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ONSITE WASIFEWATER TREATMENTSYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPART�VZ-NT 1.168 E.HAZELTON AVENUE-STOCKTON CA 95206-(209)468-3420 <br /> NON-REFUNOASLE PERMIT CALL(209) <br /> _R52:7q 7 R lxqeealp��S EXPIRES I YEAR FROM DATE ISSUED <br /> Joe ADDRESS <br /> CROSS STReFT.g&ae_A <br /> APN PARCELS12F <br /> OWNER NAME <br /> At ir-f..so <br /> OWNER ADDRESS CITY/STATE/ZIP <br /> CONTRACTOR-4V4,',�1 - PHONE "'ge <br /> CONTRACTORAODRGSS ------ CITYISTATCIZIP rr '.�31/,Lv __L_L_. j <br /> LICENSE 112C-42 UDC-36 OTHeft <br /> WATER Taw Dem um R GEOGRAPHICAL INFORMATION: Coordinates X-- Y— <br /> F-u PrERC TEST III BUILDING PERMIT#,__, <br /> LAND use APPLICATION#_ <br /> TYR-07—w—ORK: NEW INSTALLATI�Wq-­-­---- ENGINEER DESIGNED/ALTI!RNATPA <br /> REPLACEMENT f'. <br /> OUT-OF-SERIZE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION <br /> SERVE: 0"COMAkCIA'L 7 07NER <br /> MFjOF LIVING UNITS: NumsER OF BaatoOm!s.. NUMORROF EMPLOYEES. <br /> 0 SEPTIC TANK TYPE/MFG CAPACITY-- gSI #OFCOMPAR1'MIENTS__.­,_ <br /> (3 GREASE TRAP TYPt:/MFG CAPACITY__ gal f`OrCOMI"ARTMENTS___ <br /> DISTANCE TO NEAREST: W=,-Lt-. ft FOUNDATION� P, PROPERTY LINE­ 't 1 <br /> LIFT$TATION SIZE_TYPE OF PUMP 0 PKG TX PLANT Q SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> L E A C H LINES LEACHING CHAMBERS OF I.ir,;es. <br /> LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL— it FOUNDATION--_ft PROPERTY LINE ft <br /> U,"FiLTER BED WIDTH "I Tac ft <br /> R ft OrL'PTH <br /> DISTANCE To NEAREST WELL--jAa:­it FOUNDATION PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH DEPTH­_­­­ III <br /> DISTANCE TO NEAREST WELL,_ft FOUNDATION ft PROPERTY LINE r P ft <br /> SUMPS WIDTH LEWIM DEPTH <br /> OISTANCR TO NEAREST WEL L—. ft FOUNDATION ft PROPIERI'y LINE <br /> DISPOSAL PONDS WIDTH ft LEt.*-.H __ .--ft DEPTH___ <br /> DISTANCE 10 NEAREST WELL <br /> R FOUNDATION _ft PRoPERTY LINE <br /> 0 SEEPAGE PITS NUMSFF, MOTH <br /> S <br /> DISTANCE To NEAREST WELL ft FOUNDATION 7'y <br /> _ft PROPERTY LINE., <br /> ­ ."-- il,, <br /> HEREBY CERTIFY THAT HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN C0IJNrYOROjNAN(1�F11Evr <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 HOUR ADVANCE NO T,'C,-REQUIRIEQ izOR INSPECTION$-Pf <br /> SIGNED TITLE DATE it-) <br /> Application Accepted By. Date Are Employee <br /> Final Inspection By_ I] SPECIAL PERMIT-Approved by <br /> Character of Soil to th of Cl Icter: <br /> PIWE..�P-i I <br /> COMMENTS— <br /> ........... <br /> 7 <br /> Ch, Amount <br /> INP Date lnvo'iii�04 <br /> —j"T w Reml zsc� <br /> Vice <br /> 10 <br /> 42-01 ONSrrF WASTEWATER TRTMNT SYSTEM Ilt.RMII <br /> 4114/18 <br />