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16 ` ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> mN JO^uuwCOUNTY ENVIRONMENTAL HEALTH o*omrMEw` <br /> `maE.xAZponwAVmv -STOCKTON CA 9520S (209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 97FORINSPECTIONS ExPIRES 1 YEAR FROM DATE ISSUED <br /> SIZE <br /> OWNER ADDRESS <br /> LICENSE CIP.642 rs::C-36 OTHER NUMBER EXPIRATION DATE­<,S� <br /> WATER TABLE DEPTH:--922---.Z2---It GEoGRAPHICALINFORP.4ATION: Coordinates <br /> PERC TEST # LAND USE APPLICATION# <br /> TYPE OF WORK: <br /> ATION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT ­­- OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: �S-RES40ENCE <br /> NUMBER OF LIVING UNITS: j COMMERCIAL OTHER <br /> NUMBER OF BEDROOMS: <br /> Nu BER OF EMPLOYEES__ <br /> 13 SEPTICTANK TYPE/MFG <br /> 13 GREASETRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS_ <br /> CAPACITY gal #OF COMPARTMENTS_ <br /> DtSTANCETO NEAREST: WELL __._ It FOUNDATION it PROPERTY LINE__it <br /> 13 LIFT STATION SIZE .........,TYPE OF PUMP--..'a PKGTXPLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS It OF LINES Z LENGTHOFL,NES­�-��3 it <br /> DISTANCE To NEAREST '--__`~�_-_'` ~~NO~.=_^,j ST' " ,mzo,TYuwEo <br /> 13 FILTER BED "wmn__-_ � �sw�* x osp`" <br /> -__�_ ___ it <br /> DISTANCE roNEAREST WELL—_____-o FOuND^now ~n��m~,mc u <br /> o muowocu WIDTH : �wsm -- --------- <br /> ���������� " "^,.Hit <br /> DISTANCE To NEAREST WELL ..'"N <br /> ft FOUNDATION it PROPERTY JNE,- <br /> it <br /> 13 SUMPS WIDTH <br /> ---------' --LENGT' " "E~`" n <br /> DISTANCE To NEAREST WELL-- ft FOUNDATION <br /> E3 DISPOSAL PONDS WIDTHIt PROPERTY LINE 211141V it <br /> ---ft LENGTH "°,.° it <br /> DISTANCE To NEAREST WELL-----If FOUNDATION �EA',�­WVAOZN;­F <br /> _.it PROPERTY JNE-Ln��ft <br /> 1211- SEEPAGE PITS NumBEn <br /> DISTAN « <br /> CE To NEAREST--- '_-_~^~- . '~~~"`N �5__ u r��sr,uws_�0______�o <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN 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 ADVANCE NOTICE R R INSPECTIONS-PLF-ASE CALL(209)953-7697 <br /> EQUIRED FO <br /> SIGNED <br /> TITLE DATE <br /> DEPARTMFAfT USE ON <br /> Application Accepted By Date Area Employee <br /> Final Inspection By <br /> Character of Soil to Depth of 3 Ft:-.--;,,a. Pit/Sump Soil Characte�r: <br /> COMMENT <br /> PE <br /> Sc Received —�—Mount Permit/ <br /> Code INFO Remitted Date <br /> 11 Service Request# Invoice 0 Permit ID# <br /> 42-01 <br /> 5/5w7 owonrWASTEWATER`nnwNTSYSTEM PERMIT <br />