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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> I JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304E WEBER AVE-3-FL-STOCKTON CA 95202-(209)460-3420 <br /> N-REFUNDABLE PERMIT Zc i y CALL 209)957-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> -Z Ce' Si n <br /> y.0. `f ��- CrtY2 <br /> JOBABDREEE �1 l e <br /> �4 vV�� �� i APN r L PARCELSUM <br /> LmFANAME V •a- ` PHONE 'G <br /> t-. I CITY/OTATFlL1P - C Z T <br /> ONTERADO0.F5S Y )1 1 <br /> I c PHONE -2,I^ 1 <br /> �r'INTRACT00. , <br /> NTRACTORA ES C IST iF/T.1 <br /> LICENSE <br /> ❑442 O C]b Or N E%nGTION DATE <br /> fl GEOGRAPNIGLINFORMATION: Coor6lnetM % Vy l I f <br /> WATBR TABLE DEPTH: , <br /> PERCTEST M �+ BUILDING PERMIT I, LAND USE APPLICATION$ <br /> ❑ REP.....ORION ❑ ENGINEER DESIGNEOIALTEIINATIVE <br /> 'PE OF WOAK: ❑ C E ❑ DESTRUCTION <br /> ❑ REPLACEMENT <br /> M <br /> INSTALLATION WILL SERVE: ❑ RES IBENEE O COMMERCIAL ❑ OTHER <br /> N O L U N BEDROOMS' NUMBEROFEMPLOVEES: <br /> TELBel MOFCOMPARTMEN <br /> SETCTACAPACITY❑ CREASE TRAP TYPE/MFG CAPACITY Rel 00FCOMPARTMENTE <br /> T PKG TX PLANT DISTANCETONEAUUI WELL R FOUNDATION ft PROPERTY LINE ft <br /> LIFT STATION SIEE TYPEOFPUMP O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS <br /> pOFLMES LENGTHOFLINES ft <br /> DISTANCETONGRM WELL R FOUNDATION R PROPERTY LINE R S <br /> ft IENGTH R DEPTH ft <br /> L :T <br /> FILTER BED WIDTH fl PRMERTY LINE ft <br /> DISTAH[ETO NEARLlT WELL-ft FOUNDATION <br /> ❑ MOUNDED WU. fl LENGTH fl DEPTH ft <br /> DISTANCETONGREST WELL fl FOUNDATION R PROPERTYLME R - <br /> SUMPS W TA R IENGDI <br /> fl DEPTH ft T <br /> DISTANCE TONGREST WELL R FOUNDATION R PROPERTY LINE R <br /> R IENGTH R DEPTH ft <br /> DISPOSAL PONDS YVIDTX ft I' <br /> DISTANCE TONGRPST WF1L R FOUNDATION R PROPERTY LINE <br /> WTOOI fl DEPTH R `_ <br /> 1 SEEPAGE PITS NUMBER R PROPERTY LINE R <br /> DISTANCCTONGRLTT WELL R FOUNDATIONN <br /> ` INEREBY CERTIFY THAT HAVE PREPARED TH <br /> STATE LAWS ANDAPPLICATION AND THE WORK WILL BE DOE IN ACCORDANCE RULES AND REGULATIONS OF SAN JOAQUIN COUNTYWITNSAN JOAQUIN COUNTY <br /> 1 M(h I MUM 24 HOUR ADVANCE NOTICE REQUIRED FOR I NSPECTIONS-PLEASE CALL 1209195)-9691 <br /> ` IGNED�l1 ' _ -- TITLE ISV-ti 'iI-- DATE <br /> zzzzf <br /> s f <br /> IV <br /> Uf- <br /> 1 <br /> T <br /> i' <br /> I l l •�) e � I <br /> 4. <br /> r 4 <br /> t <br /> DEPARTMENT USED LY - V/ <br /> Application Accepted BY Data .i (S Ct' A. Em0loye<IDM S$46 �rCj <br /> Data ❑ SPECIAL PERMIT-APpmvedby <br /> Find lmpnOon PhNon eSail Chander•. <br /> Chmrter 9TSail jo m Depth oT3 Ft <br /> COMMENTS - - <br /> Br. <br /> ------------- <br /> PE 6C Re By CYe9KW Amount Data PermW Invoice Permit Im <br /> CoaReMttel Servke uM# <br /> 2.2e IXFO B c 1'311.-U 2lc-rl.. LL) Nil llp <br /> ONSITE WASTEWATER PERMIT <br /> 12-02-001 <br /> LIy22ROJJ R _. <br /> L <br />