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WATER TABLE DEPTH; ft GEOGRAPHICAL INFORPAATiON: Coordinates X <br />BUILDING PERMIT # LAND USE APPLICATION # <br />COMMERCIAL <br />NUMBER OF BEDROOMS: <br />INSTALLATION WILL SERVE: U RESIDENCE <br />NUMBER OF LIVING UNITS: <br />ft PROPERTY LINE WELL ft FOUNDATION <br />ft LENGTH <br />WELL <br /> ft LENGTH <br />WELL <br /> ft DEPTH ft <br /> ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH It <br />ft FOUNDATION ft PROPERTY LINE ft <br />CAPACITY gal 9 OF COMPARTMENTS <br />CAPACITY gal A OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE <br />PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br /> A OF LINES LENGTH OF LINES <br />FOUNDATION ft PROPERTY LINE <br />ft DEPTH <br />WELL ft <br />ft LENGTH <br />3 SEPTIC TANK <br />GREASE TRAP <br />LIFT STATION <br />CI LEACH LINES <br />LI FILTER BED <br />MOUNDED <br />SUMPS <br />DISTANCE TO NEAREST <br />DISPOSAL PONDS Wore ft LENGTH <br />DISTANCE TO NEAREST WELL <br />3 SEEPAGE PITS NutATIER WIDTH <br />DISTANCE TO NEAREST WELL _ It FOUNDATION <br />ft !Deem ft <br />II FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH If <br /> ft PROPERTY LINE ft <br />LEACHING CHAMBERS <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />WIDTH <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP <br />TYPE/MFG <br />ft <br />ii <br />II <br />ft <br />II <br />PERC TEST 8 2 <br />TYPE OF WORK: NEW INSTALLATION fl REPAIR/ADDITION <br />REPLACEMENT <br />,1 ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION 7 OUT-OF-SERVICE SEPTIC SYSTEM <br />O OTHER <br />NUMBER OF EMPLOYEES: <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY <br />MiNIAM4 /8 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />( /A72/e0/t.6.6(12/4<LAN TITLE ENVIRONMENTAL CONSULTANT DATE 04/10/19 <br />42-01 <br />4114/18 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />Employee 108 <br />PERMIT - Approved by <br />PAR TM 0 <br />Date <br />Final Inspection By Date 0 SPEC <br />Character of Soil to Depth of 3 Ft: PIUSump Soli Character: <br />COMMENTS <br />Application Accepted By Area <br />PE <br />Cod* <br />SC <br />INFO <br />Received <br />„ By i <br />aocid <br />Cash ,....„..- <br />Amount Permit/ Date , Se rvic a oast 0 Invoice 8 PerrnIt 108 <br />t?, <br />7 2.SS1-1/ <br />Ka_ml7 <br />-4,."0 L1113-1J1 ,St 77 <br />SIGNED <br />ce, <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAGUiN COUNT), ENVIRONMENTAL HEALTH DEPARTMENT 18888. HAZELTON AVENUE - STOCKTON CA 95205 - (209)48S-3420 <br />NON-REFUNDABLE PERMIT CALL po) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />Joe APPREss 12110 E Jahant Road ciryizip Acampo, CA 95220 <br />CRoss STREET Elliott Road ARM 007-280-46 <br />OWNER NAME Berl Azevedo <br />OWNER ADDRESS 12110 E. Jahant Road <br />CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-3E7-3701 <br />Acampo, CA 95220 CITY/STATE/23P <br /> PARCEL Site 4.97 <br />PHONE 209-993-4817