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ONSITE WASTEWATER TREATMENTSYSTEM PERMIT <br /> SAN JOAQIIIN COLNTY FNVIRONMENTAL HEALTH DF.PAR"I'MENT 304 E WEBER AVV .3"'FL-STOCK ION CA 95202 - (2D9)468-3420 <br /> _NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISgUED <br /> JOU ADDRESS <br /> ('ITrI"LIP <br /> CROSS SIREE'f � `��'� �I`t 1PV _ (?� J -„z6C1� <br /> A,( / PARCEL, IZE_ <br /> ()\VM1LK NAME. /k< Z1,11 -L C.Y-f PHONE. — <br /> OWNER ADDRESS _ CITY/STA-1 E/ZIP <br /> 1 <br /> CUNTR,ACTOZ _., [><N PHONE__��_Z3v (�} <br /> CO\fRA(:TOH ADDRESS CITY/STATFJ7111 <br /> LICENSE: Q('4 _ ❑C-3b C)TIILR N'L!A1BER __ FXPIRATION DATE. _ <br /> WATER TARLL DErTII: H CFOC.RAPHICAL INFORMATION: Coordinates <br /> ❑ PERC'FEST fl_ BUILDING PERMIT# LAND USE APPLICATION# --— <br /> TYPE OF WORK: Q NF.W INSI"ALL\TION i7 REPAIR/ADDITION Q FNCINiF.R DESICNr.D/ALTERNATII'F. <br /> REPLACFMFNT ❑ DLSfRUCTION_ <br /> INSTALLATION WILL SERVE: ❑ RF.SIDF.NCF -- U Cov1MLRCIAI. LJ OrHer< -- <br /> NI1\IHER OI LIVING UNITS: Nuwkuk of.RF.DROOMS( NUNIGER OF EMPLOYEES: <br /> -,--—E <br /> ❑ SEPTIC TANK IPr/M rc, CAPACITY I - <br /> I* rf OFCOMPARTMEN'IS <br /> O GREASE TRAP Tvrr:MFuCAPACITY _ gal $'Of COMPAKTMr.\'Is <br /> ❑ PKGTXPLANT D15r.,kNCETONUARF.ST: WELL _ 3 FOUhUA'rION� {t 1ROYERTYLINE R <br /> _ <br /> U LIFT STATION S¢L_ TYPE Or•PUMP_ _ ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHANIBYR5 #OFL:Nr•.S__ LEh'OIH OF LINES — <br /> — ft <br /> DISTANCE To NEAREST 'A.-ELL ti rOIJNUANON_- t[ PROPFKrYLINE <br /> LI FILTER RFD WIDTH ti <br /> _ _ R I cN(iTfl _11 DEPTH n <br /> DISTANCE TO NFAREYI' \YELL. ft FOUNDATION -_ O PROPERTY LING <br /> It <br /> LJ MO[!NDED WIDTH 11 UNGTH fl DFI rn <br /> - - _ <br /> DIsrANCLTONFARFSF WF1L_ ft FOUNDATION _ {I PROPCRTYLING ft <br /> _11 <br /> LJ Sumps WIDTH fl LCNfI'H_ tl f)EPTtI <br /> DISTANCE-to NFARF'S'1' WELL It r-OLINDATION _ ft PROPERTY I.INE <br /> L..) DISPOSAL PONDS W'tDTU — —n <br /> _fl LENGTHft DFP't'H ft <br /> DISTANCF.'I'O NE.ARF." WELL !1 Foov)AFION R PROPERTY LINE <br /> - ft <br /> 0 SEEPAGE PITS NIIAI9ER_ _WIDTH _— it DEP1H — <br /> ft <br /> DIsrANCF'I'U NEAREST WELL fI FOCNUA PION ft PROPF.KTY LINE <br /> _ R <br /> HEREBY CERT II;Y'THAT I HAVE:PRF.PAREU'I'NIS.APPLI(:A'IION'AND'OAF.1VORK WILL BY.DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINAVCF.S,Sr.ATE LAWS AND RULES AND REOUL TIONS 01-SAN JOAQUIN COUNTY. <br /> MINIMUM 4 H I QLJR ADVANCE NOTICE RF.Q;IIRED FOR INSPFCFIONS PLF.AC►;CAI,1.(209)953-^697 <br /> SIGNED TITLI., <br /> DATF. <br /> I <br /> r <br /> i <br /> J <br /> T <br /> DXP R rMENT I1S ON1. <br /> Application Accept' �J Date <br /> Arca _ _ Flnpluycc IU><�y�j <br /> Final In9pecfton Sy ,� 'h, J <br /> Date_/�` ❑ SPECIAL PERNIrr-Approved by <br /> Character of Soil to Depth of 3t: Pit/Sump Soil Character-. <br /> COMMENrS <br /> PLSC Received Check#/ Arllount Permit/ _T <br /> C'odr INF(, R <br /> as I emitted Date S IP a / Invoice# Permit IDI) y <br /> 42.02-001 <br /> J2-22,'20W ONSITE WASTEW'ArrR PERMIT <br />