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r <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HA2ELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 30763 E Tressa Ln. CITY/Zlp Oakdale/95361 v <br /> H <br /> CROSS STREET Cometa Rd. APN 207-260-19 PARCEL SIZE 2.0 "o+ <br /> 0 <br /> A <br /> OWNER NAMERoland Young PHONE _ <br /> OWNER ADDRESS 30755 E Tressa Ln CITY/STATEfLP Oakdale/CA)95361 <br /> CONTRACTOR Watson Backhoe Inc. PHONE 209-606-9905 <br /> CONTRACTOR ADDRESS 1060 Bent Rd. —CITY/STATE/ZIP Modesto/CA/95357 <br /> LICENSE C42 C36 OTHER A NUMBER 382849 _EXPIRATION DATE 3_31-2022 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> i: PERC TEST # BUILDING PERMIT#13P-19M I LAND USE APPLICATION# _ <br /> TYPE OF WORK: NEW INSTALLATION x REPAIR/ADDITONENGINEER DESIGNm/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: w RESIDENCE ,. COMMERCIAL OTHER _ <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS:.: 2(N) 3(E\! NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION H PROPERTY LINE 1l <br /> ❑ LIFT STATION SIZE _ TYPE OF PUMP ❑ PKG TX PLANT Cl SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> I <br /> LEACH LINES LEACHING CHAMBERS #of LINES 2 LENGTH OF LINES 55 tt <br /> DISTANCE TO NEAREST WELL 100 It FOUNDATION w i b ft PROPERTY LINE 20 11 <br /> ❑ FILTER BED WIDTH H LENGTH It DEPTH VIII //#� N <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE �'V <br /> ❑ MOUNDED WIDTH ft ft LENGTH DEPTH f ED <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE It <br /> ❑ SUMPS WIDTH I1 LENGTH ft DEPTH /II�Mt O A <br /> DISTANCE TO NEAREST WELL It FOUNDATION tt PROPERTY LINE ft 40 <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH R DEPTH SAN.In,, <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE E N�N COUNTY <br /> SEEPAGE PRS NUMBER 2 WIDTH 42 inches If DEPTH 25 ALAENTAL <br /> DISTANCE TO NEAREST WELL 150 It FOUNDATION It$ (___ 2 ft PROPERTY LINE 20 a RTMENT <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 /> MIMMLIM 46 HOIL4 ADVANCE NOTICE REQUIRED FOR TI -P ALL(209)953-7697 <br /> SIGNED.. _ TITLE contractor _ DATE 4-15-20 <br /> I <br /> I <br /> 1 <br /> C <br /> DEPARTMENT USE ONLY <br /> Application Accepted By esar Ruvalcaba Date4/17/2020 Area 4/99 Employee ID# <br /> Final Inspection By Data 4� : SPECIAL PERMIT-Approved by -- <br /> Character of Soil to "/ <br /> o PtVSump Soil Character: <br /> COMMENTS Add n o bedrooms.T e existin bedrooms for a total of 5. Tier II. <br /> PE Sc Received Check#/ Amount Permit/ <br /> Code INFO B Cash Remitted Date Service Request# Invoice I Permit 10# <br /> 4210 115 5p $300 10;tL SR0081990 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />