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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 2868 E.HAZELToN AvENUE-STocKTQN CA 95205-(209)488-3420 <br /> NqN-REFUNDABLE PERMIT 1i CALL(209)953-7597 FOR INSPECTIONS EXPIRES 9 YEAR FROM DATE ISSUED <br /> JCB ADDRESS ) / /1 f� �• "' CITY,2IP .".7 p/ �,_I^ >�_• -.r.__.-.______ : :J <br /> CROSS STREET_,l„ ._� - __'` `'`� _.__.. APN-{y-i-Z'-�_ t _-__ -PARCEL SIZE_ ; =_ _ <br /> - = <br /> j OWNER NAME PHONE - <br /> I <br /> OWNER ADDRESS <br /> CONTRACTOR ) ` �.L_��'_�_.-PHONE <br /> . „W:�__._.___......_.!j CITYI$TAT£fZIP <br /> CONTRACTOR ADDRESS .`..._....__;..:.__. _.._�_-- <br /> LICENSE .I( .C-42 C-36 OTHER :...� NUM CP .; �// ..EXPIRATION DATE_­­­­ <br /> . <br /> ATE_.,,,,-__--_..,-_..._.___ <br /> ._.__..._-____....... __..._ <br /> WATER TABLE DEPTH:.-__�_,,.,�,_,__-,.•„_,- 't GEOGRAPHICAL INFORMATION: G0*rd1nat0$ X_�•__. <br /> FERC TEST # BUILDING PERMIT# L f• ,LAND USE}\PPLtCATtCN#--_- - <br /> --­__::71z _=--=_ <br /> TYPE OF WORK: Ar_ NEW INSTALLATION REPAiRIADDITION ENGINEER DESiSiNEp JALTERNA7,Y1< <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> �_._-INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL gTHER <br /> ...._�»._......_._. ___ - <br /> I NUMBER Or LIVING UNITS: NUMBEROP BEDROOMS:.-__ NUMBEROP EMPLOYEES. <br /> _...__.�_.....�_._. _. <br /> SEPTIC TANK .h"r'.; .---- C�+:>:,;",-� _.� <.._✓ gal #or C,)MPARTME%T _ <br /> 7 GREASE TRAP Tr:>I,:?I a CAVAC: -_. gal <br /> DISTANCE TQ NEAREST: NJ.::. __.;- (t F,�A OA :7?I_..__.,;�._.:..._.--... if PROP`. :.UNE: <br /> LIFT STATION SIZETYPE Of PUMP -_LI PKGTXPLANT ❑ SANO OIL SEPARATOR tENCLOSEO SYSTEM <br /> LEACH LINES LEACHING CHAMBERS_ 0':1F t .I .__�„s_.._ LENCY H OF ,N 5 ,� <br /> q <br /> r <br /> DISTANCE TO NEAREST b,ELc ft DATION /�'� ft `- -. -- <br /> JFILTER13ED WDTH-..__._..-.__.__._...._ft LE^ri3r:*_- __ _ ___ .J,.ft DEPT., <br /> DISTANCE <br /> f` <br /> DISTANCE To NEAREST W£LL_. .. IT _»LINDA'lTON- PT;^'"'IT"'..:'°E- n <br /> -J MOUNDED WIDTH It LENtYTN <br /> DISTANCE TO NEAREST- ..r.. ft'">t;NL'n T',ON ftrRO�Eu.A.;t.'?:E __ <br /> J SUMPS <br /> WIDTH 8.:"LENGT- ft DtPTt:....._.___ <br /> ..__..__......�...._-_ _.__.___..._________._.. --.- : <br /> .. <br /> DISTANCETO NEAREST lk'E11. If .'UhtDATiC7N ft PROPERTY UNE <br /> C] DISPOSAL PONDS WIDTH ----„�„R <br /> DISTANCE TO NEAREST '.TELL .-_ IT <br /> J SEEPAGE PITS NuMaER,W. WIDTH <br /> DISTANCE TO NEAREST -" It r l,?. a <br /> EREBY CERTIFY THA.i HAVE PRE,AR.:;)THIS APPLICATION AND T'HE VVORK V%LL 8E T)ONE INACCORDANCE W11H SAN JOAQUIN COUNTY ORDINANCES, <br /> S''A tE LA'.NS ANC RULES AND REGULAT;DNS OF SAN JOAQUIN COUNTY, <br /> MINIM06 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2O9)953-7697 <br /> S,GNED •-/ .•r' "s�-":y i✓+_✓' -,,,_ TITLE_ DATE r _ <br /> t I <br /> i <br /> I <br /> t �} <br /> "lot <br /> 0+� <br /> Nf <br /> _) } 1 <br /> I I 1 i 1 i 1i. f _ .. <br /> 1 � <br /> A PARTMENY SE.0NLL - <br /> ..-.1 �_%.Y. _ pate �"� 17 Araa Emptoyee iC>tr � 5✓� <br /> -Y' <br /> Application Acceptad By ._..Z_. -- <br /> Final Inspection By f_- .-=l �y! DaW_:?� � /L SPEC3AL PERMIT-Approvedby <br /> __ <br /> Character of Sod to Depth of 3 Ft:--_, PIUSurnp Soil Character:- <br /> -, _ <br /> COMMENTS <br /> PE SC Received , Chac Amount Data Permit! , <br /> j <br /> invoice# Pamtii ID# <br /> Code <br /> GNSITE VjASTEVVATER'.R T MNT SYS'T'EM PERM[ <br />