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It GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT # LAND USE APPLICATION # <br />REPAIR/ADDITION 0ENGINEER DESIGNED /ALTERNATIVE <br />OUT-OF-SERVICE SEPTIC SYSTEM y DESTRUCTION SoPlle Derr. <br />NUMBER OF EMPLOYEES! <br />0 OTHER INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: <br />71 RESIDENCE C COMMERCIAL <br />NUMBER OF BEDROOMS: <br />WATER TABLE DEPTH: <br />PERC TEST # <br />TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />SIGNED <br />ANCE N TICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />TITLE Secretary DATE 10/15/2020 <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 />1 <br />60J <br />CD <br />, DEPARTMENT USiE ONLY <br />Application Accepted Date )0jAis.10,;;,0 Area 3Aler <br />Final Inspection By t'";) 1.0 ;V CI SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Plt/Sump Soil Character: <br />COMMENTS Dcril r).1 STP; ly - ra,06„?Pi' wo veytr <br />IAA ON, V\QA e 0 ;:r voiswe_ .1-t(Q eAkt.L- <br />vs- ck <br />DA Employee ID# <br />MCe <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - S TOCKTON CA 95205 -(209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 6643 Northland Road cTraip Manteca /95336 <br /> <br />CROSS STREET Castle Road APN / 971,2 03 I <br /> <br />PARCEL SIZE 3 <br /> <br />OWNER NAME Richard E Munoz RT PHONE 408-590-1112 <br /> <br />OWNER ADDRESS 1112W Main Street #170 CrrY/STATE/ZiP Manteca / CA /95336 <br />CONTRACTOR Flores Excavation and Demolition, Inc. PHONE 209-892-1099 <br />CONTRACTOR ADDRESS P.O. Box 1416 CITY/STATEMP Patterson / CA / 95363 <br />LICENSE — C-42 C-36 OTHER A, C-21 NUMBER 985609 EXPIRATION DATE (6/31/2022 <br />SEPTIC TANK <br />GREASE TRAP <br />TYPE/MFG <br />TYPE/MFG <br /> <br /> CAPACITY gal # OF COMPARTMENTS <br /> CAPACITY gal # OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE <br /> <br />DISTANCE TO NEAREST: WELL <br /> <br />LIFT STATION SIZE TYPE OF PUMP 3 PKG TX PLANT Cl SAND OIL SEPARATOR (ENCLOSED krATEM) <br />'V Jo 4 <br />LEACH LINES LEACHING CHAMBERS # OF LINES LENGTH OF LINES ti,41 kit& Z. <br />DISTANCE TO TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />FILTER BED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />MOUNDED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />PE <br />Code <br />SC <br />INFO <br />Received Chad.* <br />Cash <br />Amount <br />Remitted Date PermW <br />Service Reque§t # Invoice • Permit ID# <br />i'i Oa ) O7 .- 6.,1P- eceitt- - $ / ) 1011-111A) <br />• <br />• <br />42-01 <br />4/14/18 ez-xj ONSfTE WASTEWATER TRTMNT SYSTEM PERMIT