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�.,cj; <br /> LIQUID WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH WAVICES ENVIRONMENTAL HEALTH DIVISION <br /> SOi E.WEBER AVE B"'FLOOR.STOCKTON,CA 05142 LUN)461.3420 <br /> ))'''')) �� .� NON-yRUJTNDABLE PERM IT 11111111/11EAR FROM DATEELIISIBLRD 2A <br /> JORADURESS�Lf�1�1LXGCJAL,.1f.V•( 'YIN APN ,1 Cl-INO- F ( PwRCELEIZL / ", <br /> • fmmP lmT`Ml1Q-yy)Y..)�T 4lrnn NV5 BLTLDmc PERMIT nOn \'1 gr6 <br /> OWNERNAME pl <br /> /JA1o_. <br /> CRwFIPXl� eillLi - --o—wilual <br /> PA <br /> HDODN0.EFNUMBER ' <br /> 1-7 <br /> CONTmAcrok <br /> LT--()//7''PT /•.Y 7FY l ('w ADDRESS <br /> L:I YrInr1 PJ.A4zN_Lgaa �,K6'rr�Q a�•� PHONE KUMRFA CQCFT> `J -J- NGDb <br /> GELN:NAYHICAL INFORMATION:COORDINATES X__ _____ T TOWNSHIP__NANOEBECI'ION_ <br /> TYPE OF SEPTIC WORK: INSTALLATION WILL SERVE: NUMBER OP LIVING UNITS:_ <br /> ❑ NEWINSTALLATION ❑ RESIUCNCU NUMBER OF BEDROOMS: _ <br /> ❑ RFPAIWADDITION LTIMMERCIAL ryUMBEROF EMPLOYP.KS: <br /> ❑ DESTRUCTION ❑ OTIIER <br /> ❑ FNGINEERED:ALTERNATIVE <br /> CHARACTF.ROPSOII.TTIDEPTHOFJ': PIT/SUMPSOILCHARACfER: WATER TABLE DEPTH: <br /> O #ERCI'ESTIS) HOW'MANV___ _ _ APPLICATIONS, ,.-- <br /> ❑ SEPTIC TANK TYPErMFG CAPACITY_ #OFCOMPARTMENTS <br /> ❑ cnwr TRAP TVPFWFG CAPACITY NOFCOMPARTMENTS <br /> ❑ PKITX PLANT DISTANCE TO NEAREST, WEIJ._ FOLXDATION.-, PROPFRTYYNE� <br /> Cl LIFT STATION SIZE TYIbWPL'W SANDOIL SEPARATOR(ENCLOSF.DSYSTEMI,-,_-, <br /> ❑ LEACH LINE ROFLSNES:_LENGTlIOFLINES:_ oWTAnca TaNMRL::T: WELL_ FOUNDATOry PROPERTY LINE_ <br /> INFLtTRATOR CTIAMBCRS: <br /> ❑ FILTERSED WIDTH_ LENGTH_ DFPIH__ wnTArr'FTO xaiuR(: WELL_ FOLNUATION_ PR0PH.l.INF_ O <br /> ❑ MOUNDED WIDTH_ LENGTH_ OEM_ Dl,iY ITOHGRLR: WELL_ FOLXDATION_ PROPPRTYLINE_ <br /> U sumps WIDTH- LENGTH_ DEPTH DI!PINICTONF.T; WELL_ FOUNDATION_ PROPERTY LINE_ v <br /> ❑ DISPOSAL PONDS WIIFTN IVKUFK UEPTH_ DIATOEXTDNMRUT: WELL_ FOUNDATION_ PRINERTY LINE_ <br /> • EEEPAGEMTS R -L DInMRIR OPPIN /Gj epinnt'nontARpl: WELL FOUNDATION_ PRORATY LINL_ }} <br /> IHEREBY CERTIFY TATI VE PREPAREDTMAPPLIIDON EACCORDANCE WITH SAN JOAQUINCOUNTY ORDINANOF$STAT[LwWS <br /> "DRCLENAND ROGVLA'OOM OF5AN JOAplltl ,L <br /> COUNTY. <br /> NI ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CAW,42MI ES&02l <br /> SIGNED: _TITLF.:1 fA 3zoe'r DATE:_ <br /> t F <br /> T � b <br /> 8AN JOAOUll I COUNTY <br /> NVI ONMENTA.L HE4 LTH DEPARTMENT <br /> PECIAL PERMIT <br /> // 7 <br /> 41, <br /> V, �o .,REC.`EIVEL'♦! J�daK wa PT` . <br /> I <br /> DEPAITTMENT)USf ONLY <br /> APPLICATION A{i'E W BY __ DATE C} 1- AREA,2-/LFMPLOYEE IDI 9DWRICW,-7LOCATKRY-ff <br /> INEPECTEDBY: DATC PERMIT YINAI.D YFSOATC• I OHL I/�ya COMMCNTE:,fi.b.O[ in.. w J. (��p1A �u}q(FLNy "J IOC1 W11� Ql� L .x<�yPM'l 4i__ <br /> —A-�u�a;t�Pj•(j�i.Ull al>.,, vava. Lr�s�lI�2AIv( �'f�p[�'��.,�Tx �a?� aS�efa„�G`� <br /> PE TOOL Lyr O <br /> .DUN, EC ASM AF{F.Nin DATL' <br /> IHNI I. <br /> P4MIi6EpVKh 0.E0DfiSTY IN Cb E <br /> p <br /> `f71 s 2`0 � �-�c,' 07lz <br /> RLYiED.Iy+I — <br /> I <br />