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SU0003887 SSNL
Environmental Health - Public
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SU0003887 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:14 AM
Creation date
9/5/2019 11:16:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003887
PE
2622
FACILITY_NAME
PA-0300332
STREET_NUMBER
9249
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20707013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9249 S HENRY RD
RECEIVED_DATE
7/15/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\9249\PA-0300332\SU0003887\SS STDY.PDF
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EHD - Public
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f ONSIT WASTEWATER TREATMENT SYSTE ;ERMIT <br /> 4 t SAN JOAQUIN CVVNTT ENVIRON1Hf�3 EA LTH DEPARTM ENT 304E WEBER AVL'%1VFF.%TOC KION CA 95202-(209)0611-3420 <br /> NON-REFUNDABL�E9 PERMIT G CALL(209)953-7697 FOR INs?Ec rR)cs EXPIRES I YEAR FROM DATE ISSUED <br /> 53a <br /> JOBAODRUS L4 D I'}G'Np-V -f—lb, �1 CITY/ZI <br /> P <br /> slT Ky,Ai ,��gTeJry <br /> L <br /> CROSS STREET P A API I I — �O IJ _ `yy <br /> '1 PnxrFL SrA: �U 7! hrr} �Qpg N1yI '_ <br /> OwNEx Nnme tonne � <br /> OWNER ADDR Ess <br /> CITY/STATE/ZIPCONTRACTOR s,NL, <br /> PII V.YE ��Iry�ZJ L� <br /> CON'rRACTORAI)DRE.SS 1551 1Q) k��-0fFl7UJPcY fhl6 CITY/STATUZIP 'STOCK-MQ tCA C15Zo5 <br /> Us <br /> LIcLhsE BC-i? 0C-36 OTHER NumuEx '15�15a8 EXPIxATIVN DATE Q44 2,e 1)5 <br /> WATER TABLE DEPTH: h GEOGRAPHICALI.NFORMATION: Cb.1cli vki X S <br /> Y <br /> L ❑ PERCTEST(S) Numn[R DUSE APruCATION: <br /> �- TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ E R;R LERDESIGNfu/Au'ER,vgT1VE Q. <br /> REPLACEMENT ( 1reLIk `j EU ❑ DFSTxLCFIPY <br /> ITNRKZRESDENCE NVMBEN OF BE❑DROOMS: OTHER rT <br /> NWIDF.ROt EMPLOYCS: N <br /> 1} SEPTIC TANK TVrE/Mrc Fik-L',T S-h7G CArnCIIv 3120(- gal A0 ComrgaimrnTs Z � <br /> ` ❑ GREASETRAP TVPF/MFG CAPACITY gal aOF COMpA,nreNTS <br /> L ❑ PKG TX PLANT DISTgNCETONEAREST: WELL (I FOUNDATION Il PROPERTY LINE <br /> L <br /> O LIFTSTATION SIVE TYPE OPPWIP ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> Fl LEACH LINES ❑ LEACHING CHAMBERS I r <br /> HOF LINEti_��- L[NGOI MLINEs �Q R S]' <br /> DISTANCE TO NEAREST WELL 15-0't It FOUNDATION N `Y � 11 PROPERTY LINE �1 It <br /> -- ❑ FILTER BED WIDTII 11 LENGTH R DEPTH It <br /> L <br /> DISTANCE TO NEAREST' WELL II FOUNOATpN It PROPERTY LINE B '3 13 MOUNDED W"I" R LENGTH fl OEM It <br /> DI.CrANCf.TO NEAREST W11.1. II rGUNUAT10x fl VINHPERTY LIN1: n 7 <br /> ❑ SUMPS WIDTH H LENGTH R DEPTH It <br /> DISTANCE DO NEAREST WCLL R FOUNDATION R. PROPER rY LINE R <br /> ❑ DISPOSAL PONDS WIBTH It LENGTH R DEM R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE It <br /> LYY SEEPAGE PITS WIDTHL{2 • LENGTH Il DEPTH <br /> Dlfi'ANCF.TO NEAREST WELL ISDt} R FOUNDATION LI01 II PROPER TY LINE �jt H <br /> I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> IL STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCY.NDTR::REQUIRED FOR N5PCcUONS-PLEASE:CALL(209)953.7697 <br /> SIGNED CTL" s TITLE DATE D aln <br /> L <br /> r c <br /> L / <br /> L <br /> O - p!IJG 5 <br /> +ftlgF- Yv. <br /> I <br /> 4 <br /> DEPARTMENT(ISE ONLY <br /> (r APPllcadon Accepted B Jba� Date- Area 2/I EmplDVice IDp <br /> Fine] By - _ Date ❑ SPECT PERMIT-AD mvad by <br /> Character of Solll epth of EDIPit/Sump Sell haracter: / <br /> COMMENTS <br /> Y <br /> 1 PESC eceked CheckNl Amount Dah, Permill <br /> Code Into BY Cash Remitted ServiceR uV,t9 Invoieeq _) <br /> Y id .r Ztiy 3333 1 1 0 S 1103 S 33-1 <br /> L <br /> 42-01,001 <br /> ¢2N2 ONSITE WASTEWATER PERMIT <br />
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