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v� ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMPM JME WEBER AVE-3"PL-SIOCKTON CA P5262 -(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 9517697 FOR INSPECTIONS EXPIRES 1 YEAR FROM ATE ISSUED <br /> JOB ADDRESS } SI frs CIIV/ZIP —fes <br /> T+ j <br /> CROSS STREET (lOL\ cr—up L/J APN� �Oab PARCEL SIM K. pM� <br /> G <br /> OWNER NAM[ &IL !sP'IrAt)/)1 PHONE <br /> OWNERADDRFss Sao% CITWSTATFIZIP <br /> CONINACTOR a Is PHONE L(s 'ams <br /> CONTRACTOR ADDRESS Crry/STATTIZIr T1' a '4 <br /> LICENSE ❑C42 Ll C-36 OTHER NUMBER ERrIGTwN DATE O <br /> WATERTABLr Dmm R GEOGILLMICALINPORMATION: Caoldlneke X Y <br /> ❑ PERC TEST R BUILDING PERMIT# b LAND USE APPLICATION# <br /> TVPEOF WOE New iNBTALLAnoN ❑ RvuR/ADDmon ENGwRER DCBIGNCD/ALTERNAnvE <br /> O RErLACEMENr O DEBTRUMON / <br /> INSTALLATION WILLSERVE: O-RUIDENCE ❑ COMMERCIAL ❑ OTHER �7 <br /> EY'SEPTIC <br /> OF LWING UNITS: n NdMBEROFBEDROOM& M3EROPEMPLOYE63: <br /> E SEPTIC TANK TYPEIMFG ) 'f CAPAcm ItP DO gal R0FCOMPARTMENTS� <br /> ❑ GREASE TRAP MEJMPO CAPACOY gal NOF COMPARTMENT'S h <br /> (3 PKG TX PLANT DISTANCETONGREST: WELL� R FOUNDATION SI ft PROPERTY LINE -)5 t" fl <br /> ❑ LIFFSTATION SDs Tm OFPumr ❑ SAND OILS EPARATOR(ENCLOSED SY6TDM) <br /> i <br /> 2"LEACH LINES ❑ LEACHING CHAMBERS ,P. ROT LINEa1�1 LENOm of LINES (JO R <br /> DIETANCITONEARZAT WELL SQ 1 It FOUNDATION IOL R PROPERTYLINE -Zr"" ft <br /> ❑ FILTER BED Wim R LENGTH R DEPm ft <br /> DHTANCETONGRLTT WELL A FOUNDATION It PROPERTY LME R <br /> ❑ MOUNDED WIDER fl IENOTH ft DEPm ft <br /> ,,// DLSTAHCE TO NGRLT WF1L fl/rOUNOATlf11 R PROPERTY LME ft <br /> IO SUMPS W. R LENGE fl DETN )0� - ft 1 <br /> DISTANCETONGREET WELL IOnI fl FEIUNDATION_Jnl It PROPERTYLINE �JS A I <br /> ❑ DISPOSAL PONDS Wm7N ft LENcm ft DmnH ft <br /> DISFANCETONEARFET WELL ft FOUNDATION R PROPERTY LME R <br /> ❑ SEEPAGE PITS NUMBER Warm ft DEPTH fl <br /> DISTANCETONEAREEr WELLA FOUNDATION R PROPERTY LME It <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> 'I MINIMUM 2e HOUR ADVANCE NOTICE.REQUIRED FOR INSPECTIONS-PLEASE CALL(?(019$3-7607 <br /> SIGNED .NL• TITLE 4)n 4foc f+af DATE <br /> LI <br /> T I <br /> wcu <br /> O Nly <br /> H H E <br /> ( ( DEPARTMEYT 'SE Q <br /> Appllution Accepk y Dvte Am Employee InkVST]_ <br /> FIRM lmpectlonB ❑ SPECIAL PERMIT-Approved by <br /> Chvnrter of Soil to d3 Ft: _ PI(Sump Soo Clunekr: <br /> COM ENTS rlD <br /> PE I SC Rerelved Amount DBk PermlU Invoke# Permll ID# <br /> Cade I. Cbh RMniBed serrke Rmmst# <br /> e1-03-001 ONSFfE WASTEWATER PERMIT <br /> 12TlL1Wl <br />