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Y 1 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOACHIM Cr1UN I Y ENVIna?IMF NTAI Hf At I II Di-PAH I MEN I 11168E HAYELIUH AvLNur-STOCKTON CA 95205-(2D9)468-342(l <br /> NON-REFUNDABLE PEF)MIT _ CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> ���� <br /> JOB ADDRESS _ t. -1Y/?j` �' tV— \`_L C?i l= --- CITY/Zip <br /> CROSS SIFlo Fr S` 1�\� T1 kms-( `r. PAnCELS <br /> V-1 APN . -� X111 -1 ` ¢E J.( C <br /> l - <br /> OWNER NAME PHONE (DC7 VVC'k <br /> I <br /> OWNtR AODnEss \ 1-�) 1-35L_ t�\ CIIY/SIAIERIP k <br /> CONTRACTOR tY 1�- L i'�kms+ -)1.x-.1`.1 TC.A.-L•,_L- PHONE <br /> CoNrRACTDAA00RFSS l �� 1 N P n_r\r iT C k CITYISTATE/21P <br /> LICENSE I C-42 C-36 OmEn �1 -�'' _k 2-'"NIIMDr Ii J�1111/- EXPIRAr1ON DAfE <br /> WATFRTABLE DEPTH: VL, 11 GEOGRAPHICAL Im URAIATIGN: Coordinates X r1 Y ~ �— <br /> PERC TEST III BUILDING PERMIT If LAND USE APPLICATION k <br /> `TYPE OF WORK: Ntw INS TALI AnoN RFPAIWAOI1fIK/N ENGINEERIGpIFD/AI i NNAl1Y <br /> REPLACCMCIII OUT-Of-$EFIVK7E SEPTIC SYSTEM 'a`DEST TION <br /> INSTALLATION WILL SERVE: RI'SIOFNCt COMMERCIAL OTHER - <br /> kIMRtFi OF LIVING UNITS; NUMRf it OF BI II/IIK)A15; NUMBER OF EMPLOYEES: <br /> dj11E;PTWC.1_ANK TYrt AAI f,AI Ar.r) _ gal IIth CLAWAHIAILNT5 <br /> jr�E TRAP TYt,t Wlu gal F of COMPAH I ME N IS <br /> DSTANCE TO NEAREST: Will K!N It P-Y)1't Fi 11'LINT It <br /> Ll LIFT STATION SIZE TYPE OF PUMP ❑ PKGT%PLANT LJ SAND OIL SEPARATOR(ENCLOSED SYSTEM <br /> ❑ LEACH LINES LEACHING CHAMBERS 0: 1 Iv1 c L ENGTH OF L IIA o- 11 <br /> DISTANCE TO NEAREST i I It Pf JYf fI I'.II'11 f1 <br /> ❑ FILTER BED WIDTH 11 Ir'):ml It Dr Ptf1 n <br /> DISTANCE To NEAREST Wr i t H i UI:ALI.iI1 It PW(PERT r 1111f ft <br /> ❑ MOUNDED WIDTH It II v;I II ft Un>ri, It <br /> Dist ANCE TO NEAnrs t Will II ..VIII-lui.N 11 PROPF RTY I1NF It <br /> J SUMPS WIDTH it Liv,RI It UI I'm it <br /> DISTANCE TO NEAREST Will II IIIIAlidf It F'RuPr RTY Iled f1 <br /> ❑ DISPOSAL PONDS WIDTH It lul/,uI It Dl Poi 11 <br /> DISTANCE To NEAREST W:II II . '1II.A7­11 II TRr)PFII TV I Irrr It <br /> ❑ SEEPAGE PITS NUMBLR WIDTH it OLPTTI It <br /> D1sFANCE To NEAnESI WI 11 11 UI'AI irtl It 11III)VERT1 I If:L 11 <br /> I,1EREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOUIN COUNTY ORDINANCES <br /> STATE LAWS AND RULES AND VEGULATIONS OF SAN JOAOUIN COUNTY <br /> A41NJMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED Lti `C TillF L�j .�.kl►"S�•'� DATE W_% 'i 1.' <br /> T - --- - -�-----_—.- .. - - - - - -- <br /> it <br /> .00 <br /> -- - �t <br /> 4h Nri <br /> - - - - - -'- <br /> 1 <br /> ncnn I,TotE"T N�_Ci i!Y ! <br /> Application AcceptKpth <br /> 1✓/// ", 1 - 'ale ' 1 J,.�_/__ ArnA EKr{1�I`I Lmpk,yoe IDu G.-,L.�4L: (l-S <br /> Final Inspection By7 ,� SPFCIAL PERMIT-Approved byCharacter o1 Soil to3/FI+^ PiV m oil Character'. <br /> co JTS I_ 1 ' lAY\ t. <br /> /^w�lL►..� , Ak /.SStitJ- - - - <br /> PL Sc Recaived I.I" Amu unl Permit/ _..r_ <br /> Il�L I Invoice M Fem.11 IOw <br /> Code true- p}, Remitted _ - _-5/'rwccRequest a I - -__ f <br /> - I I <br />