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\ <br />JOAQUIH COUNTY <br />L~"!'!!!!!!!!!!!!!!!!IP~N!!I'07T1IRm{P"'I'jNlmjUj~E·"'TALHEALTH DEPARTM~IJf'\Oc:tlrv <br />Sewer pipe s"a\l he no dc:e".:r man 1WItiel!)",fini~t ~rcj(lc,A depth !Ireatr.r <br />r-,r4I,r--1 r '11 tnan 1 .ill'l?quirc an api"••edPiftsliotJon,MaXimum doptt ,f leach <br />line is 42",MaXimum soil COVIH overI*J'3.1/~Ch~mberty~~24"_ <br />t1.· <br />1 GC:E~~::J <br />~II I <br />INIlO <br />.5'3.;?¢, <br />.5'3.7/' <br />CONST. <br />CONCRETE <br />ALL <br />1.APN 085-300-32 Date <br />Flood Zone l+i,/~Y:641 r:/~dd AN" <br />Base Flood Elevation O~CircJe one) <br />Minimum MlH Substructure Elevation <br />Minimum Equipment Elevation <br />Minimum Finished Floor Elevation <br />Signature ~ <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E.MAIN STREET <br />STOCKTON,CA 95202 <br />(209)468-3420 <br />PRiSAL APPROVED SUBJE.CT TO:OBTAIN SANITATION PERMIT <br />OBTAIN WELUPUMP PERMIT <br />CONDITIONS NOTED BELOW <br />REMARKS£J1..J)lac oF ~ <br />Flood Control Preliminary Elevation Certificate FM-1 AO/1 M AC <br />01/05/11 ~~~~) <br />W~hYOU <br />Check Form Used <br />FM-1 AO D FM-1 AO M 0 <br />l'Above Highest Original Immediate Adjacent Grade <br />(AHOlAG)* <br />Above Highest Original Immediate Adjacent Grade----ML <br />r2,'Above Highest Original Immediate Adjacent Grade <br />+2'Above Highest Original Immediate Adjacent Grade· <br />ASCE Structure Classification ~ <br />ASCE Minimum Floor Elevation *(DFE)+2.I "(Design FIcod Elevation) <br />The information below must be signed and sealed by a licensed land surveyor or qualified civil engineer <br />authorized by law to certify elevation information.I certify that the information on this sheet represents <br />my best effort to interpret the data available -",(See instruction sheets for details on completing this form). <br />2a.'Datum NGVD 88 <br />Original Hlahest Ad1acent EI.34.43' <br />Depth 0!Eill Materi~IlStn lc:tiil.=2::.:.0:..::0:.,..'__ <br />Min.Finished Floor EI..36.43' <br />Difference 2.00' <br />Main Structure I Residence /Addition <br />(Circle one) <br />AHOIAG 0 12b.Datum AHOIAG <br />Original Highest Adjacent EI. <br />Depth of Fill Material/Structure <br />Min.MIH Substructure EI. <br />Difference <br />(Circle one)