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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 /> Joe ADDRESS 20442 River rd. CITY/ZIP Ecaion,CA y <br /> CROSS STREET nn ^l h'), 914+ APN EX fJ4R30S PARCELSIZE O('d },A.5' I> <br /> (( <br /> OWNER NAMEChjinckiQlo, Sleyeri <br /> PHONE <br /> OWNERADDRESS F.0 9,;YA' <br /> 5-0qj� CITYISTATEIZIP Slaek40i't, CEJ yam},j <br /> CONTRACTOR Mike's Backhoe Service PHONE 209-456-2665 <br /> CONTRACTOR ADDRESS P.O.Box 650 CITY/STATE/ZIP Manteca,CA 95336 <br /> LICENSE DDC-42 (7aC-36 OTHER A NUMBER 808554 EXPIRATION DATE 2020 <br /> WATER TABLE DEPTH: .� ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ^. NEW INSTALLATION i REPAIRIADDITION ENGINEER DESIGNED{�LTERNATIyrE <br /> jC REPLACEMENT i'. OUT-OFSERVICE SEPTIC SYSTEM DESTRUCTION f 4NA 0 <br /> INSTALLATION WILL SERVE: U RESIDENCE C) COMMERCIAL IW OTHER <br /> NUMBER OF LIVING UNITS:1 NUMBER OF BEDROOMS:2 NUMBER Of EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG PBL Concrete CAPACITY 1200 gal #OF COMPARTMENTS2 <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL100 It FOUNDATION 25 it PROPERTY LINE 75 ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS #OF LINES 1 LENGTH OF LINES W. ft <br /> DISTANCE To NEAREST WELL 100 ft FOUNDATION 25 it PROPERTY LINE 40 it <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE R <br /> 11 SUMPS WIDTH 2' ft LENGTH 14'— ft DEPTH 10' ft <br /> DISTANCE To NEAREST WELL 150 ft FOUNDATION 75 It PROPERTY LINE 10 ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELLIt FOUNDATION it PROPERTY LINE fl <br /> ❑ SEEPAGE PITS NUMBER WIDTH it DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it <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 /> MINIMUM eR HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED Mike Fuller TITLE Contractor DATE <br /> YM'ENT <br /> See a t t ached DEWED <br /> Y 06 20 <br /> V RONMENTAL TY <br /> T DEPARTMENT , <br /> ,p�+- DEPARTjFN E NLY <br /> Application Accepted ! �' Data <br /> 20 Area Employee ID# Sig <br /> Final Inspection By •- Date_ - 0" SPECIAL PERMIT-Approved by <br /> Character of Soil to 6Zpth of 3 Ft• PitlSum Sall ratter: <br /> COMM TS <br /> P£ SC I Received thock#1 Amount Parmitl <br /> Code INFO _ B Cash Remitted Date a is R uest# Invoice# Permit ID# <br /> �Id1D �.5_ 317{7 <br /> 42-0I /)nJ JfJnJ(7(y7 �Jy ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 J/!��`7�ty�+ b'✓L G✓��"�L� <br />