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1. <br /> ONSITE WASTEWATER TREP. "ENT SYSTEM PERMIT <br /> Sa14 JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS XPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS _. " <br /> 0 O IDG CITYlLP _.__ <br /> CROSS STREET 40 MAN 11 Gk ________-_—APN_ J-ol?t PARCEL SIZE_ L-9—._ <br /> OWNER NAME_]fjgl V`Intl 1,_ `fujou <br /> -- -. .--— ----------PHONE <br /> OWNER ADDRESS ._�/Q VU I�Q�Qx <br /> __-- _ _-- _CIn/SrATE21P M4N f•C/1 <br /> CONTRACTOR_ U'a --5Q�l_� _.-.-_--. .. PHONE aQ�- 66/ '90/ 1 <br /> CONTRACTOR ADDRESS 3) _1VI�tY ___ _--_--- CRy/STATEizP rUr LOCK <br /> LICENSE Lil`C-42 I; IC-36 OTHERR NUMBER 12 i <br /> _�__ 'EXPIRATION DATE_3-i-LY- <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X _ Y____-.___ _ <br /> L PERC TEST ! BUILDING PERMIT# 0 _ LAND USE APPLICATION k <br /> TYPE OF WORK: I NEW INSTALLATION I REPAuVADDn'ION I I ENGINEER DESIGNED/ALTERNATIVE <br /> 1 REPLACEMENT _ I OUT-OF-SERVICE SEPTIC SYSTEM ;I DESTRUCTION <br /> INSTALLATION WILL SERVE: 1: RESIDENCE COMMERCIAL IJ OTHER <br /> NUMBER OF LIvING UNITS: NUMBER O EOROOMS: NUMBER OF EMPLOYEES',. <br /> SEPTIC TANK TYPE/MFG d� +•� _ CAPACITY 000 gal #OFCOMPARTMENrS-2 <br /> GREASE TRAP TYPEIMFG CAPACITY gal MOFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL IT FOUNOAHON _ It PROPERTY LINE _ fl <br /> ❑ LIFT STATION SIZE TYPE OF PUMP_ O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS _ s OF LINES __ LENGTH OF LINES It <br /> DISTANCE TO NEAREST WELL It FOUNDATION it PROPERTY LINE tl <br /> 1� FILTER BED WID It LENGTH it DEPTH _ It <br /> DIST EAREST WELL ft FOUNDATION __1t PROPERTY LINE - _.. _..__It <br /> ❑ MOUNDED WIDTH --------_-It LENGTH _ it DEPTH Il <br /> DISTANCE To NEAREST WELL---- It FOUNDATION it PROPERTY LINE_ it <br /> ❑ SUMPS WIDTH__ It LENGTH It DEPTH h <br /> DISTANCE TO NEAREST WELL __„ It F04JNOATION -II PROPERTYLINE It <br /> ❑ DISPOSALPONDS WIDTH_ ___It LENGTH ___ __ _ft DEPTHIt <br /> DISTANCE TO NEAREST WELL-- It FTK.INDATIENJ _ -_-_It PROPERTY LINE <br /> ❑ SEEPAGE PITS NuwaER _ _ WIDTH_- It DEPTH N <br /> DISTANCE TO NEAREST WELL __ It FOUNDATION it PROPERTY LINE 11 <br /> 1 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 /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-769/7 <br /> SIGNED REcx E w.o cc F TITLE MtY <br /> .O'R10E:r�Pnc <br /> mncRCTE APRs �Q i II <br /> ✓ <br /> _ I <br /> gcgg � BUILnIrrc. f� 5 <br /> yd ..o:.p car.cm <br /> Rxx <br /> e� Rr,TR - <br /> 14 <br /> P.O.W.y AREA•s.rc'i <br /> A [ma A <br /> Tr�s�rnlrtP <br /> SCE.— <br /> yCE'P�LL/5 <br /> -^� MCI <br /> 2-15'uLC <br /> Ay.larlc w>E <br /> IAWi'APE I I O�ArLw PARIca1c ARu <br /> p�--p 1.2W IDL <br /> ' <br /> a @SEPnC T— <br /> a c Ams ra nlReumr—�.- .-.tOa 8r Eo.wA�ACTEO+oa <br /> b I fr 1L 1=WER IM EVANSOw AREA <br /> cTU" <br /> Ta wcc.e-n.u.' 1� <br /> 1,�1�+ g PARRwCORu M MWVAY I 1C lq Also� RTO PE1IAry(.1t1t88f{f{ <br /> epi"by Date_ Areaa:�q 4 Employee IDtu <br /> Final Inspection By _ Date [I SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft:_ PHOq.. p Soil Character: <br /> COMMENTS <br /> to// JS.>/ <br /> #141A A, ---- <br /> EINFO SC B Received K Amount Date Permit/ <br /> Code Invoice 1 m JDA; <br /> Remitted Service R nest R <br /> r a <br /> 42-01 IINSITF WASTEWA rEH TFITM"STe"VERMIT <br />