vU R <br /> I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES I ND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQlTi R 1 SPECTIONS—PLEASE CALL(209)953-7697 J y <br /> SIGNED DATE O3lQ <br /> i <br /> 1 <br /> 1 <br /> H <br /> l , <br /> DEPARTMENT USIE 0, Y <br /> Application Aeceptr.-d Date 1913101 Arca Employcc IDS# S (O(o G�C <br /> Final Inspection Date /O��j — 13 SPECIAL RMIT-Approved by <br /> r <br /> Ch,ncter of S'Al to th 43F� Pit/Sump Soil Character: <br /> COMMEN,TS v L L oT o F X0.2-!} /f•�� irr_�r_i��rs�,.; `� G.!<� -� y <br /> Pe SC Received Amount Permit/ <br /> <<Z <br /> Pate <br /> B sh Remitted ce Request#Code INFO servi <br /> ���. 313fl . <br /> 42111 ONSITF WASTEWATER PERMIT <br /> 05/302007 <br />