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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUTN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 E MAIN STREET-STOCKTON CA 95202-(209)468.3420 <br /> NON-Rut. (DAwx PF.RmIT , CALL 209)953-7697 FOR INSPECTIONS EXPI•,RFS 1 YEAR FROM DATE L%LED <br /> • JOB ADDRESS 2 {,t) S V L� CTTY/ZIP CA <br /> i Cum STREET 1' APN r' PA <br /> RCELLSIZEE <br /> M !� •�1 ,y <br /> OWNER NAE �G,.yAt�, V$1 M—A µCF694*6W WAR PHONE 5-11? <br /> OWNERADDRESS (�I'� r L.�n CITYP$TATEEMPP(� / <br /> 1 CONTRACTOR lJW N 1'�-- [AC Q PHONE 1'_/7- <br /> CONTRACTOR ADDRESS ` R1�+ N5 R CxJ� CITYJSTATVZFP !}/& <br /> LICENSE ❑ C-42 ❑ C-36 OTHER NUMBER E%PIRATIONDATIZ <br /> WATER TABLE DEPTH: A GEOCRAPIucAL LNFoRMATIoN: Coordlnates X Y <br /> �PERC TEST # BL7LDING PERMIT# _ LAND USE APPLICATION 9 <br /> TYPE OF WORK: NLW�ATIoN REPAIRIADDTTION 0 ENGINEYR DESIGNED IALTRRNATIVE <br /> 0 REPi,A=m8NT Q DRSTRUCTIoN <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE COMMERCIA/Ly El OTHER _ <br /> NUMBER OF LIVING UMTS: YUMBER OF BFDROOMS: y NUMBER OF EMPLOYEES• <br /> ❑ SEPTICTANK TYPE/MFG CAPACITY gni 40FCOMPARTMENIS <br /> O GREASE TRAP TYPLWFG CAPACITY 881 #Or COMPARTMPNiS ' <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION _ ft PROPERTY LINE $ <br /> Q LIFT STATION SIZE TYPE OF PL"P Q Pm u PLANTQ ND OH.SEPARATOR(ENCLOW ST¢Kj <br /> LEACH LINES O LEACHINGCHAMBERS #oeL04M LENGTH of LxNEs 2 - ft <br /> DISTA}iC$T'CI NEAREST WELL, '• -$ FOUNDAT]ON $ PROPERTY LT.VE <br /> O <br /> FILTER BED WlDlti ft LENGTH _ft DEPTH ft <br /> DISTANCE TO.NRAREST WELL_ ft FOUNDATION It PROPERTY LIME R <br /> 13 MOUNDED WIDTH Ik LENGTH w $ DEPTH $ <br /> DISTAN M To NRAREST WELL ft FOUNDATION ft PROPERTY LAZE $ <br /> O SUMP5 Worm ft LENGTH_ Pt DEPTH ft <br /> DISTANCE TONEAREST WELL, ft POUNOAT?ON ft PROPERTY LINE ft <br /> O DISPOSAL PONDS WIDTH ft LENGTH $ DEPTH $ <br /> DISTANCE TO NEAREST WELL _ FI FOWDATMN _ ft PROPERTY LINE $ <br /> Q SEEPAGE PITS Nmaoaa WmTg _ ft DFJ'lTi {} <br /> DISTANCE TO NEAREST WELT. ft .SOINDATWK ft PROPERTYLINE ft <br /> I HEREBY C TI VE PARED THIS APPLICATION AND THE WORK WILL HE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> CFS,STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> UR ADVANCE NOTICE REQIrjRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED <br /> TITLE DATE <br /> DATE <br /> i <br /> r <br /> i <br /> r <br /> .31FIC NI 10 TA <br /> PARTMENT JOSE <br /> Application Accepted By r Dnte Arta Employee[D#, <br /> Final Inspection by. ._ �-� 13 SPECIAL PEP-MIT-Approved by <br /> ChanatcolSriil De ef3Ft: P, Soil Character: <br /> COMMIENISafl <br /> PE SC ReaeWed Ched* — ~ <br /> Cade INFO B RAwe d Dau — Scrlhcar�sect# Involvtj e# Permit IDM <br /> 42.01 <br /> OS7J04007 ONSITE WASTEWATER PERMIT <br />