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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN 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 EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 7095 East Sedan Ave. CITdZIp Manteca 95337 <br /> T. <br /> CROSS STREET Man Street APN 226.100-18 PARCEL SIZE 1.37 0 <br /> c <br /> OWNER NAME Mike and Deana Thomton PHONE 2038293780 n <br /> i <br /> OWNER ADDRESS 7125 East Sedan Ave. CITY/STATE/ZIP Manteca 95337 <br /> CONTRACTOR Chesney Consulting PHONE 209-402-1652 <br /> CONTRACTOR ADDRESS P.O.Box 3794 CITY/STATE/Zlp Turlock,CA 95382 <br /> LICENSE C-42 .. C-36 OTHER RCE NUMBER C75479 EXPIRATION DATE 6-30-2020 <br /> WATER TABLE DEPTH: 15 ft ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # ' BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIRIADDITION ENGINEER DESIGNED]ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL 1. OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST' INF!L ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP L1 PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST P1ELL n FOUNDATION ft PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH R LENGTH ft DEPTH ft Y <br /> DISTANCE TO NEAREST WELL It FOUNDATION fl N ft PROPERTY LINE M - <br /> ❑ MOUNDED WIDTH n LENGTH It DEPTH — f /► �" <br /> WELL ft FOUNDATION ft 'rROPERTY <br /> DISTANCE TO NEAREST LINE_ fl `��/V iD <br /> ❑ SUMPS WIDTH R LENGTH fl DEPTH / R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE o <br /> / O <br /> w.- ^O� <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH C fIt ` G/ <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE 4 QI II� <br /> ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH NFn I 0%, COUIV <br /> DISTANCE TO NEAREST WELL ft FOUNDATION n PROPERTY LINE itN DE 'AR"i <br /> I HEREBY CERTI Y 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 /> 48 A tjCE NOTICE <br /> SIGNED TITLE &V1 If- 9i%r/ NEE DATE4A Z- <br /> I <br /> IT I <br /> �7 J DE P A R TM E N V Sk Q NL (t, <br /> Application Accepted By /`" �— Date-'7/ .2 IJ70 Area S C Employee ID#� <br /> Final Inspection By f7 Date SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of!Ft: r_t.�(1�1,LT �i (7 Pit/Sump Soil Character: <br /> COMMENTS y r s✓ ^'t n n t h <br /> PE SC Received Check Amount Date Permed Invoice# Permit ID# <br /> Code INFO BYL Remitted Service Request# <br /> ilad 5a <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4�ti!18 <br />