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d <br /> 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 2289 S Main Street CITY/ZIP Manteca <br /> -i <br /> CROSS STREET E.Woodward Avenue ApN ;�'3 N�d 336 j b,3a m <br /> PARCEL SIZE p <br /> 0 <br /> OWNER NAME Raymus Homes PHONE 209-969-1923 z <br /> OWNER ADDRESS 15536 S Mitchell Rd CITY/STATE/ZIP Manteca,Ca 95336 <br /> CONTRACTOR Modesto Sand and Gravel,Inc. PHONE 209-545-4425 <br /> CONTRACTOR ADDRESS 6137 Hammett Ct CITY/$TATEIZIP Modesto,Ca 95358 <br /> LICENSE I. C-42 I C-36 OTHER C-21 NUMBER 271166 EXPIRATION DATE 2/21 <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> I PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM X DESTRUCTION Septic Tank <br /> INSTALLATION WILL SERVE: I_ RESIDENCE I COMMERCIAL 1_ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION It PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP (3 PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH It LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE It <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <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 /> '�JM 48 HOUg ORVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)9531 <br /> SIGNED -U RoqW 74 TITLE Project Manager DATE <br /> RFgYMF <br /> CFA T <br /> Al NOP <br /> RQU/Ny ?0470 <br /> `ip <br /> � pz M��ry <br /> ror <br /> D E fEN T.USE ONLy <br /> Application Accepted/�By Date II Jct r�J1i1J Area 117� EmployeeID# C� <br /> Final Inspection By A• Date ( !.. SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: it/Su p Soil Character: <br /> COMMENTS / • <br /> S r Ille LDc�iPl'r' nfpwk I< o:-wknowY,. Y'/� <br /> \ . <br /> PE SC Received Amount D to Permit/ Invoice# Permit ID# <br /> Code INFO ash Remitted Se ice Request# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />