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ONSITE WASTT `ATER TREATMENT SYSTUI PEWM ` <br /> SAN JOAQUIN COUNTY EN1'IRONMEN'TAL IIEALTH DEP.i r•I ME:NT 304 E WEBER AVE FL•STOCKTO95202~ 7�Z2. D <br /> _ (209)468-3420 <br /> NON-REFUNDAIILE PERMIT CALI.(209) 953-7697 FOR INSPECTIONS EXPIRES'l YEAR FROM DATE ISSUED <br /> Jon ADURFNS _ G�_'4,M4� //.�. 1Jf CITY/ZIP <br /> ('ll(ISSS1III 11r 1 APN rh�2)L) ZYj PARCELSIZE �• �/� C<<—l.t� o <br /> (IltN11tNA�t1. JIM ' <br /> _ I IIONF; <br /> 0%NNF,RAimlasS _ , 171 �'�(U 1 CrrY/STATL/ZIP <br /> CONI RA(-I'OR V(,'r U �U i1 l5�.i.Ill�"� PHONE /JO 7 — �-70 F jW <br /> CONTRACTOR ADDRESS I�tA�5{-L1� �1 CITY/STATE/ZIP 1-UG�I /C s( / 9 S-Z L/U . <br /> LI('E:NNt: ❑C-42 ❑C-36 OTIIIiK _ NuMnt:R EXPIRATION DATE <br /> WATER TABLt:DFi,rw Il GEOGRAPUICAL INFORNIATION: Coordinates X Y R <br /> PERC TEST(S) Nl1MDER LAND USE APPLICATION# — S--p <br /> TYPE 01:1VORK: ❑ NE%v INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE �1 <br /> ❑ REPLACEMEN"r ❑ DF.s"I'RUCTION 0 I <br /> INSTALLATION WILL SERVE: ❑ Rt:SIDENCE ❑ COMMERCIAL ❑ OTHER 1� <br /> NlirInEat OI"LIVING IINI'I:ti: -_ Numnl•;R OI:111'.Illtl)ONIS: NUMBER O1:ENIPLOYEES: -- <br /> ❑ til•:I'l IC TA NK Tv I'1/MIt: l'AI'A( 111' gill 11 OF COMPAK I MEN TS <br /> LJ (ilILASE TRAP TYI'11Mlli _ -__ _ _ CAI'ACIIY _ gill #01:COMPARI"MEN IS <br /> ❑ PKC TX PLANT DISTANCE TO NEAREST: WELL fl FOUNDATION it PROPERTY LINE it <br /> ❑ LIFT STATION SIZE TYPE:OF Punm ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES ❑ LEACIIING CIIAMIIERS #of LINES LENGTH OF LINES Il <br /> DISTANCE'r0 NEAREST WELL Il FOUNDATION R PROPERTY LINE fl <br /> ❑ FILTER IIED WIDTH ft LENGTU R DEPTH tl <br /> DISTANCE TO NEAREST WELL fl FOUNDATION Il PROPERTY LINE fl <br /> ❑ MOUNDED WIDTH fl LENGTH n DEPTH Il <br /> DISTANCE TO NEAREST WELL Ft FOUNDATION R PROPERTY LINE R <br /> ❑ SUMPS WIDTH Il LENGTH fl DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION fl PROPERTY LINE fl <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL fl FOUNDATION R PROPERTY LINE ft <br /> ❑ SEEPAGE PITS WIDTH ft LFNG*ni R DEPTH it <br /> DISTANCE'r0 NEAREST WELL It FOUNDATION R PROPERTY LINE Il <br /> 1111•:REHY CE R'l1Fl•TIIAT I IIAVE:PREPARFA) I HIS APPLICATION AND•1'111•;WORK WILL BE:DONE.IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE:LA1YS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> M IMIIM I II(IIIR ADl'AN(' ;/N''O'I//'ICI ill: IIIRED FORI NSPECTIONS-I'Lk;ASk;CALL(209)933-7697 <br /> SIGNED <br /> *L— TITLE � �Z' v • DATE ! Z e <br /> it ••• tSR4N+a_O•�ice (;� .l <br /> 7; r' - :1 <br /> od 1` N <br /> s 30 NS L <br /> 0=NIL h.rIIL <br /> I I I 1 1+ <br /> SlIE LAN <br /> \�M= vV�y <br /> DEPAF7TI11ENi'!' 11S ' NLl' (/ <br /> Application Accepted13y . Dafc f 42--as Arca � � Employee ID# <br /> Final Inspection IIy D a I e /M ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to De of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS � S,7Ziii+"SYS /iS .� ��t�1 �f �zY�' ia2[�.r� To��/ftG <br /> PE SC Recehrd (heck#/ Amount Permit/ <br /> Code INFO IIv Cash Remitted Dale Sersice Re uc%I# InvolCeN Permit ID# <br /> %Ieo <br /> -02.111.(III I r1 <br /> ONEITH WA$TEWATCR PERMIT <br />