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LIQUID WASTE PERMIT RTIC <br /> SAN JOAQUIN COUNTY PVALIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION t <br /> SOLE.WEBERAVES'PFLODR.STOCKTON.CA PSA2IJJNIJ61LJA20 ='E <br /> 1^� NON-REFUNDABLEPR/RVNIITEXPIRES�I YEAR FROM DATE ISSUED <br /> JOB ADDRE88 l 3 53 Q 5C. licdl2fQ A J Am )Q"7-,&W-b7 <br /> PARCEL81'/E:�'l V' <br /> • c vale_ �S�obn BUILDING PERMIT <br /> OWNERNAMR Nit &AA CstQ^jf ADDRCSS <br /> Cm?JP L� PHONE NUMBER <br /> CONTRA M. R_LrP LII FL T�'F 1(/•C ADDRESS Yo SP c <br /> cmairM 4p?./gc 4 1 LA PHONE NUMBER a'3 9-77 7 2 <br /> GEOGRAPHICAL INFORMATION:COORDINATS.X_ v — <br /> 30-IF-RANGE-SECTION-TYPE OF SEPTIC WORK: IN LATIONWILLSERVE: NUMBER OF LIVING UNITS:_ <br /> LI NEW MSTALLATION 1DENCE NUMBEROFBEDROOMS: <br /> P"REPADVADDITION ❑ COMMERCIAL <br /> ❑ DESTRUCTION ❑ OTHER NUMBER OF EMPLOYERS: <br /> ❑ ENGINEEREWALTERNATIVE <br /> CHARACTER OF SOIL TO DEPTH OF3':_ PITMUMP SOIL CHARACTER: _WATER TABLE DEPTH: <br /> ❑ PERCEESI}S) HOW MANY _ APPLICATION# PAYi\/!E_IV ' <br /> *-.`REPTIC TANK TYPEOAFG ?EC_IVEC <br /> CAPACITY #OF COMPARTMENTS <br /> ❑ GH6ASETRAP WPE'MFC CAPACITY #OFCOMPARTMENTS�y�,I) <br /> ❑ PKCTJ(PLANT DISTANCETONEAREFT: W.L_ FOUNDATION YDOPERTY Lw. <br /> ❑ LIFTSTATION SizeSAN JOAJILFJ Cfi'J�VT' <br /> TTI•¢a...MP SAND OIL SEPARATOR(ENCLOSED SYSTEM) P7PoJC IE.41TH SCRJI-[S <br /> 7! LEACHLINE #OF LINES: I LENGTH OF LINES4o pLT,vRCToxwRR.T: WELLS FOUNDADON�o vrtoPPnrr LLu�$1 <br /> INFLITRATORCHAMBERS: :!*Y_ <br /> ❑ FILTER BLD WIDD, - LENGTH_ DEFT,_ RWGNRMNGWF: WELL FOUNDATION_ PP•OPERTV LINE <br /> ❑ MOUNDED WIDTH_ LENGTH IHFTN DMTurLTOx[uuT: WELL-- WUXDATION_ PROPERTY UNE_ <br /> ❑ SUMP6 WIDTH LENGTH_. DEPTH— GnAK[TOxucm: WEL FDUNDATION PROPERTY UNE <br /> 13 DISPOSAL PONDS WIDTH_ LENGTH pEPIX MR:IXRTONGRERf: WELL MIDIDOl �f_ PROPERTY LINE <br /> • V ALEPAGB%TS #�_— pIAN%PR._36 - pERX DREN:(TTONGRM: WELL //�RLAA FOUNDATION i0i PROPERTY LINE <br /> I HEREBY CEROEY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL HE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY OHDINANCEE,SPATS LAWS <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. \ <br /> MINIMUM 2N HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)"11-34MSIGNED: ff ,'t TITLE: Co#I4-(VR-•IeC DATE:0141>J01 f n <br /> i 1 <br /> T._ <br /> I � � <br /> - <br /> - <br /> I — —r �. 1_ <br /> — ... r- —} — —�- <br /> / DKI'ARTMENTLSKONLY p1�1 <br /> AMUCATONA 1f�F D�B./Y:/��J�'_ /� DQA �Z/U E AREA tI'I EMPLOYEE IDI-/f F� p RI LOCATON-v <br /> INBMfiIEOJyY'^J / _DATE/C../ PERMIT FIN44 YM DAT:�ci W <br /> P¢CD[E fCMFO AMp11M <N X RERIVCD DATE p TI MV W..W SERICIp' <br /> uv®voAlsaL <br />