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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HA TON AVENUE-STOCKTON CA 952M•(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 9$3-7697 FOR/xspECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 7125 Seder Ave CIT'IZIP Mantexai95337 <br /> CROSS STREET Tinno AveAPN 2 -10-0i8 1.37 Acres <br /> PARCEL Sin <br /> OWNER NAME MIYe rhofcn PHONE ` <br /> OWNERADDRESS 7125SedanAve CITYISTAMZIP M3meca/CA/95337 <br /> CONTRACTOR CTE CAL InC PHONE(209)543.1799 <br /> CONTRACTOR ADDRESS 4.'''i.0 Kiernan AVe Ste 150 CITYISTATERIP ModestW"C 5357 <br /> LICENSE C-42 C36 OTHER NUMBER EXNRATION DATE <br /> WATER TABLE DEPTH:24 ft GEOGRAPW-AL INFORMATION: Coordinates X 37 77578009 LatiL 06 Y 121.22C65a8 Lm4sWQ <br /> YL PERC TEST S i BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIRIADDITWN ENGINEER 10ESIGNED IALTERNATNE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: K RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UMTS: I NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: <br /> D SEPTIC TANK TYPE/MFG CAPACITY <br /> gal #OF COMPARTN E'NTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY 931 ii Of COMPARTMENTS <br /> DISTANCE TO NEAREST. WELL ft FOUNDATION h PROPERTY LINE h <br /> O LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 0 SAND OIL SEPARATOR JENCLOSED SYSTEM <br /> O LEACH LINES LEACHING CHAMBERS *OF LINES LENGTH OF LINES tt <br /> DISTANCE TO NEAREST WELL ft FOUNDATi N ft PROPERTYUNE ft <br /> Q FILTER BED WIDTw ft LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE It <br /> O MOUNDED WIDTH It LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LING ft <br /> 0 SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL h FOUNDATlCN ft PROPERTYUNE It <br /> (3 DISPOSAL PONDS WIDTH tt LENGTH h DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION h PROPERT'LVNE It <br /> O SEEPAGEPITS Numm WIDTH tt DEPTH it <br /> DISTANCE TO NEAREST WELL It FOUNDATION h PROPERTY LINE it <br /> I HERIMY CCRTIFY THAT I•HAVE PREPARED THIS APPUCATION AND THE WORK WILL.BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATION$OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 109)95 3-7697 <br /> SIGNED �Y'.� +.D s�� r,ry�y�� TITLE StaffGallo9-v DATE Z`1012020 <br /> 1 i <br /> I I <br /> e A t t a1c V1 e d I I 1 1 <br /> I <br /> Iry qA <br /> I T- <br /> F1 11 <br /> I I I 1 <br /> I <br /> 1 <br /> �t <br /> I �+ <br /> i <br /> DEPARTMENT USE OAIL /� �, A <br /> Application Accepted BY, <br /> Date ! Area `�y .f�Erfplavoe ID* <br /> Final Inspection ByDate ';�D SPMAL PERMIT-Approved by <br /> Character of Soil to Depth of#Ft: -� PItSump Soil Character. <br /> COMMENTS <br /> _ <br /> n AP <br /> PE SC Received ChNN W Amount PermlU <br /> Code WFo B Cash Rem, nt, Date Service Request>r Invoices Permit IOAI <br /> I <br /> 1 <br /> 4n4J18 (�1I .-� �+: '"i Jlw(;2,i-I�. tSME WASTEWATER TRTMNT SYSTEM PERMIT <br />