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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQtAN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELION AvENUE-STOCKTON CA 115296-t209y 466-3e20 <br /> NUN-REFUNDABLE PERMIT CALL 709 933-7597 FOR fNsPEt io s ExPim 1 YEAR FROM DATE ISSUED <br /> JOS ADDRESS 18163 Soule CarTOW Road Ctr1fLIP Rpon.9S31515 v+ <br /> CROSS STREET Kirnboly OriYe APN 245-38-026 PARCEL SLB 1.67 arras <br /> OWNER NAME Jose Valdevinos PHONE(20911528.0986 <br /> OWNER ADDRESS 733 Shadw.Wmk Lane CrryaTATE/21P Manteca,CA SM36 .. <br /> m <br /> CONTRACTORyaldovinos Development _ _ __ PHONE(2091628-0988 rn <br /> ca <br /> CONTRACTOR ADDRESS -733-Shadowbrook Lone CITYISTATEILI, Manteca.Cal 95336 <br /> LICENSE 1 Get C-36 OTHER Sill Stevens VJ NDMSER CE 43010 / EXP TION DAA 31310022 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATON: Coordinates x Ej! Y-127-079948' <br /> a <br /> PERC TEST N' BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEw INSTALLATION REPIYRIADDmoN ENGINEER DEsR;NFo IALTERNATrvE a <br /> v <br /> REPLACEMENT OW-O"ERVICE SEPTIC SYSTEM DESTRUCTION Q <br /> INSTALLATION WILL SERVE: LD RESIDENCE l COMMERCIAL F' OTHER <br /> NUMBER OF UYING UNITS: 1 NUMBER OF BEOROOMS/T NUMBER OF EMPLOYEES: <br /> Q SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> Q GREASE TRAP TYPEIMFG CAPACIry gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST; WELL ft FOUNDATION fit PROPERTY LINE A <br /> 0 LIFT STATION SIZE TYPE OF PUMP ❑ PKG T%PLANT ❑ SAND OiL SEPARATOR(ENCLOSED SYSTEM) <br /> 13 LEACH LINES LEACHING CHAMBERS 41 GF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE It A <br /> 0 FILTER BED WIDrn ft LENGTH R DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE R ' 1�I-►M��y r <br /> ❑ mouNDEO WIDTH ft LENGTH ft DEPTH R �•rC, �D <br /> DISTAN CE TO NEAREST WELLft FOUNDATION R PROPERTY LINE n <br /> Ll sumps R J"'►Y <br /> 25 SUMPS WIDTH LENGTH DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE �� �0�2 <br /> ❑ DISPOSAL PONOS WIDTH ft LENGTH ft DEPTH 'tAOR QtjPIN <br /> DISTANCE TO NEAREST WELLR FOUNDATION R PROPERTY LINE '4L Ey 01V oUNr <br /> Q SEEPAGEPITS NUMBER WIDTH ft DEPTH ft ��AA►�TrAL <br /> DiSTAN ce To NEAREST WELL R FOUNDATION it PROPERTY LINE ft WNr <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPUCA71GN AND THE WORK tAIILL SE DONE 1N ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> 148,HOMB ADVANCE N077CE REQUIRED <br /> SIGNED TITLE P—d-1 DATE 1/24/2022 <br /> JMMMM <br /> NONE IMMEM <br /> NOME IMEME <br /> IMMUM1 <br /> i VPdJ1iT0 [Y.'i�39�{: <br /> 1 <br /> . 1 IMMEM <br /> I MEMO <br /> MEMO IMMEM <br /> y <br /> MEMO <br /> MOEN <br /> MEMO IMEME <br /> NONE <br /> I. <br /> I <br /> f 1IMMEM <br /> MEMO IMMEM <br /> MEME <br /> I f" <br /> NONE IMMEM <br /> MEMO IMMEM <br /> D PARTMENT DAILY <br /> Application Accepted By ���� Date I ,J`f Em rZ Area playee ION AG <br /> Final Inspection By Date I-1 SPECIAL.PERMIT-Approved by <br /> Character of So II to Depth of 3 Ft: Plt'Sump Soil CharactBr. <br /> COMMENTS <br /> PE SC Recalved Chaco/ Amount Date Permw Invoice 0 Permit IDN <br /> Code INFO Cash Remitted Sarviea uest# <br /> aaa say or <br /> 42-01 )3-77-73S <br /> 2-0t13 7 r��3 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />