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?�3D <br /> O SITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SANJOAQUINCOUNTYENVIR MLNTALHEALTHDePARTMENT 301E WEBER AVE-3"PL-STOCKTON CA 95202-(209)46-3420 <br /> NON-REFUNDABLE PERMIT CAL1, 20911953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS lJ ir.I .`/"1 11t'.j�� -T_,. r••1-' �f�=L'� p 2 C/Hly/L/v� 1 x� <br /> CRUISSTRELT _ 1I�1'�1')/� 1�I r�, APNIC: >•' l.�l <br /> PARCd S1E8 <br /> OWNER NAME Ti IM 17 F, R <br /> PHONE <br /> OWNLRADDRESS CEPY/SIATVLIF <br /> t _ <br /> COMRACF00. �• . : 1� 'J PNpnL r r � <br /> CONIRACIpR ADDRRSS rA' fRY/NTATP/ZIP 1 i /� I` 1 <br /> LICENSE ❑C42 0C-36 OTHER Num E gKry D - (v <br /> WATERTASLCDPYEH:_ It GEOCRAPRICALINFORMATION: CMDfInBtcT X y <br /> PERC TEST N_ "L BUILDING PERMIT# LAND USE APPLICATION O <br /> TYPE OF WORK: ❑ NEWINSTALLATI N ❑ REPAIR/AWITIOry ❑ Encwcw Dralcngo/ALT�InwTlve <br /> ❑ RRPLA E ENT ❑ DESIRUCIEDN _ <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTIILR_ <br /> NUMER OFLIVINO UNOS: NUMB OPB NL O E <br /> ❑ SEPTIC TANK TvrOMFG_ CMACDY pl #OFCOMFARTMENT9 <br /> ❑ CREABETMP TYPFIMFO_ CAPAC Bal #OFCOMPARTMENtS <br /> ❑ PKG TX PLANT DISTwNCLTONEAREST: WELL ft FOUNDATEM R PROYERTY LME R <br /> ❑ LIFTSTATION SIZZ TVPEOFPUMY O SAND OIL SEPARATOR(ENCLOSED SvSTEOO <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS NOP LtHes LENoTN OF LMFS R <br /> OISFANCETO VWRFST WELL ft FOUNDATEM ft PROPERTY UNE B <br /> ❑ FILTER BED WIDTx R LENOTx _ft UEPnl ft <br /> DOTANCLTONGReST WELL_ R FWNUATM ft PROPERTY LME R <br /> ❑ MOUNDED Wm.-ft LENGTH R DPJTR R <br /> a� <br /> DISfANCCTO NEAREST WELL___R iOUNDATKx1 ft PROPdTy tME B <br /> O SUMPS WIDTx ft LENGTH It DOTH R <br /> DIWA.M"NCARESI' WELL R PWM <br /> NDATM ft PROPERTY LE R <br /> (3DISPOSAL PONDS WIDTx ft LENGTH_ ft DEPTH ft <br /> DISTANCETONEAREST WELL -ft FOUNDATMN R PROPERTY LE ft <br /> 13SEEPAGE PITS MNI:MBER WmT1 ft DER" q <br /> DlWANCF.TONY.AREST WELL. A WUNDATIDN ft PROPERTY LME R <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION ANDTIIE WORK WILL BE DONE INACCORDANCL WITH SAN JOAQUIN CODNTY <br /> ORDINANCES.STATE LAWS AVD RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> INIMUM K MOl1R ADVANfE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> DATE o� <br /> td <br /> ED <br /> D <br /> f N N <br /> DEPARTMENT U LY <br /> AppiKRHon A c y -ate 0 <br /> R1PykS Arm 2117 <br /> Empbym lD# .S4 Afy � 99 <br /> FiW lmpec D .YET ❑ SPECIALPERMJT-AppmvTdby <br /> cb.. 'of SOH Io plh of 2 FI: _ PiUS.P Soll CW. r: <br /> COMY3EN1'S <br /> ifc, <br /> _ <br /> PE I 6C RRCTivatl mount <br /> Cabe INp Cvah Rcmirt Dvt IevolmN PBrmR[9BPviq um1N <br /> Lfz.a 52.7 - 93 oG 'U 411 U- <br /> ] <br /> ONSITE WASTEWATER PERM <br /> 12/J <br /> Lu2m <br />