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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT =` <br /> SEN JOAGAN COUff1'ENRROtM.NTAL HEALTH DEPARTMENT 600 E MAN STREET-STOOKTON CA M202-1209)4604420 <br /> NON-REFUNDABLE PERMIT CALL 209 953.7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Jm AOpem19 93o L T'TF MNAN W. L(;--dbl `iSL`Fb A - >� <br /> CRaasmR C L-EYVI E NT S APM 053-P P h PARCH.POE TD A-c. O __ <br /> oWNeN NEE( l^r.L_i.-IAN (�ENDE12GiZh3S PHONE I ' <br /> oLNaRLAnoRILaa•. .f a 30 o E. KF--rT m A'N LA, C"ISTA IM L-Db l CA q S 7-'-f C) _ <br /> «) <br /> cNrITRF�iok LI.vE O K GEO ENy1f2-oh1 rvLENTfr d_ PHoa I09-0317 <br /> ti•, <br /> - enNlFuFiOIeAmREeS '-�D� t.U• OAK 5!-1— nTWBrATvn LOTiI [..4 sjSJ­4D <br /> LICIWSS '!C42, UC4S OTER NUMBER EXPIRATION DATE <br /> WA'RIATABLEDSPTH; R GEDrRiArHICAL INFORMATION: Coordinates % _ Y <br /> i'PEAC TEST f__LBUILDING PERMIT#'___---- LAND USE APPLICATION/)_ - —_ <br /> - TYPEOFWORK: r NEW WBTALL0.TgN ❑ REPAMUMMIT]ON C FJF61RNlEA DE IfiNEO lAL16ANATWE <br /> _ D Rv cw T n DcsTRucnaa <br /> WSTALUTION WILL SERVE: ❑ RLMpE10E ❑ COIO�IC4LL 7 OTM@R <br /> NU LM Um"' NMRIGR OF BEDNIISXRf N]RB6RKEASLOYEEE: <br /> ❑ <br /> CAPAC(!Y YOF CUkTARIMEMS___PEPTIC TANK TwFIMFc __ Da ^ <br /> ❑ GREASETRAP TYWM7G __.. ---_ --_ CAPACffY....... _ gat A0FC0MPARTMEN15_ ___ <br /> dFTANGETONURIST. WELL—-- it FWgAnCM ___ R PRUPERTV LINF _ fl <br /> ❑ LIFi STAT'iON SIZE TYPE OF PUMP O PKG UPUNT O fANDO1L SEPARATOR(ENCLOSE08YfTEM) <br /> O LEACH LINES 0 LEACHING CHAMBERS MOFLINE9 LENGTHCFLNEs______fr <br /> fl 'W'PERrctE•E___. tt <br /> _ - dSTE1K;E TOxW9T WELLft FOWMTRA <br /> la FILTERSED W. ft LeNom _ R OePTN_ — ____._._.—____R <br /> dsTANC6 TO NW"T WELLft FCWUATUN_ R PROPERTYLNR __R <br /> ,. ❑ MOUNDED WBRK __--__--R LENGTH _ R DEPTH___— R <br /> dITANCEMNG T WEIlit POLWOATION R PTNPCRIY LTIF________It <br /> :: ❑ SUMPS Wp1Nft LENGTII______.___ft DEPTH_, it . <br /> dFTAM:6 TO NEAREIT WEI.1.____._ft EOIEIDATON fl PRCWERTY LVE ft <br /> ❑ DISPOSAL PONDS WmtN __R LENGTFI__—_--___---R DEPTH------_ R <br /> dRAMCF TONW!!T Wall__.... R FIXEYUATgN__ _ R PROPCRWLNE <br /> ❑ SEEPAGE PITS NOrw <br /> d6T11NCETONEAREST HELL R Po AnON____--_-R PROPER,LVE__—— _R <br /> I HE RBBY C Ban FY THAT I HAVE PREPARED ME APFUCATION AN O TH 6 NOR K FALL BE MINE IN ACCORDANCE VNTN SAN AAQUIN COUNT ORDINANCES, _ <br /> STATE LAMS AND RULES AND AEOU LATIONS OF ANN JOAQKW COUNTY. - <br /> 1 W <br /> MUW4 HOUR ADVANCE NOTICE REOUI RED FOR INSPECTONS-PLEASE CALL(249)9534597 1 <br /> BONED 7TTLE (SNS vL'ri5 MT DATE <br /> I <br /> lannumm LANE <br /> E� y�I II <br /> o 'li RECEIVED <br /> I <br /> � 1 ROMMElRAL,° <br /> I <br /> EPANTMENTT U/SE ON19/I <br /> Application AeciI0 _ - __ Datel/f/ /�.1G_ Area .__ _—._._ Employee lDM1�Y.✓ <br /> Flnsl lnapemlon BY_ __-____---------------- Dale. ___ 0 SPECIAL PERMIT-APpr Wed IV <br /> Chancellor of SPI]to Depth of S Ft: ParsumP Son Cha cow; <br /> COMMENTS <br /> PE se Racekvad Amount PRTmttI InvdaES Parmttl6i <br /> Coda INFO B CaNM1 RemRlad DaM Some.R ueRE <br /> v 2 o <br /> L2�T <br /> 01,511E WASTEWATER TRTMNT SYSTEM PERMIT <br /> 1WIAIT <br />