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ONSI, .,WASTEWATER TREATMENT SYSTIPERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304E WEBER Ave-3"67,-STOCKTON CA 95202-(M)46"20 <br /> NON-REFUNDABLE PERMIT 1, -AL 209 95;-7697 FOR INSPECTIONS XPIRES 1 YEAR FROM DATE ISSUED <br /> -- G+ <br /> JOBAmmcsS t C"m" <br /> CROSSSTREET -7L >� K- APN.W- bO-SIS PA LL1: <br /> OWNER NAME //!/ L, �V / srd'�h� �--- PHONE i' <br /> OWNER ADDRESS �A71/yC CITVMTATF/LIP <br /> CONTRACTOR - - 5 PHONE y <br /> CONTRACFORADDRFSS Aa/ CrTWVTATEMP / <br /> LICFJISR jdZA2 ❑C-36 OTHER NUMBER ExPIRATION DATE <br /> WATER TABLE DEPTH: <br /> It GUCRAPHICALINPDRMATION. Caordloales X Y <br /> ❑ PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: O NEW INSTALLATIONO RRE-PkllyAnuniON L7 ENGINEER DE GNED/AL <br /> REPLACEM��ElNT__ 17 <br /> z i"k1 A-DESTRUCTION� ///�j �� <br /> INSTALLATIONWILL SERVE; ef-RESIDENCE ❑ COMMERCIAL ❑ OTNLR <br /> NUMBER OF LIVING UNITS: NUMB5 <br /> 1 OF BEDROOMS: �T,,/}�J NUMBFJi OF EMPLOYES; /� <br /> i ;1�—SEPTIC TANK TYPrJMFG CAPACITY P1 NOF COMPARTMENTS I� <br /> ❑ GREASE TRAP TYPFJMFG CAPACITY ` <br /> gal NOF COMPARTMENTS <br /> ❑ PKGTXPLANT DtSTANCRTONEAROST-; WELL-___-..1�� R. FOUNDATION r R PROPERTYLM$- .3fl <br /> ❑ LIFT STATION fife TYPE OF PUMP <br /> ❑ SAND OIL SEPARATOR(ENCLOSED SYmNt) <br /> LEACH LINES ALEACHING CHAMBERS � INY..f/� #OF LINES`� LENGTH OF LINES �0 R <br /> DLS_TANCETO NEy <br /> - L AREST WELL 5 ft FOUNDATION -2-0 It PROPERTY LINE U R <br /> i ❑ FILTER BED WIDTH ft LENcni R DEPITI <br /> I DMANCETO NEAREST WELL ft FOUNDATION R PROPERTY LINE R <br /> ❑ MOUNDED WIDTH fl LENGTH ft DePTH R <br /> DISTANCETONEAWSr WELL ft FOUNDATION R PROPERTY LINE ft <br /> ❑ SUMPS WLD-m fl LENGTH ft DEPTH fl <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE fl <br /> L] DISPOSAL PONDS Wllml fl LENGTH R DEPTH It <br /> DISTANCE TO NF-ARFST WELL� aFOUNDATIONPROPERTY LINE flfl <br /> SEEPAGE PITS NUMBER R DER2r . _ <br /> DISFANCETONEARSWELL � ft FOUNDATIONdVi7 <br /> ft PROPERTY LINE �R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILLBE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND RRGULATIONS OPSAN JOAQUIN COUNTY. <br /> ` NIMU H HOU AUVAN'E NUT CE R�EI)/L1�1 REED FOR INSPP: NS-PLEASE CALL U091953-7697 <br /> SLGNED �Jw� 'TITLE _ +� DATE <br /> S / <br /> T <br /> ED <br /> zoos <br /> COVNTY <br />} pp 91 <br /> R �MELiT <br /> t <br /> DEPARTMENT USE ONLY <br /> Application Accepted By -3"Q Ara Employac 1D# 6 & y�Qq <br /> Flaw Inspection By E3 SPECIAL PERMIT-Approved by <br /> Charaeter oT Soll to I T Ft: PI11Samp Sell Character: <br /> COMMENTS <br /> 2. <br /> PE SC Received Chet Amount Perrldtl <br /> Code INFO By- Club Remitted Date Service uest# ]"voice# PermLl IDN <br /> 11 0 D 3 K <br /> 42-02-001 ONSFTE WASTEWATER PERMIT <br /> 1 <br /> 2=003 ' <br />