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ONSITE WA�EWAT'ER TREATMENT SY 'IVI PERMIT 1, <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL H1=.ACTH DEPARTMENT 304E WE13ER AVE -3""FL-STOCKTON CA 95102 - (209)468-3420 <br /> NQ„N--REFIONDABLE <br /> y+�PERMIT <br /> � CALL 209 953-7697 r-on INSPECTIONS E,XPIR S 1 YEAR FROMDATE ISSUED <br /> JOB ADDRESS <br /> CITYIZIP <br /> CROSS STREET <br /> .. AYN PARCEL SIZE �/ �• <br /> OWNERNAME <br /> PHONE <br />`` OWNER ADDRESS �.// �•' <br /> CCTYI$'I'ATE/ZIP 40,0/1 <br /> CONTRACTOR PHONE <br /> CONTRACTOR ADDRESS CITY/STATE/ZIP <br /> LICENSE ❑C-42 ❑C-36 OTHER NUMBER ERP]RATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFOR4iATIONt Coordinates X <br /> ❑ PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> f TYPE OF WORE: El NEW INSTALLATION ❑y LAND <br /> ❑ ENGINEFitDESIGNED/AL'TERNA'TIVE <br /> ❑ REPLACEMENT ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: L RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER Or BEDROOMS: NUhIDER OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG CAPACITY l a'/ gill #OFCOMPARTMENTS <br /> ❑ GREASE TRAP Tl'PE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ PKG TX PLANT I DISTANCE TO NEAREST: WELL ft 1'OUNaATION fl PROPERTY LINE t} <br /> ❑ Ll FT STATION SIZE TYPE OF PUMP ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) (y1 <br /> LEACH LINES ❑ LEACHING CIdAMBERSS� <br /> #OF LINES LENGTH 01=LINTS <br /> DISTANCE To NEAREST WELL_.fvp 1 <br /> ft FOUNDATION- ft PROPERTYLME � ft �* <br /> ❑ FILTER BED WIDTH ft LENGTH It DEPTH 1t <br /> DISTANCE TO NEAREST WELL— fl FOUNDATION R PROPERTY LINE It <br /> ❑ MOUNDED WIDTH ft LENGTH <br /> ft DEPTH H <br /> DISTANCETO NEAREST WELL ft FOUNDATION ft PROPERTY LINE I7 <br /> ❑ sumPS WIDTH ft LENGTH ft DEPTH ]i <br /> DISTANCE To NEAREST WELL ft FOUNDATION Il PROPERTY LINT: It <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH It DEPTH 0 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NumBER WIDTH ft DEPT-ii Il <br /> DISTANCETONEAREST• WELL ft FOUNDATION tt PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL DE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> O DINANCES,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> M141N1M1T HOUN ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED TITLE - ? DATE z I o <br /> INSlAI.L 44 LF 4' - <br /> Sell, 40 VARFLOW <br /> PIPE �-j <br /> pROPEFiIY - EM. -f GAL f <br /> LINE MORDW— 5EP11 TANK <br /> OVTyZT <br /> 0 12.3 MFl. REuovE PIPE <br /> L <br /> CONNPIPE <br /> OYEfIFLOW hiPE 5 <br /> t TU Ex6TINC LEACH FlELU .;"�f. A i <br /> IHSTML 4'.4'OISIRI13UTIDN BUN \ <br /> INS?ALE PU'ELBaW, 12.3 INV, Jt`l3 4 <br /> OUTLET INSTALL12 LP A OFFICE <br /> 11.08 INV 4'SUH.4G PIPE <br /> Trp, INLET, 12.7 IW. IAN JOACIUI <br /> MIN, INSTALL 1200 CAL. l_NVII.(Ol�i <br /> INSTALL 100'LEACH LINE(Trp) SFPIIC TANK - <br /> OUTLET, 12.13 INV, 1-ItE\�f4-I ICI <br /> 100' 0 <br /> $CH. AU PIPE <br /> INLET, I?.US W. <br /> \ \/� INSTALL 15 LU <br /> rFILTER IAAIERIAL C" <br /> �-4`PERFUIZATED PIPE ` <br /> NCI, 25535 <br /> s — io`H _ Lxp. 12-31-05 <br /> _ C <br /> 9T �C 1 V-_1% <br /> OF CALL <br /> rPICAL DISPOSAL I'RENCFi <br /> N,5 <br /> DEPARTMENT USE ONLY <br /> Application Acce drXT- . I/ Date r Area Employee ID# <br /> Final luspccti 1 Sy Date .-"C i-;'-`_ '�;%'j ❑ SPECIAL PERMIT-Approved by <br /> Character nfSol-Depth of 3 t: _ Pit/Sump Soil Character; <br /> COMMENTS <br /> PE SC Received heck#! Amount Permit/ <br /> Code INFO By s Remitted Date Service Request# Invoice# PLfcyiil3D# <br /> (p 4 l d � S (� I C7 --1 , I i" Cr V. — \ .. <br /> IS�'6a--• I \J . <br /> PLATE <br /> 42-02-001 <br /> ONSITE WAS'i-CWATEI(NERMI'I- <br /> I env nnnz <br /> t , <br />