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' JUL 15 2014 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> 1 SANJOAOUIN COUNTY ENNRONMENTAL HEALTH DEPARTMENT 1863EHA ELTONAVENUE•STOCKTONCA95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697FOR INSPECTIONS EXPIRES YEAR FROM DATE ISSUED <br /> ,be ADDRESS 11D75 West Larch Road, Dhyyp Tracy,CA, 95304 <br /> CROSSSTRMT T'SwBI APN 212-1T0-eA PARCEL SIZE 2169 Aaes e <br /> ' 20983E-0tb $ <br /> ONNENNAME Willis and Tiny HIII PNDNE ' <br /> OwNFA ACOREss 1.1075 West Larch Road, Cn/STATdZP. Tracy;CA, 95304 <br /> CONTRACTOR AWYIUtl o00EnNIMRI .IM. PHONE 2O 167AM <br /> t CONTRACTORADDREas 4378IAw Rmtl SrorMm.CA <br /> CITYISTATF/Z1P <br /> LICENSE 00042 OCC-36 OTHER CSF/AA NUMBER 8F0227 EKPIRATONDATE IW14 <br /> ' WATERTASLE DEPTH: It GEOGRAPHICALINFORMATION: COOrRIJILH S X J Y <br /> 15PERCTE9T # i WILDING PERMIT# LAND USE APPLICATION It C' d) <br /> TSFE�F G REV!—N�LATON ,] At WTON ENgNEE0. NEO, TERIUIIYE <br /> REPLACEMENT 0 OUT-OFSERNCESEPTCSnORS DESTRUCTOR <br /> INSTALLATION WILL SEINE: 0 REWDENCE a COMMERCIAL 0 OTHER <br /> ' NUMREROF.tMNOUNITS: NUMBEROFBEORooms: _ NURSER OF EMPLOYEES: <br /> Cl SEPTICTANIC TYPEM o CAPACITY - 921 #OFCOMPARTAIENTS <br /> ❑ GREASETRAP TYPEIMI CAPACITY gal #OFCOMPARTjENTS <br /> ' D9TANCETONaSsur. WELL 8 FOUNMTIM ft PROPENNLwE R <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP D PKG UPLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> Q LEACH LINES 0 LEACHING CHAMBERS #OFUNES LENGTHOFLNES ft <br /> DOITANCETONEAREST WELL _ ft FWNMTON ft PROPERTYUNE It <br /> ❑ FILTERSED WIDTH R LENGTH ft .DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNMTWN R PROPERTYUNE H <br /> ❑ MOUNDED WHITH It LENGTH ftDEpm 6 <br /> ' DgTANCETONEAREST WELL It FOUNDATION ft PROPERTY LINE _ R <br /> ❑ SUMPS W.TN It LENGTH It DEPTH It <br /> DSTANCE TO NEAREST WELL R FOUNMTION. ft PROPERTYLwE It <br /> ❑ DISPOSALPONDS WEnH It LENGTH It DEPTH fl <br /> DISTANCETONMRERT WELL R FOUNDATION _ ft PROPEITTYINE R <br /> ' ❑ SEEPAGE PITS NURSER - WOTH ft DEPTH ft <br /> DuANCETONEAREST WELL It FOUNMTION ft PROPEPTYLINE R <br /> 1HERERYCERTIFYTHATi HAVE.PPEPAPEDTHIS APPUCATIONAND THEWORKWILLRE DONEWACCORDMJCCVR SANJOAQMCOUNTYORWNANCES, <br /> STATE LAWS ANDRUIFS AND REGULATIONS OF SANJOAOIAN COUNTY. <br /> ' MINIMUM 24 HOJ ADVANCE NOTICE RE UIREDFOR INSPECTIONS <br /> �.-1PLEASE CALL 209 953-7 97 <br /> SIGNED TITLE Cl-E'J•fXYtj!' DATE' 7/t0 L <br /> 1 <br /> ' SAN <br /> DE PARiM E—NT US�N,jY <br /> Applicadon Accepted By _�.LM.-/.A.�. Date,-11 tll LI{' Area •+r K' EmraoYBe1D# 95�� }45 <br /> t Flrel Inspection By Dare 0 SPECIAL PERMIT-Approved by <br /> Character of Sob to Depth of 3 Fl; PINSurnp Soil Character. <br /> COMMENTS <br /> PE I SC I Recelvetl heckR/ Amount Parmltl <br /> Coda INFO '.B RamlHed Dam SaMce RD est# Invoice# PeRNtID# <br /> 2i <br /> ' 42-01 ONSITEWASTEAATERTRTMNT3Y^fEMPERMIT <br /> u2m12 <br />