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CI TY/STATE/ZIP <br />EXPIRATION DATE <br />EXPIRES 1 YEAR FROM DATE ISSUED LNIQH-REFuNDAFILE PERMIT CALL 209 953-7Ii97 F OR INSPECTIONS <br />COOSS STREET <br />OWNER ADDRESSI. LS / 1'0 13/46A) <br />OWNER NA HE 4 y)r v <br />CONTRACTOR S <br /> E._•_ wt&Jsx-IC fc)/ Cu Y/STATEnLE <br />PHONE 20 <br />CONTRACTOR ADDRESS <br />NUMBER LICENSE C-42 C-36 OTHER <br />JOB ADDRESS tct-t.‘ A.0 Nr_o_., • CirdriP -St3C,,,k40 44-4. 2/5- <br />APN O S. 0° 0,` PARCEL SIZE KV <br />"ONE 209 '421 -L/6325 <br />4,‘%•Ve ek 157,214 <br />5 L183 284 <br />WATER TABLE DEPTH GEOCRAPHLEAL INIURTLUDION: COOrOinates X <br /> <br />s2. PERC TEST a BUILDING PERMIT ft LAND USE APPLICATION* <br />TYPE OF WORK: NEW INSTALLATION 41MALABIULDI3I s <br />REPLACEMENT OILT-OF-SERViCE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br /> <br />DESTRUCTION <br /> <br />INSTALLATION WILL SERVE *4 RESIDENCE COMMERCIAL <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />(sit19.1.1A4/ C,ApAnry LI SEPTIC TANK TyppUrc.. <br />GREASE TRAP TyptiM(,; CAP/WITT <br />DISTANCE TO NEAREST: WELL _ FOLiALOATX1N <br />gal It Of- COMPAR MENTS <br />gal ft OF COMPARTMENTS <br />It PROPLRIT LINE <br />I.. OIlIER <br />NUMBER OF EMPLOYEES' <br />Application Accepted By <br />Final InspectIon By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS Arad <br />VNAL <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JCZIUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1865 E, HA/ELTON AVENUE - STOCK TON CA 95205 • (209) 468-3429 <br />LIFT STATION <br />LEACH LINES LEACHING CHAMBERS 0 <br />ft FOU <br />A OF LINES <br /> <br />, ( <br />LE ee NGTH OF Ls 5.1 <br />DISTANCE TO NEAREST WELL <br />ti <br />RRATION L.V <br />4. <br />, 0 I It PROPERTY LINE 1,- . It <br />'...".3 FILTER BED WiDni ft L rt.K;rti it DEPTH T1 <br />DISTANCE TO NEAREST WELL it FOUNDATION It PROPERTY LINE ft <br />0 MOUNDED WIDTH ft LENGTH It DEPTH. _ it <br />DISTANCE TO NEAREST WELL P. EDUNDA II1:41 .it PROPER TY LINE „ It <br />SUMPS WIDTH ft LENGTH A DEPTH It <br />DISTANCE TO NEAREST WELL It FOure AT IDEI It PROPERTY LINE <br />DISPOSAL PONDS WiorN It LENGTH ft DEPTH <br />DISTANCE TO NE APF ST 'NEIL ' ' l ItNifIr Km ft PROPERTY LINE <br />4 SEE PAGE PITS NUMBER X . WIDTH +V ft DEPTH Z.9 il <br />DISTANCE TO NEAREST WI , I i rept/ T II ,, •',I1 id+. II PrirwrpTY UNt.r 4- tt <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND TIIA IHE WORK WILL HE DONE IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AM) fiEGLIL A I IONS, I ALSO CERTIEY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICLNSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />SIGNED <br />&YIN! UAZIOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />TrrLe Alta 14 eie- DATE <br />SIZE TYPE OF PUMP PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />ft <br />ft <br />ft .tililzio(tv Dale 7111/7 <br />MaMMMIIM III <br />11•11161111 11111111•11MINI 1111MINEMILI MIIMIIIIII mommimmomm simpro nmniramm 1111171 <br />111111111111111111111 11 <br />Irmo mom mommaimm mom <br />mom gm mum m <br />IiIIIIIIIIill <br />m <br />mummomli m mom <br />m <br />mm <br /> <br /> • Will-mW <br />1111 MEM MU II <br />PEPARTILff Y <br />Date 4 Area qq Employee 'CV ‹Zer(212 ,- <br />SP CIAL ERMIT • App overt by <br />Pit/Sump Soil Character: 44( <br />APPLIIOAL_J—S Th JTOE 3 9D (4- - <br />fli I it)Citt ;.)\-1AlAcaivzneartLL <br />614" <br />PE <br />Code <br />SC <br />INFO <br />Raceived eiel, i -Amount T Data I Cash R Mad <br />Permit/ <br />Sarvrea Requests Invoice a Permit Mit <br />...,- . - <br />ONSI•ti: WAS-EC:WM 011 FITMNT SYSTEM PERMIT 42-01 <br />517