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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT . <br /> SAN JOAQUi.N COUNTY ENVIRONMENTAL HRALTH DEPARTmr%rr 304 E WEBER AVE-3`°FL-STOCKTON CA 95102 -(209)468,3420 <br /> NON-REFUNDABLE PEERM1IIT^ CALL 209 953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> Jodi ADDRESS ¢�►/ .._ � :. �q–CITVOP_ !� J h _ ✓/ (i� <br /> ,6^✓ - t�S _7 PARCEL SIZE -2/'`;C M <br /> CAM"STREET �IYN��a AP.' � <br /> 0"£RNAME. 1-4 10 kA, <br /> 0"CHAD. AA •�+.c rYJ Ci7V/STArEJ CONTRACTOR PHONE <br /> i,7G_C.S .�W'-"�i 4-C +ir Z-.- PHONE_..._ . <br /> CAV!'RACTOII ADDRP,RS .�_... r� (� yC-fTY)IiTATFdZiP„_�,.n � <br /> LICENSE ❑C-42 'J C-36 OTHER NUMBER ]@Y[T �ExrlRAnoh DATE <br /> WATER TABLE DEPTH: ft C90C:RAPHICAL114FOR.14ATION: CROrd)aitCY X <br /> L O PERC TEST a- , $ir)LD1YG PERMITti -0`.-�✓,,KAND USE APPLICATIO. #_... .... <br /> TYPE OF WORK: NEW INSTALSaTION �J RL.PAla1ADDmON C3 ENGINXERDctHt tDIALTERNATIYE <br /> ❑ REPLACEMENT LI DEY"TT ucrwN <br /> INSTALLATION WILL SERVE: 'SIDVWE ❑ COMMERCIAL ❑ EITHER <br /> NUMBER OF LIVING UNrrS: NUMBER OF BEDROOMS: NUMBER OP EMPLOYEES: <br /> SEPTIC TANK TYPEIMFG Pd'�”' .____.. CAPACITY e�'T) t gal NOF[;OMPARTME'rT5 —..._._ <br /> ❑ GREASE TRAP TYPEIMP( _. CAPACITY -- gal #OF COMPARTMENTS i <br /> l }- <br /> ❑ PKG TX PLANT DISTANCE TO NEaREBT: WELL-_ C) R FOL T DATION�,__ h PROPERTY LINE_ R 0 <br /> O LIFT STATION SIzE TYPEOF PUMP ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> i5T LEACH LINES IYLEACHING CHAMBERS 15Z-11 1 I N OF LINES LENGTH OF LINES <br /> DISTANNCR TO NEAREST WELL t ft I'MSDATiON � ft PROPEit LINE <br /> _. .___.._.r _. <br /> ❑ FILTER BED WIDTH .___._.._..__..._.._:ft LENGTH _.__._ _.ft Dma ft ppp+ <br /> DISTANCE TO NEAREST WFLL_ it FOUHDAT30N ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH�_�__ ft LEwm __..._. .._.—A DEPTH_._._._.. - ft . <br /> DISTANCE TO NEAREST WELL fl FOUNDATION fl PROPERTY LINE <br /> ❑ SUMPS WIDTH�..._..�_......._.._.__ ft LENGTH __.. ._ A DEPTH fl <br /> DISTANCE TO NEAREST WELL ,ft FOUNDATION It PROP£TtTY LINE ..__ .._...ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH _. ft DEPTH ft <br /> TV <br /> DISTANCE To NEAREYT WELL ft FOUNDATION A PROPERTY LINE R <br /> ❑ SEEPAGE PITS NuMerR Wmrit_ _ ft DEPTH R <br /> DISTANCE TO NEAREST WELL ._.._fl FOUNDATION_,_,__— ft PROPP.RTY LINE ft ' <br /> I HEREBY CERTIFY THAT I NAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND AWALB AND REGMATIONS OF SAN JOAQLtIN COUNTY. <br /> m IN INT Lim 2A HIOUR ADVANCE NOTICE REQVINED FOR INSPECTIONS-PLEASE CALL{269)953-7697 <br /> � j'i 1 4�a-r DATE <br /> 61GNED G"�^- � TTi7.E-- <br /> tow, 7 <br /> ITI <br /> No <br /> t <br /> i <br /> 1 <br /> 1 I <br /> 1 <br /> ! i � <br /> I I 1 <br /> 1 <br /> 1 <br /> I i <br /> ' <br /> ,- i <br /> .. - ' DEPARTNP:NT <br /> Appi)eatbn AcceptedRI Do u _ Area EmgToyoe IDN <br /> Pima]Inspection 9) .. .........r._._._ Dau __'e .2 ....__.- ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Dept�Of�3 FFf-: r , dSOtop Sol ?cter. <br /> COMMENTS .. v_—it1.1_.I ..�1 �_ <br /> PE 5C Received h"w An oust Wu Permid Invoke N Ptnelt IDB <br /> Code )Niro B I Remitted service ReaaeN N <br /> !zq r 14'2-'2 �1 T <br /> Q-02-001 ONSITE WASTEWATER PERMIT <br /> 'V2=003 <br />