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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868E.H—TON AVENUE- STOCKTON CA 95203-1209)468-3420 <br />JOS AOO,E35 '-'JV (.?"' / /AI F CnYIZJP /J1 -' - <br />CaOSSS*aEET <br />A+r1 _ <br />GILI'(T APN 17)(3nDyn; PARCELS— <br />OYMER NAME I LK. /If/ C / <br />J <br />PADRE <br />OWNERAOORBS (v CUU ,b, / <br />rC- <br />Al C-ISTATE)Z» y..Qh^. '% n1 rh JZ <br />CONTRACTOR lcaK T 7.L p l (' PNONE <br />CONTRACTOR ADDRESS 1 -/0 /C<iN.•C. J/' CITY/STATE/ZIP Z' 1 J 3= — <br />LICENSE 11Ui C-42 111C-39 On" 19 NUMBER %S3 EZRRATIONDATE11-4 z' <br />W—. T.. WS RFIAn IG R Glon—P—AL INFORMATION! Cmrdinafaa X Y <br />PERC TEST 9 BUILDING PERMR M LAND USE APPLICATION <br />TYPE OF WORK: INEW INSTALUTION 1 // 11'' <br />REPANR/AODTKO ENOSIEER DESIGNED(qLllRNAINEREPLACEMENTIRILfYIRSN.4 i- OUT-OPSERVICESEPTICBYSTEY DESTRUCTION <br />INSTALLATION WILL SERVE: a' RESIDENCE COMMERCIAL OTHER <br />4( SEPTI4 TANK TYPEIAIFG / !G _11/ClG CAPACITY / Z J V gal N OF COMPARTMENTS Z <br />GREASETRAP TYPEdaFG CAPACITY gat 901CONPARTUENTS <br />DISTANCE TO NEAREST' WELL R FOUAATKW S It PROPERTY LINE <br />LIFTSTATION SIZE TYPE OF PUMP O PKGTXPLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br />LEACH LINES LEACHING CHAMB€R •OF LINES LENGTH OF LN+EE it <br />DISTAHCET NE EST <br />Ij <br />www. <br />R R PROPERTYLINE fl <br />M FILTER BED Wo- ft LENGTH ft DEPT" R <br />L) Sid <br />DISTANC N^ ST WELL ft NoN 2JLJ R PROPERTY LRff -f it <br />MOUNDED WOTH R LENGTH ft DEPTH R <br />DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTVLNJE ft <br />SUMPS WIoTN ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE It <br />DISPOSAL PONDS W—. fl LENGTH fl DEPTH it <br />DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTYLINE R <br />SEEPAGE PITS NIIMSER VIA— ft DEPTH R <br />DISTANCE TO NEAREST WELL It FOUNDATION fl PROPERTY LINE it <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />SIGNED TITLE /' <br />PLEASE CALL (209) 953-769 <br />DATE Z Z.>7 <br />Application ACGSPted By Data 6 /I 'T 1 Area -Vg!y Employee IDa <br />Final Inspection By Data SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 2Ft: Ph/Sump SWI Chaneber: <br />COMMENTS FAQ sYrier t . RPp1ARrw en'c1nr IDOL <br />PE SC Received Amount P-111 <br />IRWWca9 Pamdt W9CodaiINFOBRamiKedServiceEta <br />a)a hs cU lsdro1 )_ S <br />I <br />ONSITE WASTEWATER TRTNNT SYSTEM PERI <br />utute <br />tyC-YZC LR t <br />I <br />m <br />17' <br />I <br />1 <br />i — <br />N) ELEC PNL <br />11 <br />I <br />V11 I GARAGE <br />I 5 <br />1 , <br />tl1 q le <br />nt s EJ <br />S. _ em" tJT` <br />C Q,b <br />r----- I SHE6TBR <br />SEPT C <br />I <br />r M - - (N) 3- C/O <br />1 <br />NIAODfnOtt <br />Y <br />I e <br />F, <br />E) RES <br />I t I <br />f <br />sseT61-0= I L) Sid <br />29' 5 - j <br />r----- I SHE6TBR <br />SEPT C <br />I <br />r M - - (N) 3- C/O <br />1 <br />NIAODfnOtt <br />Y <br />I e <br />F, <br />E) RES <br />I t I