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Ran <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> Van SAN JOAQUIN CODN'1'V ENVIRONMENTAL HEALTH DEPARTMENT 3BCE WEBER AVE-3-FL-STOCMEON CA 9S202 <br /> -(209)168-3020 <br /> NON-REFUNDABLE PERMIT CALL 209)957-7697. oll INSv TIONS EXPIRES I YEAR FROM DATE ISSUED <br /> rI.NTEACTO.B ADDREM � '-'♦ 5 / - CITYZP �^ N �.f' <br /> C c //' � _ q i. <br /> OBS SiaEEi J L -aJ <br /> All <br /> U J(y \ `� ' y` PARChE SI1S <br /> NER NAME40-1 Y P Lam\ yV I 't PHONE <br /> NER ADDRE95 CITY/STA'1'FILIP J <br /> PHONE 5,1 <br /> CONTRACTOR ADDRESS L ACLS 7f4 f CITY/STATTILIP <br /> LICENSE ❑C-42. ❑C-36 OTHER NUMBER ERPIMTION DATE <br /> W Tva TABLEDc Ov R GEOGRAPHICALINFORMATION: CMEONAehS X V <br /> PERCTEST k BUILDING PERMIT# LAND USE APPLICATION# <br /> 1}1F WORK: ❑ NEW INBI'ALWTION ❑ REPMRIADDITUN O ENCINEERDEBIONED/ALTERNATTVE <br /> Li <br /> REPLACEMENT ❑ OE41'AOCDON <br /> INSTALLATION WILL SERVE: ❑ BEESESCE ❑ COMMERCIAL ❑ OTHE11 <br /> NUMBER OF LIVING UNITS: NUMBEROFBEDROOMS: NUMBEROFEMPLOVEOU <br /> ❑ SEPTIC TANK TYPEIMF6 CAPACOY PI #OFCOMPARTMENTB _ <br /> L ❑ GREASE TRAP TVP . CNACDT PI #OF COMPARTMENTS <br /> ❑ PKG TX PLANT DISTANCETONEAREST: WELL R FOUNDATION ft PROPERTY LME ft <br /> ❑ LIFTSTATION SIZE TYPEOFPUMP ❑ SAND OIL SEPARATOR(ENGT.OBT.DHVSTPM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS #OFLWES LENGTNOFLW1D; R �1 <br /> DISTANCETONEAREST WELL A FOUNDATION R PROPERTY LINE fl <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTx fl <br /> DUHANCETONEARMT WELL R FOUNDATION R PROPERTY LINE ft <br /> V ❑ MOUNDED WIDTH R LENGFN A DEPTH ft <br /> DISTANCETONEAREV WELL R FOUNDATION ft PROPERTY LME R <br /> ❑ HUMPS WHOR ft LENGTH ft DEPTH R <br /> DISTANCETONEAREBT WELL ft FOUNDATION R PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS W. A LENOTN ft DEPTH R <br /> I <br /> OISFANCETON"lim WELL ft FOVIID/.TgN R FROPERTYLINE It <br /> O SEEPAGE PITS NUMBER W.. R DEPTH R <br /> DISTANCETONEAREST WELL ft FOUNDATION R PROPERTY LINE R <br /> L 1 HEREBY CERTIFY THAT I HAVE PREPARED THIN APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTV. <br /> MINIMUJt 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 1209195)-7697 <br /> SIGNED J �� �...-V-r��E-F--- TITLE DATE I - <br /> t <br /> I <br /> IN coWy <br /> VI O M <br /> } DEPARTM17Ap1callen Act % iArw EmPbYm ID53 <br /> e / <br /> Final In'PDHien BY Dow ❑ SPECIAL PERMIT-APPmvcl by / <br /> r Character of Sall to DEPIh of 3 Fl: PIUSOmP Soil Character. <br /> COMMENTS <br /> LPE SC Rtteived CBttNy_ Ammnt Dao Pera4d Invai.la Par�l1O# <br /> Cade INIO B �—C ah RemlRed &rvke GGt# <br /> 62-01-0DI ONSR£WASTEWATER PERMIT <br /> IL2 rzUO3 <br />