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Pte' <br /> ONSITE WASTEWATER TREATMENT SYS�EMK�PERM�cAesxos-t2091483-3t20 <br /> SAN JOAaAN CDUrm'ENVImoMNaNTAI �E <br /> HEALTH DtPARTMIINT � E)tpSTOC 1 YEAR FROM DATE ISSUED <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FORINSPECT70NS – <br /> 3901 1 Rhman Road C.ITYMP Tracyt95304 ,moi <br /> .{Oe 110DIlEff ,A,CEL SrtE 13.5 Acre <br /> CROSS STREET AIH'RDb APN 233-02-061 RIouE 20B'511-0564 <br /> OWNER NANtE Dahill i.V <br /> OWNER ADDRESS 670.utagv•e CI <br /> CRYlSTaTF(Z1P T�CAl 953tt <br /> CONTRACTOR <br /> UoD Genal Consln/aton Inc pNpIE(209)836-789 olRa 20t-993-09J6 wq <br /> CONTRACTOR ADORUS <br /> t5%05 5tol u'Road Cm7STATE/LP ESWbNCA/95320 <br /> LICEMlE C-02 G36 OTHER�.�— NuaEtR <br /> 6ASi70 ExnRATtoN DATE 0812!22 <br /> WATER TAMIL[DEPTH:400 _- h GEOORAPWCAL(NPORMATION: Coordinates X <br /> 37 6S33'IMIAIOA y-!21 3x79'IorgiNtlW <br /> Ri PERE TEST O t BUILDING PERMIT# LAND USE APPLICATION# , <br /> NEW INET L <br /> REPAIRIAODITION EuGEIEER DESIGNED IALTERNT <br /> AVE <br /> TYPE OF WORK: <br /> RERT C/IACE vOUT-0FS[RVN,E SEPTIC SYSTEM DEETRLICTION <br /> VMS ESDeNCE X COMMERCIAL OTHER <br /> INSTALLATION WILL SERVE NUMBER OF EMPLOYEES'S <br /> NUMBER OF LIVING ITS: NUMBER OF BEDROOMS. <br /> 2000 I dr )APARTtAE`1T5' <br /> Di SEPTIC TANK TrPFJMEO Pf4 CAPACRY � *OF COMPARTMENTS13GREASETRAP TYPE/MFG CAPACITY <br /> OISTANCS TO NEAREST. WELL R FOUNDATION R PROPERTY LME It <br /> ❑ LIFT STATION SIZE TYPE OF PUMP v PKG T% T O SAND OILSEPARATOR(ENCLOSED SYSTEM) <br /> {q <br /> J LENGTH OF LINES 3 <br /> LEACH LINES LEACHING CHAMBERS #OF LINES BT long R <br /> DISTANCE TO NaAR[sT WELL 7.D R F OATICN!()0 !t PROPERTYL Yc 25D R <br /> O FILTER BED WIDTH LENGTn R DEPTH R <br /> DISTANCE TO NEAR$$- WELL h FCVNOAT104 !t PROPERTYLVIE R <br /> O MOUNDED WIDTH ft LENGTH h DEPTH R <br /> DISTAr 0NEAREST WELL R FOUNDATION h PROPERTYLINE ft <br /> ❑ SUMPS TN It LENGTH DEPTH R <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LL'IE It <br /> O DISPOS ONDS Werth h LENGTH h DEPTH R <br /> DISTANCE TO NEAREST WELL h FOUNDATION R PROPERTY LINE R <br /> ❑ SEEPAGE PITS NURqaR WIDTH It DEPTH h <br /> OIETANCETO NEAREST WEU it FOUNDATION R PROPERTY LME it <br /> I HER1SY CERTIFY THATI HAVL PRSP RED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> TAT'!LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY- <br /> S CALL(209)95 <br /> SIGNED INIMU N U R F R f P ! A-�P <br /> TITLE�' t 9�e- 1r-� 1 DATE 3 <br /> 1I f l 1 I I I <br /> I I <br /> i I I <br /> N ept 1,e4 ch I Id LI <br /> PAY <br /> I <br /> RECEIV p <br /> inn APP p y 201, <br /> � ! I 14) <br /> I I 9e I I sr� <br /> JOgoUfNCOU1yTy <br /> O PARTMENT U E NLY NMEN-W. <br /> Appilcmon Accepted By Date Area� 'vL�,'rIA'•O)'>¢IGrEP�TM�Nr <br /> Filial Inspection By Date SP IAL PERMIT.#pAro�,j by <br /> Character of Soil to Dep f 3 Ft PitlSu mp Soil Character <br /> COMMENTS e 1. <br /> Code I M i ReCtIved I AmOUnT OaU Partnitf Mvein• Permit 100 <br /> By Cash RemiEetl Service RM Dlft# <br /> 111 7D I <br /> ONSITE WASTEWATER TRTAW T SYSTEM PERMIT <br /> yll/1a <br /> S� o <br /> 0 gaYty <br />