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WATER TABLE DEPTH: GEOGRAPHICAL INFORMATION: Coordinates X <br />LAND USE APPLICATION # BUILDING PERMIT # <br />0/AMERCIAL C O'n4ER <br />LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT CI SAND OIL SEPARATOR (ENCLOSED SYSTEM <br />4.61 t- <br />r <br />I I AYM 1VE <br />ENCO <br />lii <br />4". y <br />NA.1 ;Et, ,t,ftt'At-Isir <br />Application Acce .1 Tfrid,grie-40,,/ <br />Final Inspection <br />Character of Soil to D h of 3 Ft: <br />COMMENTS FL/1344L, idkkirs4 $7251-0341 <br />Ts' I I <br />Area Employee ID* <br />SPECIAL PERMIT - Approved by <br />PIVSurnp Soil Character. <br />PARTMENT UE ONLY <br />Date <br />Date <br />I <br />TYPE tor MIRK NEW INSTALLATION <br />REPLACEMENT <br />REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br /> <br />[ INSTALLATION WILL SERVE: 17 RESIDENCE <br /> <br />NUEISER OF LIVING UNITS' NU MEIEROE BEDROOMS: NURSER OF EMPLOYEES: <br />— PERC TEST # <br />CAPACITY gal it Or COMPARTMENTS <br />CAPACITY gal # Of COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE <br />TYPErMPO <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />CI SEPTIC TANK <br />GREASE TRAP <br />L LEACHING CHMIBERS <br />DISTANCE TO NEAREST WELL 200 1;5: ft FOUNDATION ,..-i, _/_:L ft PROPERTY LINE C 72" ft <br />Worn ft LENOTh ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ti PROPERTY LINE ft <br />Warm ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />Worn ft LENGTH <br />ftCtEeM <br /> ft <br /> <br />N DISTANCE TO NEAREST WELL ft FOU ti PROPERTY LIE NDATION ft <br /> ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />HUNGER WIDTH 'Y " ft DEPTH 2,. .7— ' ft <br />DISTANCE TO NEAREST WELL /S-Z)4Z ft FOUNDATION „/".) 2:71' It PROPERTY LINE .<4- ft <br /> OOP LINES LENGTH OF LINES 5 2 ft / <br />.0614- SEEPAGE PITS <br />DISPOSAL PONDS WARM <br />DISTANCE TO NEAREST <br />LEACH LINES <br />13 FILTER BED <br />MOUNDED <br />CI SUMPS <br />HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORN WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES. <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINIMUM 24 H UR ADVANCE NOTICE REQUIRED FOR INSPECTIONS -PLEASE CALL (200) 053-7607 <br /> Trne e4.6 4> DATE T -,e9f SIGNED <br />3 <br />NON-REFUNDABLE PERMIT CALL. 1209) 953-1697 FOR INSPECTIONS <br />Joe /Lawless 5C-2 A., 0,c,k170.4a-._..ael_____ Crrv/ZIF,,,,c2c.k.4•ri qr2/5- <br />CRoss STREET ceificy.64/0/0/17,_e APN 11.0.::-0' 40 - 1 15. PARCEL Sim 15-t7,1?.,_ <br />Ovmmt NAME ./202:t4lti — 7110/4..Z.. ./0 0 41/ ,e,- NoNE -10 -7-1.1:7 -3. <br />OWNER ADDRESS CITY/STATE/ZIP <br />CONTRACTOR A .;-...4,r,..r.,e1, ig.elev...".- e: ejec..... PHONE 9-3 <br />Cry-WS-TA-reale 453itw-.172.9-t/ <br />License gc-42 1C-36 OTHER A NUNISER8c-0-7I".1 EXPIRATION DATE <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />CONTRACTOR ADDRESS d/O2,7, <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COuNTY ENVIRONMENTAL HEALTH DEPARTMENT 650 E MAIN Sower - STOCKTON CA 95202- (209} 468-342D <br />PE I SC Receivedr <br />I Iwo By <br />chaCIIEV-, <br /> <br />Amount ,te <br /> <br />milled — Permit 5)0Code <br />Permit/ <br />Service Request # Invoice a <br />— <br />Cash <br />42.1S Z( I p?-,FD --I j3 to 7 _P-c:0 elr-il ff 1 <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERPAT <br />1D14,07