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pr`,"i ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COrfMY ENVIRONMENTAL NEw1.111 OEPwRTMENT 304E WEBER AVE-J"FL-STOCXTON CA 95202 -(209)46$-3420 <br /> NON-REFUNDABLE;P,E^RMIT CALL 209 953-7697 FOR INSPECTION_% EXPIRES 1 YEAR FROM DATE ISSUED <br /> LIOIAD 74b.2- 5'. Ja1 , Tnrw Td aTv21PN�anfecA q_S3. L a <br /> APN -4515-42.30-0 IPARCEL$1]LpoII' dharleem A 'fe/ PHONE42pq)599- Y5G5-'a rO� S,AJaek Intl kA CITY/STATVLp tda.MfeCA 94336 <br /> PHONE <br /> CONTRAETOR ADDRESS CTY/St Ulu �� <br /> LICENSE CI C42 OC-36 OILIER NUMB <br /> EXPIRATION DATE <br /> _ <br /> WATER TABLE pEP1M: R GEODRAIMICAL INIA)ILNAl10N: Coardl0alH % y <br /> ❑ PERCTEST X BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: O NEW[NETALIATRJO ❑ REPAIR/ADOO EXGMEER DLSICNID/ALTRRNATM <br /> 13 REPL. crmtm IIiONDwrRUDTION <br /> INSTALWTION WILL SERVE: ❑ RISIDENCE ❑ COMMERCIAL ❑ OTHER_ <br /> NLMBER OF LIVINO UNITL: NfiMBER Op RP.pRO0µ9: NUMBERO E PLOYEER• <br /> ❑ SEPTIC TANK TvpUMFG_ CAPACITY 941 OOYCOMPARTMEWM <br /> ❑ GREASETRAP TYPEIMFO CAPACTIY pl 00FCOWARTMENTS <br /> (3 PKG TX PLANT DITTANCT.TONEAREar: WELL ft FOUNDATION H PROPERTY LINE ft <br /> ❑ LIFT STATION Sue T)mEOFPuMP ❑ SAND OIL SEPARATOR(ENCLOSED SYBTLM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS 00F LDIES LFNOTR OF LNFS ft <br /> DIITANCE TO NEAREST N'FLI. R FOUNDATION R PROPENIY LINE R 1 <br /> ❑ FILTER BED WIDTHR LENUIII _ft DEPTH it Op <br /> DvuT cETONEARJ= WELL R FOUNDATION_ R PROPERTY ENE R <br /> ❑ MOUNDED WIDTH ft LEN= H DEnH B C <br /> DISTANCETONEAREST WELL R FOUNDATION R MOPERTYLNE ft <br /> ❑ sumps Wlmx R LENO'nR ft DEPTH R 17 <br /> DvMANCETONEAREST WELL___ft FDUNOATION R PROPERTY LNE R <br /> ❑ DISPOSALPONDS WIDTH ft LENGTH 0 DEPTH ft (1 <br /> DIETAVCETONEAIIPST WELL -ft FOUNDATION R PROPERTY LNE It <br /> ❑ SEEPAGE PITS NUMBER WIDTN R DEnH R (` <br /> Du,TANCETONGNFSf WELL ft FTAINDAT1nN R PROPERTY LINE ft SCl/ <br /> IHLREBYCERTIFVTHAT I NATE PREPARED THIS APPLICATION AND THE WORK WILL REDONE IN ACCORDANCEWITN SAN JOAQUIN COUNTY Cr <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. C <br /> _ MINIMOMNHOUp ApVANCENOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> StCNEp_ Es[, (r/jL �I7Gp2�A�pd TITLR_1�LAYj A- DATE vZ <br /> Ila I <br /> T <br /> i� <br /> H E <br /> DEPARTMENT 9E0 LY <br /> Applimi..Accepted By f---- Data f Z-1 U$ Arra 21 8 Employee IDR SSY 9 e <br /> Final Inspection By Data 2 / QC ❑ SPECIALPLIMIT-AOpmvodlly <br /> Chaneter of Soil to Depl6 of 3 FC plusump Sam CMraeter: <br /> COMMENTS ul.r7T c,.J DF rO,�Sr o6Asc,E q SJa,�+a?2 // os <br /> I — <br /> PE 9C Recalvad Amount eH SMNcarml mst0 Ivvake0 PerMtIDO <br /> Code (NPD h emllPrd <br /> µ1.sl .Lr� 1 :L'0 q f L`. <br /> 42�-0DI ONSITE WASITWAI ER PERMIT <br /> 12OY2003 <br />