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ANY <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SANJOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEHr 304'E WEBER AVE-.3"FL•STOCKTON CA 45201 -(209)465.342&.ee�- <br /> NON-REFUNDABLE PERMIT t .CALL 209 95,3-7547 FOR INSPECTTOV5 EXPIRES I YEAR FROM DATE ISSUED <br /> JOBAaDYFCC ` <br /> ic, w• Win.+1 CITr/7aP ���•-r'J r Cry JS11 i• <br /> CROSS STREET' APN O 63- (JAI c�.+L PARCEL.SIZE• % 4 v9 <br /> OWNER NAME r'�yyI L—tPT PRONE <br /> OWN.ERADDRESS 1•}rU L✓� �„� % CITYISBATFrLIP ,'T S�YL <br /> I CONTRACTOR PHONE <br /> I <br /> J� COKIRACTOR ADDRERS C11 YISTATP/EIP <br /> LtC£NSE D C42 CJ C-36 OTHER NUMBER EXPIRATION DATE _ <br /> WATER TABLE DEPTH: S GEOGRAPIDCAL INFORMATION: Coordinates X Y <br /> Q PERC TEST a EELDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: © NEW INSTALLATION L] REPArdADD ENGzmuRDe8TCNEDIALTsmATTVE <br /> Q REPLACEMENT DF-4TRUCIION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ comwRdAL ❑ Omit <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> © SEPTIC TANK TYPElMFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ <br /> GREASE TRAP TYPEJMFG CAPACITY gal #OFCOMPARTMENTS <br /> ❑ PKG TX PLANT DISTANCET'ONEARE5r. WELL ft FOUNDATION ft PROPERTY LME R <br /> 13 LIFT STATION SIZE TYPE OF PUMP a SAND OIL SEPARATOR(ENCLOSM SYSTEM) <br /> ❑ LEACH LINES Q LEACHING CHAMBERS #OF LINES LENGTH OF LJNrs It uV <br /> DISTANCE TO NEAREST WELL ft FOUNDATION 11 PROPERTY LINE <br /> 0 FiLTERBED WIm ft LENGni fl DEPTH R R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE ft <br /> Q MOUNDED WIDTH ft LENGTH ft DEPTH ft �a <br /> DISTANCE TO NEARFSF WELL R FOUNDATION ft PROPERTY LME ft <br /> CI SUMPS wmaw fl LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE <br /> ❑ DISPOSAL PONDS WmTR ft LENGTH - ft DEPTH- R t <br /> DISTANCE TO NEAREST WELL 'R FOUNDATION 'R PROPERTY LINE ft <br /> CI SEEPAGE PITS NUMBER WtD771 ft DEPTH R <br /> DISPANCLTONTAREST WELLIt FOUNDATION R PROPERTY LINE R <br /> I HEREBY CERTIPY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL SE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES.StATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HO A V NCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 4209)953-7697 � <br /> _ <br /> SIGNED .���^ TITLE DATE r l 1 <br /> up <br /> ZT <br /> �r <br /> LIA <br /> I ti <br /> 5 � <br /> DEPARTMENT S 9^II,Y <br /> Application Accepted Date ( Area Employs IDN 3 b b <br /> Final Inspection Dale /0 &415❑ SPECIAL PERMIT-Approved by <br /> Character of soilto Depth of 3 FI: Pit/Sump Sail Character: <br /> COMMENTS bCHV4e un, r-4r-4 _ u 121r3� �,AT lrs .L E.. t<SA <br /> `/"}I f.S T iE2/••C f T S /Y �'.O A(.S rd-A-T1A-77x3�J=Q s LLE- [/- V +`�1t- LG.�i.[c F <br /> S ti Ca vei amu. [.ori 174+�IJ <br /> PE SC Received ccldFI Amount Date Permitr IRYolee a PermH Ina <br /> Code INFO 8 Caah Acndtted Service Request# <br /> .2.a 7.5' `F lou•4D pSnd &0 <br /> L) ��q(_. • "rte d S oc,>ti>& <br /> 42-02-0D1 1-2-,o til r^� Q� �4!�i-I�� �'� �' NSt7E WA51'EWATER PERMIT <br /> tIrzZ11003 ��¢�.�STTz�1+9S �D 7LO.�At. C-k+�+@- -s I`CAA 0%7 ' �-� -( } <br /> fr.�11J ,irrw ,v�rg a`u6i��rc Fca ,4t*uSE t7w�tlf=� m s .�BP As+4P FaR <br /> s <br />