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JOB AG/OAF:XS loztcs" e. NON-REEUN DABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br />SECTION TOWNSHIP RANGE <br />GEOGRAPHICAL INFORMATION: cOORDINA1 ES x <br />NUMBER OF LIVING UNITS: <br />NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />INSTALLATION WILL SERVE; <br />Li RESIDENCE <br />COMMERCIAL <br />LI OTHER <br />TYPE OF SEPTIC WORK: <br />NEW INSTALLATION <br />X REPAIR:ADDITION <br />L..) DESTRUCTION <br />ENCINEERED(ALTERNATIVE <br />PARCEL StZE..,_ APR IcVariOn <br /> _ <br />CAPACITY <br />CAPACITY,. <br />FOUNDATION <br />CHARACTER OF SOD. TO DEPTH OF'; SNAki *ftwd1/4„ PIT/SUMP SOIL CHARACTER: WATER TABLE DEPTH; > MO <br /> <br />1:1( PERC TEST IS HOW MANY <br />GREASE TRAP TYPE:MFG ft OF COMPARTMENTS _ <br />PKGTX PLANT DISTANCE TO NEAREST; WEIL PROPERTY Elm- <br />LIFT MTioN SIZE TYPE OF POO <br />FOUNDATION <br />II OF LINES: <br />PROPERTY LINE <br />iewai LINE LENGTH OF LINES: °INTAKE TO tlEARTNT: WELL <br />DEPARTMENT SE 0 LY <br />°ACRFA .2/ EMPLOYEE 0/ <br />INSPECTED BY . OR CE â PERMIT El NAi YES DATE V INSPECTOR <br />I <br />caMM"i1S' 7C-1 Pte Idtr- <br />LIQUID WASTE PERMIT <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL EltALTIT DIVISION <br />5040. WEBER RUT FODOR, STOCKTON. A 9,52a2 f2.09/ 4AIL3420 <br />BUILDING PERMIT if <br /> <br />OWNER NAME Gr-tx"re.... Cr....ne&conAllDRESS 03(70 S . <br />PHONE NUMBER <br />ADDRESS 7-873 a. VeVirkke- 3krf-ttk- <br />PHONE NUMBER CU:Yet') ct4"Zi-17.9k5.7.) <br />CITY/ZIP 95-231 <br />A <br />TY Cl/ZiP FreyN6r% <br />4-%- CONTRACTOR 44.1e;. v 10 er <br />cam! P b-LC:6 <br />APPLICATION /1 pti zss- <br />0I SEPTIC TANK TYPE/MEG 4 OF COMPARTMENTS <br />SAND Oft , SE PA BATOR (ENCLOSED SYSTEM) <br />FILTER BED <br />MOUNDED <br />La SLAPS <br />DISPOSAL PONDS <br />SEEPAGE PITS <br />WIDTH <br />WIDTH <br />WIDTH <br />WIDTH <br />L ENGTH DEP IN OtNIAIlccroNEARLin WELL <br />Lfscolt. DEpTH__ nisTANckluNtAREAT: WELL <br />LENGTH orni DISTANCE. TO NE.I.RENT: L <br />LENGTH DEPTI DLITANct To weARTNT: WELL <br />DIAAIETER DEPTH_ DisTAICE TO NkroeliST. WELL <br />FOLNDATION <br />FOUNDATION__ <br />F ION <br />FOUND* TION <br />FOUNDATION <br />PROPERTY LINE <br />PROPERTY LINE__ <br />PROPERTY LINE <br />PROPERTY LINE _ <br />PROPERTY LIRE <br />INFT.ITRATOR CHAMBERS: <br />I HEREBY CERTIFY THAT' HAVE PREPARED THIS APPLICATION AND THE, wow; WILL Fs DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS <br />ARP RULES AND REGULATiONS OF SAN JOAQUIN COUNTY. <br />VANCE NOTICE REQuIRED FOR INSPECTIONS - PLEASE CALL (2•09) 4684423 <br />TITLE: 671-- 01eeS-DATF,: 75/Z"/Can SIGNED: <br />APPLICATION ACCEPTED We: DATE __LOCATION_9 <br />PE CODE SE INTLI AMOUNT <br />SEMITTED <br />1'CMFCX2..d.S14 ... RECEIVED — <br />BY <br />oAl F --FillmTMERVICR SPOI:ESIN I INVOICE,. Mtn!: Ito <br />G //.5-1)0 th f74*02. <br />REvonowsM <br />! oq.A..pae.r44a- 1 t 81 - -11L ...gAgod.,,,,A iv 11.414,A. ,.. put.", <br />I <br />1--t4.,-. , . ......