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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALI H DEPARTMENT 1858 E. HAZELTON AVENUE-STOCRTON CA 95206-(209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL 2Q9 953-7697 FOR 1NSPEC7lON5 EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDREss 7523 Meadow Ave CrrYIZIp Stockton/G6207 <br />CROSS STREET Rivo,2 Rd. <br />OWNER NAMFSIeve Meredith <br />OvmERADDRESS 7523MeadowAve <br />CONTRACTOR West Coast Backhoe, Inc. <br />CONTRACTOR ADDRESS 33 Maxwell St. <br />LICENSE _ ;Cd2 ❑ .C36 OTHER A <br />07737012 PARCEL SIZE 19 <br />PHONE 209-7878 <br />C IYISTATEIZJR StuAtuntCA19t207 <br />pHONE 209339-7394 <br />CRYISTATFJLP Lodi, CA 95240 <br />NUMBER 851152 EXPIRATION DATE 9130)2022 <br />WATER TABLE DEPTH: 30-90 R GEOGRAPHICAL INFORMATIDN: Coordinates X Y <br />❑ PERC TEST # BUILDING PERMIT# LAND USE APPLICATION # <br />TYPE OF WORK: I_ NEW INSTALLATION .yL—REPAI IADDITION f_ ENGINEER DESIGNED 1ALTERNATIVE <br />REFI ACFMF.NT OUT-0F$Bivica SEPTICSYBTEM - DESTRUCTION <br />INSTALLATION WILL SERVE: 0-RESmENCE Q COMMERCIAL 0 OTHER <br />NUMBER OF LING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLUYLES: <br />❑ SEPTIC TANK TYPENFG _ CAPACITY gal 40FCOMPARTMENTS <br />0 GREASE TRAP I YPF/MFG CAPACITY gal # OF COMPARTMENTS_ <br />DISTANCE TO NEAREST: WR 1. ft FOUNDATION ft PROPERTY LINE R <br />❑ UFT STATION SIZE TYPE OF PUMP O PKG TXPLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />LEACH LINES <br />- LEACHINGCHAMBERS <br />_ #o, LINES T LENGTH OF LINES �0. (QD, <br />DISTANCE TO NEAREST WEII i' _ <br />R FOUNDATION 10+ ft "ROPERTYLRJC =rt It <br />❑ FIL71ERSED <br />WIDTH R LENGTHR <br />DEPTH ft <br />DISTANCE TO NEARESI WELL <br />ft FOUNDATION ft PROPERTY LINE ft <br />O MOUNDED <br />WIDTH R LENGTH <br />R DEPTH _ R <br />DISTANCE iO EAREST VIELL <br />It FOUNVAIION ft PROPERTY LINE k <br />'-MI75-� <br />SY <br />Wb7H R L=NGTH 1 <br />ft DEPTH -� R <br />DICTANC TO NEAREST WELL I " � <br />FOUNDATION 1 Il PROPERTY LINE "efr� It <br />❑ DISPOSAL PONDS WIDTH R LENGTH <br />ft DEPTH R <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION It PROPERTY UNE R <br />O SEEPAGE PRS <br />NUMBER MTH _ <br />It D=PTI! ft <br />DISTANCE TO NEAREST WFII <br />ft FOUNDATION ft PROFERTYUNE R <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 />48 <br />DVANCE IYOUCE AEGUIRED <br />FOR WSPECT7ONSC(2091953-7 9 <br />SIGNED <br />TITLE DATE Z� Z-`�-- <br />Application Accepted BY <br />Final inspection By <br />Character of Sol Il' {Depth Df 3 <br />COMMENTS VV D1(A 3_1 <br />rr;I d cqj )16 A.; l IPS! <br />Code <br />DEPARTMENT US ONLY Q� <br />Date /� Area ! Employee ID# tJI <br />_ Data 7�Z SPEC�ALPERMIT-Approved by <br />PWSump SWI Character. <br />3i'; <br />Date <br />42-01 l ! to SE21S 1 <br />4114110 <br />2 <br />C' <br />r <br />RFq YMF <br />�J�C 1 S 2p <br />�V � Q�� ZZ <br />Ty° pgRTr°°�Nr <br />MFNr <br />GAY. ��►��r:S�i1i�7L1OK <br />MM <br />CNSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />