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1074A ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUN COUNTY ENVIRCHMENTAL HEALTH DEPARTmew BDO E MAIN STREET-STOCKTON CA 9=2-(2DB)4SB-M2O <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED I <br /> JCa ADDRESS CRYRIP I <br /> CROW STREET�r r �C-eF - APH C V�+ � PARCEL S¢! � r <br /> l OWNER NAVE 7nrAfY0+6_" So L*,d'{ PHONE <br /> OWNER ADDRESS CITY;STATE21P <br /> CONTRACTOR PHONE <br /> CONTRACTOR ADORBea CITYISTATEl.CIP <br /> I <br /> LICENaE Kc.42 I7C-SS OTHER NUMBER„A 5eC' E%PIRATIONDATF 67='iJ-/6. <br /> I <br /> I <br /> WATER TABLE DEPTH: ft GROORAPNICALINFORMATMN: Cvvrdinatee % Y FERC TEST N -� BUB.DING PERMIT# '� AND USE APPLICATION# <br /> TYPE �R�Z FTEW�NBYALLATION p REPAtWAnomON 11 ENGINEER DESIGRED tERNATNE <br /> O REPLACEMENT O DESTRUCTION <br /> WSTALLATIONWILL SERVE- R RESIDENCE 0 COMMERCIAL 0 OTHER <br /> XMISEROF WERGUNITS: HUMMER OF BEDROOMS: NUMBEROFEMPLOVERS: <br /> SL SEPTIC TANK TYPENFG CAPACITY 1Glad ON #OF COMPARTMENTS <br /> Q 6MEASETRAP TYPEAMFD CAPACITY BBI #OFCOWARTMENte <br /> BtswiOe TO NrAREar. WELL fl FOUNDATION ft PROPERTY LINE k <br /> I] LIFT STATION SIZE TYPE OF PUMP (3 PKGTX PLANT O SAND OIL SEPARATOR JENCLOSED SYSTEM) W <br /> W <br /> LEACH LINES JH-LEACHIMOCNAMBERS 312NOFLINES LENGTH OF LINES. 4O k P� <br /> DISTANCE7ONEAREST WELL /Sd' ft FOUNDATION__-5S&'. ft PRDPERTYLIxE ,!d&f fl +'` <br /> CI FILTER13ED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCETONEAREST WELL fl FOUNDATION R PROPERTYLOIE ft <br /> Q MOUNDED WM14 ft LENGTH ft DEPTH ft <br /> - DwANCETC NEAREST WELL k FOUNDATION fl PROPERTY LINE n <br /> E O SUMPs WmnR k LENGTH fl DEPTH n <br /> DI6TANCE TO Nx&nwT WELL ft FOUNDATION ft PROPERTY LINE k <br /> 13 DISPOSAL PONDS VIRMN k LENGTH ft I)EPM h A� <br /> DIaTANCE TONE wx7 WELL ft FOUNDATION It PRMRTY LINE $ (� <br /> Ef- SEEPAGEPITS Nmow- - 1 WON "' 11 k DEPM_L'�r�P _ft <br /> r- DISTANCE TO NEAREST WELL_' �ft FOUNDATION_ /L�� ^ft. PROPERTY IJNE_„/QZ,�_ft <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THEWORKVALL BE DONE IN ACCORDANCE YNTH SAN JOAQUIN COUNTY ORDINANCES, f <br /> A STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY, <br /> I MINIMUM t4 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(109)9142-7897 <br /> ` <br /> SIGNED TITLE DATE <br /> L <br /> 1 ? <br /> I'CL71.- <br /> It <br /> i <br /> I <br /> i <br /> s N <br /> DEPARTMENT UPC 9MLY <br /> Appllcm n Date � a8' Area <br /> Employee tDN �qY� 49 <br /> Final Inapaction Date ❑ SPECIAL PERMIT-Approved by <br /> Character OtS011to pth o!9 Ft: Phmwnp 8011 Chmater. <br /> COMMENTS 0 L -4T o"c-e, ' r <br /> I, PE SC Received AMD-, Perrrrft! <br /> Code INFO D Itted Data 12QTYIt�o__ <br /> Meet# Invoice N Permit IDN <br /> 4Z(Z (r7 t4 q so. ..Tse <br /> a ' <br /> 42-01 <br /> l' I 704107 `.- OWITE WASTEWATER TRTMN7 SYSTEM PERMIT <br /> i <br />