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Application Accepted <br />Final Inspection By <br />Character of Soil to <br />COMM S <br />e <br />DERA R . ,r. or <br />Data Area Employee ID* t4-04-&---- <br />Data (.7 71 SPECIAL PERMIT - Approved by <br />Limp Soil Character <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAOUN COuNTY ENvIRONsIENTAL HEALTH DEPARTMENT 500 E MAIN STREET - STOCICTON CA 95202 - (209) 488-3420 <br />NON-REFUNDABLEm rERMX (.;ALL (209) 93-7f97 FOR 1NSPECT1OXS EXPIRES 1 YEAR FROM DATE ISSUE! <br />JOB ADDRESS JT Z-MISE... AVE ciraw 64t'1 q 53 te) <br />cuoss sTREET VIA6441=42, 121), APN .2-03-2(0—i& PARCEL SIZE ? 31 AC <br />0wNER NAME DANA. ert., pHow€ <br />OWNER ADDRESS Ili& / Fill 44 6 tza... De. CITYISTATEZIP R Ipt,r,1 cA 1s /66 <br />CONTRACTOR RekZ114 Aikt6g WAT4 lr:/-4-1/416fe 54€vre.,_11 wc. PHONE (1-441) 5i1c <br />CONTRACTOFI ADDRESS 4 71 S ersergpizi5e 44k-le '5Z-: tit ‘14 CITY/STATE/ZIP PilOped7 44 <br />LcENsE 00-16 OTHER NUMBER EXPIRATION DATE <br />TYPE OF WORK: 0 <br />It GEOGRAPHICAL INFORMATION; Coordinates X <br />BUILDING PERMIT # LAND USE APPLJCATI ON # _ C u->D NEW INSTALLATION f I REPAIR/ADDITION D ENGINEER DESIGNED /ALTERNATIVE 0 REPLACEMENT 2 OESTRuoTioN <br />WATER TABLE DEPTH: <br />PERC TEST # <br />INSTALLATION WILL SERVE: _I RESIDENCE Li COMMERCIAL OTHER <br />NUMBER OF LIVING UNITS: _ _ _ _ NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />SEPTIC TANK TYPErMEG CAPACITe gal it OF CONPARTmENTS <br />GREASE TRAP TYPE/MFG CAPACITY so 5 OF COMPARTMENTS <br />DisTANDE To NEAREST; VVELL . _ Y. FOUNDATION ft PROPERTY LINE if U LIFT STATION SIZE TYPE OF PUMP Cl PEG TX PLANT Cl SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />LEACH LIMES : LEACHING CHAMBERS *OF LINES LENGTI4 OF LINES ft <br />DISTANCE To NEAREST WELL _ FOUNDATION ft PROPLRTY UNE tt 0 FILTER SEC 1/1/10711 ft LENGTH II DEPT,I ft <br />DISTANCE TO NEAREST WELL ft FOLNDATION ft PROPERTY UNE 11. 17.2 MOUNDED WITH • ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOLNDATIDN It PROPERTY UNE 11 CI SUMPS 'MOTE fl LENGTH N DEPTH It <br />DISTANCE TO NEAREST WELL r; FoLNDAT;oN f, PROPERTY LINE ft , <br />IZI DISPOSAL PONDS WIDTH ft LENGTH 11 DEPTH ft ' <br />DISTANCE TO NEAREST WELL ft FOL,NrATIGN ft PROPERTY LINE ft ' <br />SEEPAGE PITS NVmatiti Phure t. DEW-1 <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORN WILL BE DONE IN ACCORDANCE WIN SAN JOAQUIN COMN TY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />\ TtIiSISOU1Z4 HOUR ADVANCE NOTICE REDLNRED FOR INSPECTIONS . PLEASE CAI I (205) 553-75557 <br />DATE 5/14(U° TITLE iVSN415,0-. <br />It PROPERTY LINE <br />SIGNED <br />• lb 1111 I MUM= IRE MI empoomm UMW <br />winewmpies <br />11111111iiiiiiiiiiiiall 11111•111101M1111 <br />omummesiq min... EM -MEN "4' 111111111 _1 Ir—IIMENSI um , up <br />.. . _MIN 'NEIN <br />la • EMILIF - - um imujEmilm, • ME MIIIIMENirm., A <br />iFi i <br />A ,") <br />M E NT Elva) <br />2 5 MO <br />Ul N COUNTY <br />0 &sale- <br />-11%115NT <br />PE <br />Coda <br />SC <br />INFO <br />Received c•neca <br />a <br />.khd_..) Amount <br />emitted Date Permit/ <br />Service Re uest Invoice # Perm1t ID# <br />2-E(32Sfj <br />412.01 <br />ONS:TE WASTEWATER TRTMAIT SYSTEM PERMIT 1314/07