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' ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> u^N'm^QUmCOUNTY ENVIRONMENTAL HEAL "Dr.,AR`MEw '1868E.o^ZEov AvENuE-STOCKTON Cxo52v 'pom^m-3mo <br /> NON-REFUNDABLE PERMIT CALL f2O9)953-7697 Fon WpEclloivs ExPIRES 1 YEAR FROM DATE ISSUED <br /> CROSS STREET PARCEL SIZE.. 6 3 <br /> CONTRACTOR /S-jVA&*Z PHONE <br /> CONTRACTOR ADDRESS -p 11/...... CITYISTATEaiP <br /> LICENSE LOC-42 D:1C-36 OTHER—---- NUMBER EXPIRATION DATE.A,, <br /> WATER TABLE DEPTH: _n GEOGRAPHICAL INFORMATION' Coordinates x_................._____' v_________' <br /> TYPE OF WORK: I. NEW INSTALLATION REPAIRIADDITION <br /> Cit— REPLACEMENT OUT-OF-SFRVICE SEPTIC SYSTEM )( DESTRUCTION 3'wa-C'M� <br /> INSTALLATION WILL SERVE: tkREs*rNcE I COMMERCIAL LI OTHER---- <br /> NUMBER OF LIVING 4---- NUMBER OF <br /> DISTANCE To NEAREST. WEUL._,)Ad­".,­_ it FOUNDATION it PROPERTY LINE ­­/-� it <br /> o LIFT STATION SIZE TYPE mrPUMp______Q nmmPLANT o SAND OIL SEPARATOR(smxuweao,o` ^) <br /> - ___ ------ ..___________-/ <br /> 0- LEACH LINES #- LINES LENGTH OF LINES_��_��x <br /> DISTANCE n`wemmo` WELL......�om��-o nnNnm*w__�g�___o pnOPenr,uws_ o <br /> o FILTER BED WIDTH It LENGTH ........... .......__--________x osPTv ' ft <br /> DISTANCE v`NEAREST ncu_____-_oFOUNDATION________n PROPERTY LINE It <br /> o Moumuso WIDTH it LENGTH x DEPTH it <br /> DISTANCE To NEAREST WELL it FOUNDATION PROPERTY LINE it <br /> DtSTANCETO NEAREST WELL-.—it FOUNDATION.-­ft PROPERTY LINE <br /> U DISPOSAL PONDS WIDTH It LENGTH DEPTH-------- IT <br /> It PROPERTY L <br /> DISTANCE To NEAREST WELL it FOUNDATIM............. NUN-104— It <br /> 0 SEEPAGE PITS NUMBER WIDTH it DEPTH W, 0 IN <br /> DISTANCE To NEAREST WELL--..---it FOUNDATION--­­­­it PROPERTYLINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SkN <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 /> NOTICE REQUIRED FOR IN, <br /> 0,62 k— <br /> T k1 E N T A <br /> Application Accepted - <br /> PEq <br /> Cl L <br /> RM <br /> Final Inspection By, Date-12/1�.Ll;lz— 0 S IT-Approved by <br /> Character of Soil to Depth of 3 PIVS mp Soil Character: <br /> COMMENTS-.YZC-9—' IT <br /> PE SIC Received a Amount Pei-MTt-1 Invoice# Permit 100 <br /> Code INFO 13y, Remiltilild Date Service Request# <br /> mm, ONSITE WASTEWATER rnnmNT SYSTEM PERMIT <br />