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N -- ONSITE- kSTEWATER TREATMENT SYSTV ERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL---TH DEPARTMENT 600 E MAIN,}dET-STUCK7'ON CA 95202-(209)4685420 NON-REFUNDABL/E-'PQERJM�IIT(''�, T CALL 209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOR ADDRESS -1S(�H�}"[L�Zy IZD CITY/ZIP _� z/�d y CROS::STREET EIrAmz` k-6 APN_C2,?-7-19 n_. Lj PARCEL SIZE LZ�• D m OWNER NAME AVA-P1 L KAAT PHONE lw OWNER ADDR ESS c. CITY/STATE/7H, CONTRACTOR �i.'{6QJ� E+PTI Q�, i( 1C� PHONE Z&Iq /- GJ- ZSSZ CONTRACTOR ADDRESS F., #tCY CITY/STATFAZIP µO DZ (IN Q�Z L b — LICENSE V C-42 ❑ C-36 OTHER NUMBER ,/ 6 EXPIRATION DATE oz-talo') WATER TABLE DEPTH:_ ft GEOGRAPHICAL INFORMATION: Coordinates X y ❑ PERC TEST # $UILDING PERMIT# _ LAND USE APPLICATION# -D TYPE OF WORK: I❑ NEW INSTALLATION LIREPAIR/ADDrrioN ENGINEER DESIGNED IAI-17ERNATIVE yt REPLACEMENT �y 13 DESTRUCTION INSTALLATION WILL SERVE: Ll RESIDENCE COMMERCIAL.�Q ❑ C}TIIER. NUMBER OF LIVING UNIT'S: /� �,.n� NUMBER OF BEDROOMS: 'wr ^ NUMBER OF EMPLOYEES: i➢F SEPTICTANK -rypymFG 1..�l�"�I�j �C{�\Il) CAPACITY . I Z( 00 PI 710E COMPARTMENTS � N ❑ GREASE TRAP TYPFIMFG __ _ — CAPACITY gal #OF COMPARTMENTS DISTANCE TO NEAREST: WELL lC5 t yft FouNDATION L O — ft PROPERTY LINE -7—O ft ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES ❑ LEACHING CHAMBERS #OF LINES ? LENGTH OF LINES t-F'�` ft DISTANCE TO NEAREST WELL Z f-t- ft FOUNDATION I C e ft PROPERTY LINE14'.�f ft ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL_ ft FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH fl LEN,TH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WMTH ft LENGTH_ ft DEPTH ft DISTANCE.70 NEAREST WELL fl FOUNDATION_ ft PROPERTY LINE ft ❑ DISPOSAL-PONDS WIDTH ft LENGTH_ ft DEPTH fl 4 DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft YI SEEPAGEPITS NUMBER L4 W1DTR ,47 It ft DEPTH ZS t fl — / 1 DISTANCE TO NEAREST WELL `D0 r+ II FOUNDATION IS t ft PROPERTY LINE ICLb ft 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MI MI24 R ADVANCE NOTICE.REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 Q SIGNED L TITLE DATE APF/ De9-020-•05 ^� (-•�, _� - - -� _ 60'.30' [043.70• t, x/., 0- Ort •�y BIN STOQ4GE 41'.24' C Rr7l--- AREA j�M, SHOP 7 WATtR WELL . T-Z'ASEPTIC TANK GAS k DIESEL STbR/�`L I 1 12112' / / CRACKER GARAGE T \ TI I ' E /, - 7 w, BUILONG i � 57•-- -11'.1G'\ . RSD• - u '1tk40 \OFFICE 56'x12' F' I c ROOIGATION D�. RESIDENCE�R100' ROCU SHOP 4T � L � I - o 63'.1 10' nc, g?.. STORAGE SHED �ANK.- \ - )X . A ^`� � G� PARKIN PROPOSED ROOF ONLY R STORAGEAREA F \14c�� ' NOTE: ALL STRUCTURES O SpSA p P o AoE ;MEvg ARE EXISTING DEPARTMENT US"N Application AccepteJ By Date J Area Employee ID# _� / Final Inspection Ey _ - -Aj Date 0 SPECIAL PERMIT-Approved by— Character of Soil to Dept f 3 Ft: Pimp Soil Character: COMMENTS V/ G p�1.Gs rJ� ems /l � t LYfiXt/iFZZj i� dC 41 �-- PIE SC ReceWed Amount Date Permit/ Involce# Permit IDN Cud. INFO B Cash Remitted erncc 2/ z �S 33G 42-01 ONSITE WASTEWATER PERMIT 05/302007