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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT
<br /> SAN J0A4IY;i COUNTY ENVIRONMENTAL HEALTM DEPARTMENT 1668 E.HAZELTON AVENUE-STOCKTON CA 932115-j209)465-3420
<br /> NON-REFUNDABLE PERMIT � L 20 963-7697 FOAINsieECTR3N5 E%PORES 1 YEAR FRO GATE ISSUED
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<br /> C4m'RACTOR ADoms�„, ._” "�"�'.�: ..... ..................._........................_CATYJSTATEIYJP
<br /> LICENSE L."'C-42 i_. C-36
<br /> WATER TAE1.E DEFTN: It T.f.1JGRAPNICAi.IQF R(~TKtti1: Coordlnetee X..,...__._,_,__................................. Y...,-,.-,.,,,._..�,w„W,-„,„,,..,.,«,....
<br /> FERC TEST i► _..- jj BUILDING PERMIT __ LAND USE APPLICATION
<br /> TYPE OF WORK. T; µNEW 9f8"TAU.AmN RfPAIR/ADOITItki W r> ENOWEER DE EO IA TERMA �
<br /> U REPLACEMENY' µ .. (hIT-OP SERVICE FiEPTIC SYSTEM }( O"TRUCTIG, s
<br /> INSTALLATION WILL SERVE: ii RESa7ENCF CtRERaAL .-, OTHER___......................-.�.
<br /> UNITS: NU.._MM CF E31PLOYEE3:a �_fY�ER OP BENOM ; �
<br /> C3 SEPTIC TANK TYPE/Mm.__ -._. _ ,.._ CAPACITY _.._,. gat I Cu MPARTMeNT8._-..___.,,.._..
<br /> C3 GREASE TRAP TYPEIMKI .-.� CAPrCMTY gal #Or C0W AnrMkrTTB,;,_
<br /> DtTANImToNEAREST: WELL_ ft FOUNnA-,*N„, �,„„�„„_„-„ it Pf:OFCRTYLINE
<br /> Q LIFT STATION am __TYPE OF PIMP_.-_- ,.,,a PKO TIC PLANT 0 SAND ON.SEPARATOR(ENCItSHD SYSTEM)
<br /> 0 LEACH LINES LEACHING CHAMBERS ..W ..�.-, H It OF LINES LENGTH OF LINES ww R
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<br /> 0 FILTER BED WI0TYI,.....,._.._.-_„. .. N tJ^.tifiTH�,
<br /> DIST'At3CEToNEAREST WELL-__mW___.,1I FCAJNA^TKW.,,,,,„,„,,.„-„.-..,.„,„.,W.fi Pff0PEATyI.#*'_, _}I
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<br /> DISTANCE r4 NEAREST WELL.,,,,,,,,--„�,,,,„,_,_,,_fI sATKIN _.,..,..__fI PROPERTY ume, �$
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<br /> C3 SUMPS wmTty _...__ ____._._„,It LEAiGTN N_ _ _ .._ fI DEVrH,__.� --*r
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<br /> DISTANCE To NEAREST WC3.I..__,,._............._„w.._ ft FOUNDATION � '• �-�..,�..._,�y�_it
<br /> Q DISPOSAL PONDS WtOT11,. - . _.__,....ft PRt3PERTy LINa W
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<br /> DisTANa vo NEAREsT WELL v it FOUWATf(E3 _.._.-._it PF OK R
<br /> Cl SEEPAGE PITS NUMBER _. .. _.. ,...__..__- VYgD►R... _.,,._..__..__.__. _,.... ._.k DEfTx _.. W. � It
<br /> DISTANCE TU NffAASST WEi.L„_,,,,,,,_,...,....,,,.,,,.,,,_,..It fr.A)NOATION..................___._..._,.................it PACO"iry UN � ft
<br /> I HEREBY CERTIFY THAT I}LAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN
<br /> JOAQUIN COUNTY ORDINANCES,STATE LAWS,AND RULES AND RECULAT)ON5. I ALSO CERTIFY THAT MY PEOU114EO LICENSE iS j
<br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE UCENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL I
<br /> WORKERS COMPEN TION LAWS.
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<br /> HOY&ADVANCE NQrLPg.,8fQQLRE� FOR INSPECTIONS-jq,.fA$E CALL f2 953-759
<br /> STONED,- ...,_ TITLE............_ ......._..... DATEm
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<br /> Application Acceplctl By., _ .. ,y _- Date
<br /> Final Inspoetic By,...._....... ;... ,. Date J j PERMIT ERMIT-
<br /> SP1 by ..._,_.._,.».._..,.__...
<br /> Character of Soii to of P,IVSUMP Soil Character; .. _............ ....._..........
<br /> COMMENT,
<br /> Pe SC ReceivedAmourrt Date Parmw Invoice* Pwmn ILO
<br /> Codep_ lw-o _... emitted w. Service ,
<br /> 4"1 ONSITE WASTEWATER TRTMNT SYSTEM PEANT
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