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JOB ADDRESS -? S-CP 72Cni C. LI evo ciTyizip <br />LICENSE 9(C-42 LiC-36 OTHER <br /> <br />NUMBER S-67DLI EXPIRATION DATE (7/3V0? <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS 39 14 00e 4 Xi's PI <br />CONTRACTOR 6,04/ 1/"?' /4 <br />CONTRACTOR ADDRESS <br />'1,2t 72.,) e.e/ APN 50q.D'D i L) <br />714U rphy Creok gmvich <br />CITY/STATE/ZIP pony /Ile <br />37146, Not i-,eer) rmil€ Dr, CITY/STATE/ZIP <br />PHONE ..a9 <br />b (k4011 rA <br />PHONE <br />PARCEL SIZE <br />ee <br />PAY MENT <br />REC WED <br />JAN 6 2621 <br />0-6-7 <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 />WATER TABLE DEPTH: /3c-• ft <br /> <br />GEOGRAPHICAL INFORMATION: Coordinates X <br />PERC TEST # <br />TYPE OF WORK: NEW INSTALLATION <br />H REPLACEMENT <br />BUILDING PERMIT # iY0 56200 LAND USE APPLICATION # <br />.th bar REPAIR/ADDITION <br />H OUT-OF-SERVICE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION We <br /> <br />INSTALLATION WILL SERVE: U RESIDENCE <br /> <br />II COMMERCIAL <br /> k OTHER De istfchEd I <br /> <br />NUMBER OF LIVING UNITS: <br /> <br />NUMBER OF BEDROOMS: <br /> <br />NUMBER OF EMPLOYEES: <br /> 514 wer <br />)( SEPTIC TANK <br />TYPE/MFG CAPACITY APOO gal # OF COMPARTMENTS <br />GREASE TRAP <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL /06 ft FOUNDATION /00 ft PROPERTY LINE A500 ft <br />LIFT STATION SIZE TYPE OF PUMP PKG TX PLANT CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />X ) LEACH LINES - LEACHING CHAMBERS # OF LINES (11. <br />DISTANCE TO NEAREST WELL /ca 1:/- ft FOUNDATION /$-0 / <br />FILTER BED WIDTH <br />DISTANCE TO NEAREST <br />MOUNDED WIDTH <br />DISTANCE TO NEAREST <br />?Y. SUMPS WIDTH a <br />DISTANCE TO NEAREST WELL /15-C7 71 <br />DISPOSAL PONDS WIDTH ft LENGTH <br />ft LENGTH ft <br />WELL ft FOUNDATION <br />ft LENGTH <br />WELL ft FOUNDATION <br />ft LENGTH /G 2 <br />LENGTH OF LINES 55- <br />ft PROPERTY LINE /Ceo <br />DEPTH <br />ft <br />ft <br />ft <br />ft ft PROPERTY LINE <br /> ft DEPTH ft <br /> ft PROPERTY LINE ft <br />ft / DEPTH /0 / ft <br />ft FOUNDATION /3-0 7'-- ft PROPERTY LINE /000 /71— ft <br />ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br /> ft PROPERTY LINE ft <br />CI SEEPAGE PITS NUMBER WIDTH <br /> ft DEPTH <br /> ft <br />DISTANCE TO NEAREST WELL <br /> ft FOUNDATION ft PROPERTY LINE <br /> 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 />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />SIGNED TITLE ‘,/i4' es /IC, DATE / - I <br />JONI N COUNTY SAN <br />HEAMF <br />MENT4L <br />IDEPARTMENT <br />Application Accepted <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS Addi 1),:)e)Jz SFR- 1.4 ,th1,jii,uet <br />ati-461wd rov9(ed breeze -1_1o/ atici0,11Cic1i67/ <br />sysiiet-ri filei hat.;:s(FIici IDSovip5 <br />PE <br />Code <br />SC <br />INFO <br />Received Check#/ <br />Cpsh <br />Amount <br />Remitted Date Permit/ <br />Service Request # Invoice # Permit ID# <br />Lial 17 <br />ily7 <br />1,yo• yi -Ks-F9 1 li, - 2-1 CON 3 SS1 <br />42-01 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />Oh <br />DEPARTMENT U SE ONLY <br /> Date //4:,/,;)i Area 14 /9C1 <br />Date <br />Employee ID# <br />3/10/2_02-1 SPECIAL PERMIT - Approved by <br />Pi Sump Soil Character: <br />DA <br />lbo( looff c..)0 / Pi el( 1-42/)ur Sh 0 14 er , t e 111 S <br />cavvred gi6Q —per PisvO.itx/L1-5