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SPoSAL PONDS <br />0 _ STATION <br />LINES <br />FILTER BED <br />MOUNDED <br />o Ds <br />WATER TABLE DEPTH: 10•.9 3 <br />0 PERC TEST * <br />TYPE OF WORK: <br />INSTALLATION WILL SERVE: <br />N'.:Sta 0F LIVING UNITS: <br />OWNER NAME 0 <br />OWNER ADDRESS <br />CONTRACTOR <br />CONTRACTOR ADDRESS <br />LICENSE 12442 0 _ C-36 OTHER <br />c==E FITS <br />SI-1='-c, TANK <br />a=?_"1:37r. TRAP <br />DisTAA:::,.TT: t.E.-AREST WELL <br />LEACHING CHAMBERS <br />DISTANCE TO NEAREST ft <br />WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />WIDTH ft LENGTH <br />DISTANCE NEAREST WELL ft FOUNDATION <br />WIDTH ft LENGTH <br />NUMEE" <br />TYPE/V..3 '76 <br />TyPE VPS <br />DISTAN, I.EAREsT: WELL <br />SIZE TYPE OF PUMP <br />ft <br />' BUILDING PERMIT °S Z "ND USE APPLICATION # NEW INSTALLATION V <br />REPAIR/ADDMON REPLACEmENT <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />^. :6 0 COMMERcIAL <br />NUMBER OF BEDROOMS: <br />GEOGRAPHICAL lry.mounnnu• ,rdinates X <br /> ft PROPERTY UNE <br />DEFTH <br />ft FOUNDATION ft PROPERTY UN <br />gal <br />ft FOUNDATION ft PRoPERTY LINE Ze..C.) <br />0 PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br /># oF LINES 3. LENGTH OF LINES <br />FOUNDATION__Z__ ft PROPERTY LINE Zoo <br />ft DEPTH <br />ft PROPERTY LINE <br />ft DEpTH <br />ft PROPERTY LINE <br />ft DEPTH <br />gal <br />CAPACITY <br />CAPACITY <br />ft <br />ENGINEER DESIGNED /ALTERNATIVE <br />_ DESTRUCTION <br />0 OTHER <br />NUMBER OF EMPLOYEES: <br /># OF COMPARTMENTS <br /># OF COMPARTMENTS <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />CITY/STATE/Zip <br />PHoNE <br />/DX-CITY/STATE/ZIP <br />NUMBER Yi . VL EXPIRATION <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN <br />JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT NON-REFUNDABLE PERMIT 1868 E. <br />HAZELToN AVENUE - STOCKTON CA 95205- (209)468-3420 CALL 209 953-7697 FoR hysFE ONS <br />CROSS STREET <br />JOB ADDRESS <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />ft DE - <br />HER" THAT I HAVE THIS APPLJCATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, .72TE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />48 _HOUR ADVANCE NOTICE RE UIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />siGNE.- /‘ TITLE DATF,19/Zy20 <br />9 ,2 <br />DiSTA,ITE NEAREST WEL It FOUNDATION <br />_ ft ft PROYCIS I <br />ft <br />Application Accepted By <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS I\ .ri <br />DEPARTMENT USZ ONL Y <br />Date i i/S--tr>3 Area 44 /(// 4'1 Employee 115# <br /> 0 SPECIAL PERMfT - Approved by <br />Pit/Sump Soil Character: <br />300 <br />Date <br /> SAft <br /> lifEb <br />0 ,7 2020 <br />ON co <br />11 <br /> L,. <br />A14") <br />, <br />tivzvr <br />j fr <br />PE <br />Code <br />SC Received <br />INFO 131 <br />pecjil <br />-ViStt IMENRIMI=In Permit MP <br />(1/t <br />0`,S—a .NNSTE,NATERIR-itAKV <br />S'is-tEt.A FERmTv <br />Amount <br />Rem‘kted Date