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:SS3tIGOV 3111 ff OF COMPARTMENTS <br />gal S OF COMPARTMENTS <br />2 <br />ft DEPTH ft <br /> ft PROPERTY LINE ft <br />ft DEPTH It <br /> ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft <br />LEACH LINES 0 LEACHING CHAMBERS 0 OF LINES <br />0 FILTER BED WIDTH tl LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />0 MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL. ft FOUNDATION <br />0 SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />IJ DISPOSAL PONDS Wrorn ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE 0 SEEPAGE PITS NUMBER WIDTH <br /> CAPAC Y <br />CAPS TY <br />WELL I ft FOUNDATI <br />TYPE OF PUMP <br />ft <br />ft <br />ER OF EMPLOYEES: <br /> ft PROPERTY LINE <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br />ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINI I M C Near REQUIRED FOR IN NS - PI ' .L 21191953:7647 <br /> TITL. DATE C. r 2—I 66 <br />ONLY DEPARTMENT U. <br />Date <br />Date <br />PE <br />Code <br />42. - <br />42-02401 <br />12122.2003 <br />SC <br />Irmo <br />Received <br />By <br />Checkiii <br />Cash <br />Amount <br />Remitted Invoice 0 <br />6 <br />ONSITEWASTEWATER PERMIT <br />Permit ID# Date <br />0'107 <br />Permit/ <br />Service Request <br />5,0"q15)-6 <br />oit <br />Application Accepted By <br />Final Inspection By <br />Character of Soil to Dept <br />COIVITS <br />_ . <br />Area Employee IDS 4-1041•C <br />I: SPECIAL PERMIT Approved by 3Ft: Plti ump Soil Character: <br />)FP\ <br />-OE <br />Pis, ME <br />EIVF - <br />2C (16 <br />\r- ^ <br />sostz R. &jiter.oN Goz.TY <br />aownimag ifttALT <br />Ws_ <br />OV-4,LAC. <br />0 PERC TEST # <br />CONTRACTOR ADDRESS4:t.CC,AN,/ -*r • IA) ti ri)K, LAkdsAl__ CtTY/STATE/ZIpt7J147-J J93 <br />LICENSE C-42 0 C-36 OTHER _ NUMBER _ EXPIRATION DATE In7 WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X <br />...TOR D.A.p4-aor-i4 1±OJ3 INK, p..446 5-7 <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS ~437 cirdsTATE/zipiT2AtA? 4- <br />JOE ADDRESS <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE FL - STOCKTON CA 95202 - (209) 468-3420 NON-RE FUNDAVI14ERMIT CALL953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM B'E ISSUED <br />3iitivm--1 LA442,1/4./ lUkt.i1DA- Non 4-7 i <br />1-404.-6y, c#611-. or viAe-Aiguiv_. <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />5 <br />BUILDING PERMIT # <br /> <br />LAND USE APPLICATION # <br />REPAIR/ADDITION ID ENGINEER DEHGNED /ALTERNATIVE <br />DESTRUCTION 01-1'3 7A-A.11,C... <br />D COMMERCIAL <br />NUMBER OF-BEDROOMS: <br />APN i3-(7) , -06 PARCEL SIZE <br />OTHER <br />SIGNED <br />TYPE/MFG <br />TYPE/MFG <br />DISTANCE/0 NEAREST: <br />SIZE <br />TYPE OF WORK: 0 NEW INSTALLATION <br />CI REPLACEMENT <br />INSTALLATION WILL SERVE: *X.RESIDENCE <br />NUMBER OF LIVING UNTIM <br />ft <br />ft <br />ft <br />ft PROPERTY LINE ft <br /> ft DEPTH <br /> ft PROPERTY LINE <br />)ilf SEPTIC TANK <br />GREASE TRAP <br />PKG TX PLANT <br />LIFT STATION <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />LENGTH OF LINES <br />ft PROPERTY LINE <br />DEPTH