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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENNRONMRNTAL HEALTH DEPARTMENT 400 E MAIN STREET - STDCKTON CA 96202 - (208) 461-3420 <br />NONAEFiNNDABLE PERMITCALL 209 953.TO97 FOR INSPECTIONS EXPIRES 7 TEAR FROM DATE 155UkL <br />Joe AwRess I I im J 2i G�----Cm}rLP_,_ �� — Q_ <br />CROSS STREET _ _ a O C/ APN 2�� PAW.ELS12E �� v?� <br />OWNER NAME / G1 �h a, ._. PH" _ <br />OwwR ADDR u P 0jKcA 3qjqGITWSTATEiXIP [./�ek� � �s"�37 <br />CGNT1tAcroR_ �G uC T PHONE — <br />DD/4612 <br />CONTRACTOR ARess 3 L /`-�n p_� CITYISTAT90P . ✓ �I _ % J �� <br />LIcENEE /SC42 �)C46 OTHER --- NUMDEP !./5�61V-S-EXPMAMON DATE <br />WATER TABLE DEPTH: R CIEOQRAPHICAL INFORMATION: COQMinatea X __ Y_,�,___,�_ <br />PERC TEST * BUILDING PERMIT 9-_- LAND U$E APPS.ICATTON # _ - --__ <br />�� + -/�- RE►AIR/ADDiT10N EH 1&RRR- aE� IAI.RRt1ATVE� <br />TYPE Of NRK: �� / W WSTALLATION %� �t ..'' ��"" <br />JS. REPLACEMENT '14141 1_-�F adf AEI! 093TRUCTION <br />INSTALLATION WILL SERVE: % RESIDENCE COMMERCIAL! _! OTHER­� <br />NUMBER OF LM NO UNITS: N ER OF BEDROOM+!: NUMDEA.OF EMPLOYEE7:_ _ __J <br />SEPTIC TANK TYFFIMFa -�oHC - CAFACTTY����' �_,{�_y, 0a ` R OF COt PARIMENT3 <br />❑ GREASE TRAP TYPEIMFG CAPACITY yel 0 OF COMIPARTMENTS_____ <br />DWTANCETO NEAREST: WELL �,-- ft FOUNDATION b _ ft PROPERTY LINE -/ R <br />❑ LIFTSTATION SME TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOP (ENCLOSED SYSTEM) <br />LEACH LINES LEACHING CH.AMSERIS ___ _ MOF LINES - LENGTH OF LINTS <br />/�/� i <br />DIsTANCETONIAREST WELL. _z0j0! - ft FCUNDArION 3 ft PROP_RTYLINE__ <br />❑ FILTER BED WInTN _ ft LENGTH _ _ R DEPTH-_-___ <br />DISTANCE TO NEAREST WELL_ --__-_.It FOUNDATION R PROPERTY LINE <br />❑ MOUNDED WIDTH _�. _-ft LENGTH It DEPTH.��.---- 't <br />D rANCE TO NEAREST WELL R rOUNJATION _ R PROPERTY LINE <br />U BUMPS WIDTH It LENGTH__ <br />DISTANCE TO NEAREST WELL ft FOUNDATION- ft PROPERTYLINF-._,_____.__-_, R <br />❑ DISPOSAL PONDS WIDTH - _ft LENGTH -___-_, it DEPTH-,---._- i1 <br />DISTANCE TO REST WELL_ _ ft FOl1NDArION _ _ fl PROPERTY LINE _ ft <br />SEEPAGE PITS Numwt �� WIDTH - DEPTH T ~. -. ft <br />DISTANCE TON 1T wEL. / _ <br />_ R FUUN[AITILYI rQ � ft PRC%PBRT'L:tiE_r_ft <br />I 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 />4MAt UM 24AN�NOIICE REQUIRED FDR INSPECT S - LEASE ALL (209)983.769? <br />SIGNED �� ��� TITLE ✓' DATE ` <br />AA. �C4 <br />K4 YJOAQ , ?022 <br />YjRON/N COV <br />ht Dc MEHrA Nry <br />CEPARTMENT_ E 1.-Y <br />lqq <br />Appl"tlon Accepted By. G to S � Ate. _ I Employee'Df F <br />Final IRsPectlon By— A� �' lata ' SPECIAL PERMIT - Approved by _ <br />Character of So# to Depth of 31t;_ PW$ump Soil Character. <br />COMMENTS (�rE�'sr»�Gne ?►'pr <br />42-01 <br />10141o7 ONSITE WASTEWATER TRTMNT SYSTEM PEPACT <br />o�u <br />