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Oct 11 18,02:40p River Rats Septic 9167762736 p.2 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZFI,DN AVENUE-STOCKTON CA 952D5-(209)468-U20 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697FOR IxsPEcnoNS EXPIRFSIYEAR FROM DATE ISSUED <br /> JOB ADDRESS CITY/ZIP7Qh'Df-f1:f-4jh {& <br /> CROSS STREET_ 0 A-r., APNJOD/ PARCEL S ZE y <br /> c <br /> c <br /> OWNER NAME PHONE fv <br /> OMERADDRE33 �In( CITY/STATE/ZP �] <br /> CONTRAC,OR Rr VET !`Q.�ts 5♦°� Ie PHONE ! l <br /> CONTRACTOR ADDRESS P,0, Boy. <br /> F �65 `cry isTATFJ7JP�Cllinu�' G_____r��.;_C���s <br /> LICENSE 1�C-42 ❑-C36 OTHER NUMBERUTA 3 EXPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> j q :1 PERC TEST p BUILDING PERMIT# LAND USE APPLICATION 9 <br /> TYPE OF WORK: T NEW INSTALLATION - REPAIPJADDITKON -i ENcmER DFBIGITED AL NATIV _ <br /> ITDU REPLACEMENT _ OUT-OF-SERVICESEPTIC SYSTEM DESTRUCTION <br /> �y S INSTALLATION WILL SERVE DENCE LlCOMMERCIAL C OTHER <br /> NUMBER OF LIVING UNITS: i NUMBER BEDROOMS: NUMBER OF EMPLOYEES: <br /> SEPTIC TANK TYPEMIFG % tTY D D -gal #OF CONPAHTMENTS <br /> GREASE TRAP TYPEIMEG CAPACITY gal #CF COMPARTLENTS <br /> DfsTANCE TO NEAREST' WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SANDOIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES C LEACHING CHAM BERS tOFLINES LENGTH OF LINES ft <br /> DISTANCE TOWELL ELL ft FOUNDATION It FROPERTYLINE ft <br /> ^ <br /> FILTERBED WIDTH sl.S It LENGTH 315 H DEPTH It <br /> DISTANCE To NEAREST WELL It FOUNDATION It PROPERTYLINE It <br /> ❑ MOUNDED WIDTH ft LENGTH It DEPTH It <br /> DISTANCETO NEAREST WELL ft FOUNDATION ft PROPE;ITY LI HE N �44 <br /> ❑ $UMTS WIDTH ft LENGTH It DEPM A.� <br /> DISTANCE TO NEAREST WELL it FOUNDATION tt PROPERTYLINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH It DEPTH •J(, �/� <br /> DISTANCE To NEAREST WELL ft FOUNDATION fl PROPERTYLINE <br /> ❑ SEEPAGE PITS NuNsER WIDTH D DEPTH <br /> DtsTANcETo NEAREST WELL ft FOUNDATION N PROPERTYLIKE (I}I 8 <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY O bO FcpUN <br /> Z� �T tVTAL <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. FA /`/; �. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 TM NT <br /> SIGNED TITLE `2 C-> 1=r- DATE / I <br /> i <br /> EIVED <br /> 1 2018 <br /> RCEALTH <br /> ES <br /> IDPARTME <br /> Application Accepted 8 DateArea Employee ID#�[ <br /> Final Inspection By a-4- Date11"f1w C SPECIAL PERMIT-Approved by <br /> Character of Soil to epth oI3 Ft ittSump Soil Character: <br /> CO ).TENTS b <br /> PE SC Received Checm Amount Perrnitl <br /> Code INFO B ash emitted Date Service uest7R Invoice III PerrnitlOp <br /> ViSa­ 10IP71 M 51201 2170-3 1 <br /> -12-01 C 83766-2-0ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> .4114/18 <br /> Received Time Oct, 11. 2018 2 : 26PM No, 4268 as P)-8q00 <br />