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2019 74,30le t. z EA- Rb - onizip 12-1 Pc-i•-) L I <br />APN 24-tr- Z3 - 3 + -3 9 PARCEL SIZE :del- AC • <br />khorr.i IMO& <br /> <br />JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />VFY kJ Pc.-LE) <br />PHONE La-- - /14-tels, <br />OWNER ADDRESS 2- 03 C (2-% cm_ > CITY/STATE/ZIP P-I PC fic% ctS-31# (4) <br />CONTRACTOR L('/E 0 G-E0E-NA., acno PHONE 3(.01 <br />CONTRACTOR ADDRESS 40-1 CA/ • 0 eCV- cy - CITY/STATE/ZIP 1.--05 I c" q s- 2-44 o <br /> <br />LICENSE - C-42 00C-36 OTHER C (9-NUMBER 2- C EXPIRATION DATE 3 0 -1 2_ <br />.1••••1 <br />1 <br />OC) <br />JAN <br /># OF LINES LENGTH OF LINES ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <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: ft GEOGRAPHICAL INFORMATION: Coordinates X <br /> <br />IFT-( PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION <br />REPAIR/ADDITION <br />ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT <br /> <br />OUT-OF-SERVICE SEPTIC SYSTEM • DESTRUCTION <br /> <br />INSTALLATION WILL SERVE: Li RESIDENCE <br /> <br />NUMBER OF LIVING UNITS: <br />D COMMERCIAL <br /> Li OTHER <br />NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />SEPTIC TANK <br />GREASE TRAP <br />LIFT STATION <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE ft <br />PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP <br />LEACH LINES LEACHING CHAMBERS <br />DISTANCE TO NEAREST WELL <br />CI FILTER BED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />DISPOSAL PONDS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SEEPAGE PITS NUMBER WIDTH <br />DISTANCE TO NEAREST WELL <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 />MINIMUVIT ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />SIGNED TITLE 02-C4 0'1 0.7 . DATE 2- 2-2 - 2- <br />DEPARTMENT,USIONLY A Application Accepted B ..------ ZL.L Date ap J ..)) Area LI / (19 Employee ID# <br />Final Inspection By , J143 efiCl- '.../S rS---Tiate 1.12-6-4 ( 0 SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 n: 5 110'S Vir IG--V Pit/Sump Soil Character: <br />COMMENTS -(---e5+ #f 1 ct i 1 9.-7,4 i4-/ i',- ) P ?- 1 57,-- 7'1 i'..• )- <br /> <br />, <br />PE <br />Code INFO By Remitted ... Service Request # <br />SC Received (ticleici Amount Date Permit/ Invoice # Permit ID# <br />Liagid S-R 3 Mig?0;014 L Z° Li 2-'i2.71 5i200 2 2)11 <br />42-01 <br /> ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />4/14/18