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08-27 11:44 AM (PDT) To: +1 209-464-0138 From: +1 209-869-3877 Page <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH.DEPARTMENT iuiilBast Hazelton Averime-STOCKTON(;A,VbZUZI-bXJ;, 4"O�J44U <br /> DATE)SSUEC <br /> X PAES I YEAF('FROM <br /> NOWREF-LINDAEIL-t PERMIT <br /> zip ;Pj, <br /> Jo6 ADDRESS <br /> 0 PARCEL 1—g—kir <br /> CROSS STREET. <br /> PHONE <br /> OWNER.NAMF <br /> Ti"/StATslzlp ........ <br /> 'OWNFRAODKUSS <br /> Ct C11 <br /> CONT13ACTOR PHONE <br /> Ir3 <br /> CpNTRAqTORAq1JrES X <br /> EXPIRATION DATE.- -,' <br /> LiceNsr :.C-42 -.C40. OTHEF— <br /> WATEEKTABLEDFIRTH: Coordinates X_— Y.— <br /> LAND use APPLICATION FIG TEST W__ BUILDING ERMIT A 4 <br /> TYPE OF WORR: i., NEW INSTALLATION J&, WAR/AODITION ENGINEERDiksiGiweb IALTERNAME. <br /> DIISTRUPTION <br /> REPLACEMENT <br /> _ <br /> INSTALLATION WiLLSERW, RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LlvING UNITS: NuMaCit OF BEDROOMS: NUMBER OF EMPLOYEES:_- <br /> El SEPTICTANK -TYPEIMFG CAPMPT-r J gal RCF CC,,V-kRTPAI=.NTC_ <br /> PART1, <br /> :Zj GREASE#4AP T-,;PF!MrG CAPACITY gal 1JOF,,Q04ENT9.-- <br /> x <br /> q <br /> DISTANCE':TONEAREST: WELL fl FOUNDA11CPI P*Ope.RT.Y LJNF if <br /> C3 uFT$T,,TiOt4 sin. —Type OF PUMP [3 PXGTXPLANT 0 SANVC)iLr.EPAUTORCCNCLOSFOSYSTEM) <br /> ........................­­­­­.. ................... <br /> ............................ ................................................ <br /> tI <br /> ............. .................. <br /> LENGTHOPUNES—L4 7) <br /> LEACH LINES LEACHING CHAMBERS <br /> DISTANCE TO NEAREST. VVtLL It r-ovi,"TIoNRT'V It <br /> — <br /> Z1 <br /> FILTER BED WIDTH ft LeNGT" ft DEPTHry <br /> ft PRO-ERTY IJNF-- ft <br /> DISTANCE.To NEAREST FOUNDATION <br /> DEPTH <br /> U MOUNDED LENGTH <br /> DISTANCE 70 NEAREST VVELL It. FOUNDATION�—fi PRo?ERTYQNE:__­ ft <br /> it 00v4 ft <br /> WIDTH it <br /> LENGTH, ---------tf--,rr--�­ <br /> 'FOUNDAMCN: ft <br /> DISTANCETOJNIZAREST wreLL ­..4!Q fl, <br /> ft <br /> ,Cj DISPOSAL PONDS tVIUTH ft LENGTH It DEPTH <br /> R FOU413,%TIOM ft <br /> DISTANCE TO NkAkt�; <br /> ❑ <br /> SEEPAGE PITS NuIAl3E7_. WIDrH • It DEPTH w <br /> WELL ft I,6uhmnoisi ft. <br /> DisTANcr TO NEAREST ...... <br /> ROPERTY GALE <br /> ................... <br /> AVE*'" P*R**E,,PARED THISAP PLI CATI ON AND THF:WORX WILLSE.DONF-I'N ACCORDANCE WITH SAN,�O AQUI N COUNTY ORDINANCES, <br /> ANLI q1EGULAIR-ONS OF 0N JOAQUIN COUNTY. <br /> ATE LAWS ANP-RuLEs <br /> u <br /> DATE <br /> T1,L6 <br /> t <br /> AUG 72018 <br /> Rio <br /> �RPV rSERtt,HE AL <br /> UES Tfi <br /> + <br /> Date. L't Area Employee_IDA <br /> ApplicatiOn-Pceepted By. <br /> Date_ _ SP AL PER IT-Approved by <br /> pitiS <br /> to GOP. 0 1: u.mp Sail Ch Ctbr� <br /> Character of Soil th f 3 F <br /> COMMENT: <br /> —pEI Vve d Che'liIII[if AmountPanym, Po rMit Ing <br /> Invoice It <br /> Cash Remitted-Code INFO <br /> ;ONSITE 1AjAsT EAAT ER TR T M INT-SY STVA PERMIT <br /> Received Time Aug, 27. 2018 11 :45AM No, 4043 <br /> .............. ....... ................ ........... ...... .............. ............. ..... <br />