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FOR OFF,CE -JSE. FOR OFF-CE US <br /> k, <br /> FOR SANITATION PE'AM11T �� V, - / <br /> ICumpl•t• in Tr+plica+•! i perm,► N ' /y��' <br /> This ►•melt Expires 1 Year From Dote Lsvod I Dot,+ ItsvedS 'a} , <br /> APP! Of"In 't ►+ereby :node to the Son ;oogu:n tocol tlen+rh O s'r ct <br /> This app!:ca!,an ,s modfor a permit to con,tr�c• and install rise wo+k her�ln desce. ri <br /> r, « ul compl,once with Ccunty Ord nanca No 549 and onwing Rules and Regi' Bons <br /> C if <br /> iC)f) ADDRESS/LOCATION n__�: ..1 �r"M� -'FA4NW -�C NSUS TRACT <br /> Owner': No,Ao Panella Trucking. vUWG�tCJJ Ph,:,,* yL y <br /> Address 21.50 E. Fremont St. ...... . .. city Stockton Zip 95205 <br /> Contractor's Name PARRISH, LYS, ,.icerse I. 1.005 L1 Phone '+66-363 L <br /> Instc elation will sr.ve: Residence [] Apartment Nouse ❑ Commercial Trailer Court (_=1 <br /> Motel C] O:her <br /> Num"of loving units: """,.. Number of bedrooms"" Garbage Coinder..'..Lot Size.. . <br /> Wa•er Supply: P,7bl+c System and name Private .._.Private ] <br /> Cha:octer of soil to a depth of 3 feet: Sond C] S!Itgl Cloy Peot o Sandy loom C] Cloy loom G <br /> Hordpor Adobe❑ Fill Material If yes,type . <br /> (Plot plan, showing size of lot, location of system in rclotlon to wells, buildings,etc. must be plocrd c.l 7- :r u side.) z y r <br /> N!W INSTALLATION; (No septic tori,. �r seepoge p'.t permitted if public sewer is available within 200 for i,? r <br /> PACKAGE TREAT?:.EP!T 1 e s l n <br /> I SEPTIC TANK JKJ Size . x 5....Z .5. ............... . .... Liquid Dep►h...4. . 3 ... <br /> Capacity (2)12Lti. ..Typo...... .._. . ..... Malwiol.CUD.. .. ..No. Compartments�..CAt•. ._ ... . s <br /> Distance to nearest:We11.-.490.1__ .... .. .. 201 Prop. Una .3301 r <br /> . . .. .........Foundition .... <br /> LEACHING LINE ($ No, of cines 3 - Ler;ith of eoch lino....10.0.1 ........ _. Total Length ;,w t...._ ! <br /> 'D' Box yen. Type Filter Materioi. .rock .. Depth Filtar Material.. .. 2011_... .. . ........... _ ......_ � <br /> Jistonce,to nearest: Wall.....750 Foundation....-�i.Q.�....... _ .Property lint.. ....3301..... . . _ ....1 <br /> SEEPACA PIT Depth.25' . . Diometer. ...O.„ Nvmb,4r Rock Fillet Yo= No[]; <br /> Water Table Depth......... .... ........... . . . ... .................Rork Size. ............ -. <br /> Distance to nearest: Wel!. ..?50.1 . ....Foundation... .14�.. Prop. Lino.3501. <br /> PAPAIVADINTION tPrev.Sanitation Permit i11.. ._.HA'* <br /> Up*Tank (Specify Regvi►emontsl . ........................... __.. <br /> Dlsposo: Fie!d (Specify Requirements) :. .. ._................. .._. . .... ... .. <br /> .»...........................................I................ . .................-....................... ....................... .. ...................... <br /> (Draw existing and requ+rec+ dition on reverse side) <br /> 1 hwebT•cortify tisat I have preK;;jred this application and that the .ill be .'.ne In accordance with San Joaquin_County <br /> Ordinances, Halo Laws, and Rules and Regulations of the San Joar>v . L"rI Health District. Home owner or licensed events <br /> signature coMfles Ike feRewing+ <br /> "1 eerdfy tW fit Jwe perfermence of the work for which this permit Is Issued, 1 shall not employ any per.en In sv.:s manner as <br /> M bece71e b or <br /> t• Workman' ,Corr' ration laws of California." <br /> Signed- ! t,rt. 41/x. 0.,/r Vis...- Crane► <br /> Dy.......,., �..ri. 4r. f, <br /> Ilf other than ow+lier) <br /> R D /ARTMENT USE ONLY it I <br /> APPLICATION ACCEPTED BY... ....t'" DATE <br /> DIVISION OF iA.'VD t:JMBER.. .�! ..........'.................... DAU... ........... <br /> ADDITIONAI COMMENTS ...... ........................... <br /> ... <br /> ............I..... ..I............. ............».................... ............ ..................._ <br /> Final Inspection by,.. �r'00 >^.•'. ................ ................'........... . ..Dote <br /> `" t1 '' SA{ti JOAQ�NN ICICA.I HEALTH DISTRICT res t+en cCv 7/76 1M <br /> 'i�Au ,. ... air .. :`.n•`-:A'It+��tJ.,�iY.!^�'r... <br />