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nash <br />Check#/ <br />V I ,t <br />Amount <br />Remitted Permit/ <br />Service Request # <br />(1)44303 <br />, - <br />Lp <br />PE <br />Code <br />IF <br />SC <br />INFO By <br />-r4 <br />Date <br />1240 z() <br />Invoice # Permit ID# <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />42-01 <br />4/14/18 <br />OWNER NAME Do A r <br />OWNER ADDRESS _1§1.1.a.c <br />.-ws CONTRACTOR TATE/zi, Loot; i CA e?...5"Z(10 _Se e.. <br />PHONE 70g- 7 Z -i(64-/ <br />CONTRACTOR ADDRESS Po 0 s-64' <br />LICENSE C-42 C-36 OTHER NUMBER <br />E2(262a3EXPIRATION DATE_Ii_n 1- <br />5___O Z. <br /> <br />% A i CITY/STATE/ZIP C.--.4 q-5-6 • <br />millm.......______ATER TABLE DEPTH: -70 <br />ft <br />al . ""111111111EST IMIIIIIIIIM TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: <br />X SEPTIC TANK TYPE/MFG <br />0 GREASE TRAP TYPE/MFG <br />DISTANCE TO NEAREST: WELL__1:1C_L_ <br />SIZE TYPE OF PUMP <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) <br />468-3420 <br />NONREFUNDABLE PERMIT <br />CALL (209 953-7697 FOR INSP 77ONS JOB ADDRESS • <br />a • EXPIRES 1 YEAR FROM DATE ISSUED CROSS STREET t 1(.4. e. e iv) A 1-4-) <br />Ty/zip <br />GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT* <br />APN <br />PHONE <br />PARCEL SIZE <br />LAND USE APPLICATION <br />LIFTSTATION <br />- - - <br />SIGNED <br />I HERESY CERTIFY THAT I HAVE PREPARESDTATHTE <br />ISLAAPWPSLIACNADTIORLAJILAENSDATNHDERWEOGRUKLAWTIILOLNBSEODFOSNAENI!\110AACaCuOiNRDCAONUCNETYWITH SAN JOAQUIN COUNTY ORDINANCES, <br />C:1 DISPOSAL PONDS WIDTH ft PROPERTY LINE <br />0 SUMPS WIDTH <br />0 MOUNDED WIDTH ft <br />0 FILTER BED <br />DISTANCE TO NEAREST WELL f.2 ft FOUNDATION _j_j__ C_2_ ft PROPERTY LINE , -- ft <br />SEEPAGE PITS ki <br />LEACH LINES <br />ui U 48 HO R ADVA Non E • IR • FOR INSPECTIO P <br />DISTANCE TO NEAREST VVELL ___,/_.__,...;.'I- ft FOUNDATION ,L_(..2/_- ft PROPERTY LINE C.) 4— ft <br />DISTANCE TO NEAREST WELL DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft <br />-UMBER <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft <br />DISTANCE TO NEAREST WELL ft DEPTH <br />WIDTH <br />LEACHING CHAMBERS <br />ft LENGTH <br />ft LENGTH <br />ft LENGTH <br />ft LENGTH <br />/ <br />WIDTH ,___/ ft DEPTH ___Z_S_______ ft <br />ft FOUNDATION <br />ft FOUNDATION <br /> <br />TITLE <br /># OF LINES I LENGTH OF LINES _______________ ft <br /> <br />ft <br />ft DEPTH <br />ft <br />ft PROPER ft <br />ft PROPERTY LINE ft <br /> <br />DEPTH PROPERTY LINE ft <br />E ALL 209 953-7.9 <br /> <br />TY LINE <br /> ft <br />ft <br />ft <br />DATE <br />S. RESIDENCE <br />COMMERCIAL <br />,1 OTHER <br />IMETI <br />NUMBER OF BEDRooms: <br />NUMBER OF EMPLOYEES: <br />RMI CAPACITY <br />gal <br />CAPACITY gal OF <br />ft FOUNDATION -444;2- ft PROPERTY LINE —±"Lr--,'"4"--- PKG TX PLANT <br />CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />REPAIR/ADDITIO <br />T-OF-SERVICE SEPTIC SYSTEM ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUcTioN <br /># OF COMPARTMENTS___7,____ <br /># COMPARTMENTS <br />, DEPARTMENT SE-ONLY <br />Date <br />Date itZ <br />Application Accepted <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS FO II <br />Z--•Z — <br />) 0 Area Employee ID# <br />SPECIAL PERMIT - Approved by <br />Pit/Sump Soil Character: <br />< <br />D/1