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t t ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUn1 COUNTY ENVIRONAITNTAI.HEALTH DEPARTMENT 1866 E.HAZEnoN AVLNUt•S tOCKION C A 95205•(2091466-3420 <br /> NON-REFUNDABLE PERMIT �y�CALL(209)953-7697 FOR INSPECTIONS _ EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB AoORESS _ ..3K 3 _ I F!.I u io — CIT//LP At 61) G A <br /> CROSS STREET fbjLr_Lby//w�� ul,A.•J �L APN �I -.Te�`.Oi I�' /PARCEL SIZE <br /> OWNER NAME (--c *% ll r/�+,/4 L.I T '_ryyjl•�'. L 7 f� /P}HONE F�o —VS _ .--. <br /> OWNFR ADDRESS L(O3� 1 ` FSI! ! , 14-- CIIYISTATEMP(�1�af.F�/j0,P4 e& [' <br /> CONTRACTOR_ o J4-eA 13-,C1r'/fC. �C4- PHONE •5zp—D--S <br /> CONTRACTOn ADOnESS �"'�a ��x. (rR3 CITYISTATEJZIP��i%^�/T+—_C� <br /> LICENSE C42 I.I C-36 OTHER__ J--A.___ _ NUMBER(j U EIIPNIATION DATE <br /> WATER TABLE DEPTH: It GEOGRAPHICAS INF(jnMAl11)N' COOrSTI <br /> X Y _ _ <br /> FERC TEST a BUILDING PERMIT Npp ND USE APPLICATION N_ <br /> TYPE OF WORK: NEW INSTALLATION ttEl-ARUAd+mIoN ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT _ Om-OF•SERv1CL SEPTIC SYSTEM OLSTRUCTION <br /> INSTALLATION WILL SERVE: I, 13I1.11ANCE COMMERCIAL 01HER �t T �'•.�aT <br /> NUMBER OF LIVING UNITS: NuMsER OF BEGROOMS: _ NUMBER OF EMPLOYEES: <br /> VI-SEPTIC TANK TYPLRdFO __ -P <br /> i�t — —CAPACITY (� pal F OF COMPARTMENTS <br /> ❑ GREASETRAP TvPElMFC CAPAGI tial IIof COM+-AHIMENIS <br /> DISTANCF TO NrAkFet- 1.vi u / h T-U(INDAI. / tl PROPrATY I INT Q{'�J It <br /> J LIFTSTAHON SIZL IYPFOFPUMP O PKGTXPLANT D SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LFACHLINES LEACHING CHAMBERS Forl.iws 1kNGTHOFLims__ - - h <br /> DISTANC ONE RF3Vft <br /> Fll_ e8^I F(M _ h PROPERIYLINE h <br /> �ILT£R BED V✓IDTH LENGTH — d�l -- H Ih PTH _I$h - I h <br /> DISrAN TO FST WFII 1 INTIATNIIJ _(�I PIIOPENTYLINE 12 _ _. —_It <br /> ❑ MOUNDED WIDTH tt LENGTH_ _ 8 DIPrII- _!__ It <br /> DISTANCE To NEAREST WLLL R I ULMIUA 111MI _ fl PROPERTY LINE_ _ it <br /> ❑ SUMPS WIDTH __h LEN07H R DEP1H It <br /> DISTANCE TO NEARES I WELL_ - It F01INDAININ _ K PMIPERTYLINE__ _ It <br /> '❑ DISPOSAL PONDS WIonI h LENGTH M DFPDI__ _..__ 11 <br /> DISTANCE To NFARt ST WFII. 11 InINrUAININ 8 PROPERTY LINE _ it <br /> ❑ SEEPAGE PITS NUMBEn WIDTH It Dipm R <br /> DISTANCE TONEAREST W1,11. It IUIINOAIHBI (I PROPERTY LINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAOUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> MINIMUM 24 HOUR AgIVANCE NOTICE REQUIRED FOR LNSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED TITLEC�f'1H ii CSI]/ DATE 7 13 (�] <br /> FT ZU1 <br /> TTT <br /> DEPARTM-EgyplF NLy <br /> Application Accepted B _ Date 7 I _ Area _ Employae IpAI�S <br /> Final Inspection By -r`r Date 7 .� $PECIALERMIT•Approved by <br /> Character o1 Soil to _ ' 1VSump 5011 Chorus ter: <br /> COMMENTSLAM _ _ Rp�q l •� �11QJ1. IUUC <br /> PE SC Received Chacka! Amount Per"w Invoice a PsFmH IDM <br /> Code INFO 8 Cash Remitt0 Service Re aet a <br /> °7 � ill , <br /> 42.01 ONSIIF WASTEWATER TRTMNT SYSttM PI HMII <br /> SN111 <br />