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NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPEZTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOE ADORES?. ilab) (1 .2, 6 ciTyrzip c q <br />OREM STREET APN 5.1 C., ci PARCEL Sim 3t)...i.• <br />OWNER NAME <br /> e'1\1 C uo PHONE 5 Y-OYIR <br />OMER ADORE38 CITYISTATEarre <br />CONTRACTOS F) (s)c-L\3c;-•g-Q1vc)::, rk.NE.)qc-i'D-ci 1 <br />CONTRACTOR ADDRESS _(P .C; \.)3 0 Dd tThl crylsTATEizip 0 hD LA 'I c•3`) <br />LICENSE L1E-42 OTHER '11) NUMBER / -SO ExoirtAncm Dent 7- - <br />WATIM TARLE DEPTNI 11 GEORRAPHICAL INFortMATION: CoortfinRkm X <br />P. PORE TEST <br /> <br />BUILDING PERMIT <br /> <br />LAND USE APPLICATION # <br /> <br />TYPE OF WORK : 0 NEW iNoTALLATioN )5( REPAIR/ADDITION 0 ENGINEER DESIGNED /ALTERNATivo! <br />El REPLACEMENT DEsTeucnoti L , <br />INSTALLATION WILL SERVE: 7.e. REBICENcE I_ CommERcLAL_ u OTHER <br />NUMBER OF LAnNa UNIT3: 1 NumPER Or BEDRoOMS: -I Nu IntiER OF EMPLOYSEs: _1 <br />M 9EpTic TANK INTE/MFo .. CAPAciry oci F OF COMPAR7MENr; <br />LI GREASE TRAP TYPE/MFG CAPACITY gal if oF COMPARTmENTE <br />DISTANCE TO NEAREAT; WdLL it FOUHDATiON fl Fq0AF-AtT LINE ft <br />0 LIFT STATION SIZE TYPE OF PUMP <br /> <br />0 PHO TX PLANT 0 SAND OIL SEPARAToR (ENCLOSED 8YSTEM) <br /> <br />tot LEACH LINES Li LEAD HiNG CRAMBERS s or LINEs ___L LENGTH OF LINES <br />DisTANCE TO NEAREST v...1.1. 15174' ft FOLADATION r ?}D A- ft PRoFERTYLNE I tit) -'' ft <br />la FILTER BED Worm fl LF.NGTH ft DEPTH ft <br />DISTANCE TO NIMAP_ST ws.u, _ n FOUNDATioN fl PROPERTY 1...'Nn ft <br />0 MOUNDED Mom ft LEsicmi n DEPTH ft <br />DISTANCE TO NEAREsT ws,..LL fl .-A ,,RIATION ft pRaPER-N , INE n <br />sLIMP5 WFoTH • -.- " it LENGTH -tr-L) I DEPTH \6,› ft <br />DISTANCE. TO NEAREBT WALL ClE i: 1 fl Mut:DA-now If 038DRErrne LiNE If <br />Ia DISPOSAL PONDS MOTH 11 LENGTH ft DERTH It <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PRoPERTy LINE It <br />Cl SEEPAGE PITS Nu Berl Vlherot 11 DEPTH It <br />DISTANcE TO NEAREAT WELL ft FOUNDATION a PROPERTY UNE It <br />HF-J2EDy CERTIFY THAT 1 HAve PREPARED THIS APPLICATION AND THC WORK WILL DE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATONs OF RAN JOAOUIN COUNTY. <br />MINIMUL " HOUj. AtovnnicE yo4f C ClORDI3 FOR INSPECTIORy - PLEASE CALL 00)053-7597 <br />•••• TITLE t n DATE 1 LD SIGNED <br />clEcENE- 'EIVED <br /> 6 2015 <br />O-C 1 <br />Spdi <br /> <br />f.t1V‘FLOT\A-Ent <br />VIE_NO VA OE <br />)N --:NTAL HEALTH <br /> !SERVICES <br />y. <br />12/16/2015 16:52 2095772499 <br /> AAA BACKHOE SERVICE <br /> PAGE 113/0 3 <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAouiN C outer,' ENviRoADAENTAL HEALTH DEPARTmENT 1835 East Notolton Avenue -STaCKToN CA 95205-6232.209) 480-3.420 <br />ApplIcAtion Accepted By <br />Choracter of Soli to Depth of 3 Ft: <br />COMMENTS ci s <br />tt- Ar,,ht 4 S <br />1t11 15 Iv?' - • v , IC <br />PE <br />COSS <br />SC <br />INF° <br />Received <br />BY <br />ChociON <br />Cash <br />Amount <br />Remitted Dote <br />.1-21-flis-- <br />permit' <br />Service Request g Invoice # Permit 10# <br />41, 1 0 <br />,--- <br />i I ) 6/4,0 /Cie= -ta-1-• crSO7it3c1 <br />/C,;, 787— <br />Received Time Dec. 16. 2015 4:06PM o. 0215 ON3ITE WASTEWATER TFTmNT SYSTEM PERMIT <br /> :STP1CRI V 111g (d-t <br />EISAI lefipeetlerl By <br />DEPARTMENT U4E ONLY <br />DOR Vr- \-:" Area IDA 4i-q, Employee ID* <br />Daft .11 SPECIAL PE IT • ApOrOvs# Sy <br />Soil Character: 1.1171