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x ) <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUN I Y ENVInONMrr11A I HFAI n1 DFPA,n NE.N1 1868E.HAALl.io"AVENUE•STOCKTON CA 95205-(2D9)468-3420 <br /> NON-REFUNDABLE PEgMIT - _CALL(209)953-7697FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESSCITYrzip - ' <br /> CROSS SIRI-Ft1� -t••�t� AP14 -I —L ( L' 't L PARCEL SUE I'V�-4j"t <br /> OWNER NAME _41_ t irk\'>T \ �Y..it� PHONEJ�L/` <br /> OWNER AoonEss 1�J 13 j\ CIIVfSTATE17IP h 1:�%.X'. �' i >I <br /> CONTRACTOR 1Ut'��t-�-/ c �,a--��-' �` . tCA�lzl. PHONE }•��: `�_L� <br /> CONTRACTOR ADDRESS e I. 1 f-M w���'SIT_ C \ CITYISTATEJZIP t��%�t�i`Cf <br /> -2 <br /> LICENSE C-42 C-36 OTHERL, I L- NUMBCR rIl t\CA - - ct...7 I ._ <br /> EXPIRATION DATE <br /> WATER TABLE DEPTH: �(1 it GEOGRAPHICAL INEUnMA710N: Coordinates X - _ _ Y <br /> PERC TEST M I i BUILDING PERMIT 8 LAND USE APPLICATION S <br /> TYPE OF WORK: New INSTALLATION Rt PAUVAUn mm ENGINEER Pal.5QW0 IALT NNA71V <br /> REPLACEMENT OLII-OF-SERVICE SEPTIC SYSTEM xpEST K P IL t _ <br /> INSTALLATION WILL SERVE: RESwENCE COMMERCIAL OTIIFR T-� <br /> MBF R OF LIVING UNITS: NUMBER Of Bf maxims: NUMBER OF EMPLOYEES: <br /> SEPTICT NK TYPHkhI, ------ -- - Ct."AIJ, _ gill Xu,CuLwAHIMLNIS- -- ---_- <br /> STRAP TYF'ElMFO t:A:'ACT, gill r01 C-IIMPAH O.IL N IS <br /> DISTANCE To NEARE97: Will F%'a,ra;,A'r,%V fl P'I,wrmNLINI ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP U PKG TX PLANT U SAID OIL SEPARATOR(ENCLOSED SYSTEMI <br /> ❑ LEACH LINES LEACHING CHAMBERS 8CwLINES IEN::;THOFLmLs ft <br /> DISTANCE TO NEAREST will it FnIINATW)N it PHi)PEFI IYI VA. fI <br /> ❑ FILTER BED WIDEN It LrYr Til _ Ir DEPTH h <br /> DISTANCE To NEAREST '.VI LL n 1 rrn'Al ION _ 1t PROPERTYLINI, h <br /> ❑ MOUNDED WIDTH It LI NI;III it OFPTI+ _ __ h <br /> DISI ANCE To N EARE S I W1 Lt II .•441:ATI,N N I'M)PrFI TY I INF h <br /> J SUMPS WIDRI It LIN;im it bn'm It <br /> DISTANCE TO NEAREST wLlt II NUAT 1)4 It PROPF FIT I INF It <br /> 7 DISPOSAL PONDS Wlonl ft LLM011 It ULI'TI, It <br /> DISTANCE TO NEARCSI W'I1 11 III,07 r,11 n rnovmn I INf fl <br /> ❑ SEEPAGE PITS NUMBER WIL)m it DLPTII fl <br /> DISTANCE To NEAnLS1 'N2.1-1 11 1411A'„N h PRUDE IIIY LINE 11 <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOUIN COUNTY ORDINANCES <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br /> MIIYJMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR I cN�SPECT70NS-PLEASE CALL 209 953-7697 <br /> SIGNED \, `C --- - `-- t TITLC L� .w+A-i DATE t� t �• t <br /> - - - •r-� - T - - - - _T — <br /> I tr_Vj <br /> -- - /� - <br /> El:.n TIT/.}[-•1T 115 E''IIO lt.ILY <br /> Application Accepted ry �L I ------ ale 1 Y_ 'J_ APPA nLlt �P I E.lnployoe IOb ",4Li jL.Li <br /> Final Inspection By_ Date 3 /�J SPECIAL PERMIT-Approved by T <br /> Character of Soil to epth of Ft Pi mp o0 Character: <br /> COP TS <br /> PE INCReceived Checkbr Anwunt Permit/ <br /> Unle Invoice N Pern-,11 1Ov i <br /> Code Nrc ©y Lush Remilted Sn/vice Regla"s _} <br /> ,...-III V:A•li ViAll 1 Ilii\TNI�Y�i"_St F'11,I.t' <br />