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SR0083192 ONSI I E WASTEVVATER TREATMENT SYSTEM PERMIT <br />YES E JOB HAZELTON AVENUE - ft TOcKToN CA 1520S (NM 414-34n <br />Noli-REFutmmits PERmir <br />CALL 209 953-7897FoRlfrispEcnotis <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />ApoRm ,,ANT Tree Rawl <br />Cirrar 9131, CROSs STREET T. "PANG <br />OWNER NAFAE OGOGGFIM OEPY <br />OWNER ADDRESS "16 ixFft, TG`F. RF.ftd pHoNe 200.8344262 <br />coNTRA, 14,141.1ku Sand and Gravel, Inc. Ty/STATE/7JF 2132') <br />209.846-4425 <br />APN—.11):: <br />PANcEL Eng <br />CONTRACTOR AO/NDus 6137 Hannen <br />clu _isTmEJE, Modesto, Cs 55358 LICENSE OCC-42 Ot OSel Ontut C 12 C41 FRAER 13 M 27116 <br />WATER TAaU3 DePTie B GEOGRAPHICAL INFORMATICI4LCoordlnata X 0ERC TEST 0 <br />E Of • 0 New ALLATIONBUILDING PER/AIT # <br />WM USE APPLICATION # — <br />0 REPAIRIAOIA 0 Rename/1r <br />INSTALLATION WILL SERVE. OuT.OTSERucr SepnC %mai <br />0 RESIDENCE (-2 COMAIERciAt Mumma OF LAING wars: n Onine NIMMIER OF BEDROOMS: <br />NulfmER oF Employees: <br />SIGNED <br />CI SEPTIC TANK TYPEAAFG <br />CI GREASE TRAP TypErMFG _ gal OF COMPNiry.lENTS <br />CApnrary <br />CAPArTo DISTANCE TO NEAREST: <br />FOUNCAp 'T/ <br />_ OF COMPARTMENTS CI LIFT STATION SIZE 11 PROPERTY UNE TYPE OF PUMP ft 71 PLANT 0 SAND 041. SEPARATOR (ENCLOSED SYSTEM) <br />LEACH INES ": LEACHING CHAMBERS <br />II OF LoES LENGTH OF LpRS DISTANCE TO NEAREST WELL FILTER BED wou) ft PROPERre USE ft <br />11 FM/CATION <br />It LENGTH <br />It DEPTH DISTANCE TO NEAREST WELL <br />ft FOUNDATION U MOUNDED Worm ft PRopERTY uNE 11 LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL It FOJNOATIOT. 0 SUMPS Worm fl PROPERTY ONE ft ft LENGTH ft DEPTH <br />U DISPOSAL PONDS Wars <br />DisTANCE TO NEAREST WELL ft Fouts:Lc-ION It pRopErrry UNE <br />ft <br />ft LENGTH ft Derni It DLSTANcE TO Mammy votU. ft FOUNDATION It PRoPERry une ft o SEEPAGE PITS Wawa Wont 11 DEPTH ft DISTANGE TO NEAREST WELL ft FOUNDATION ft PROPERTY LAB 11 <br />HEREBY CERTIFY THAT I HAVE PREPARED TM APpLICATON AND THE WOFUC PALL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDPUUSCES, <br />STATE LAWS AND RULES AM) REGULATORS OF SAN JOAQUIN COUNTY. <br />UM 48 H igADVANCtorCE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953.7697 <br /> TITLE Pmfeci Manager "TE 01)71121 <br />Date ig, , ApplleatIon Accopted <br />C <br />i <br />haroOtor o <br />c <br />f <br />t <br /> S <br />io <br />o <br />n <br />i l <br />B <br />to <br />y _ <br />D <br />V3pa0 <br />ir <br />SPECIAL CIAL PEMIT• <br />Fn n <br /> O PPITTINI 0/ <br />of 3 Ft <br />Art te4: 4 kik (!5soc,(01,..elci o ...Pi, <br />t <br />)4tnutnit'.- 4 - q 76 <br />.A <br />iimis. • p.m,i, ID, . <br />A,ISRP. <br />-e41-bv °:'k'SIct <br />1 <br />. V\i'dttc.t)();\43 0C- ck.oic kA4 <br />COMMENTS it <br />' <br /> <br />':-K-iaVVek l'It cout <br />Icikvits, <br />• qfriq EmoktiD se. <br />'7> <br />0: Jan 26, 2021, 11:48 AM . 1., 1 Aldara Salinas, Environmental Health Specialist 18895 Lone Tree Rd. Escalon, Ca. 95320