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CITY/STATE/ZIP .4'7? 4 c) - I CONTRACTOR ADDRESS / L /0 / w <br />EXPIRATION DATE -r I NUMBER ) r LICENSE 0 C-42 CI C-36 OTHER <br />TYPE OF WORK: NEW INSTALLATION <br />LAND USE APPLICATION # BUILDING PERMIT # <br />ft ft PROPERTY LINE DISTANCE TO NEAREST WELL ft FOUNDATION <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE -3" Fe - STOCKTON CA 95202 - (209)468-3420 <br />.2 NON-REFUNDABLE PERMIT CALI. (209) 953-7697 FOR INSPECTIONS yPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 1/7 a 7-' ___T `;' Li vi, 4.. j-./CITY/ZIP / 4A-1fr 4 ,4 <br />CROSS STREET -7.Cj/ ' C 4 l..,- Ap"NoYo 2-0 1.3 PARCEL SIZE / <br />OWNER NAME •-,.0 r ( L./ (.. X'-':.7'' 1)) /2 •"‘-• , •-1 PHONE <br />OWNER ADDRESS CITY/STATE/ZIP <br />' <br />C <br />.. <br />--(4:- A, .-- i.-'-' CONTRACTOR Atiie3lf 4. -C('') t- . 4. / <br />WATER TABLE DEPTH: fl GEOGRAPHICAL INFORMATION: Coordinates X <br />PHONE <br />PERC TEST 9 <br />REPAIR/ADDITION 0 ENGINEER DESIGNED/ALTERNATIVE <br />REPLACEMENT 10 DESTRUCTION <br />SEPTIC TANK TYPE/MFG i t/L eercyt,,,_ <br /> <br />INSTALLATION WILL SERVE: a RESIDENCE U COMMERCIAL 0 OTHER <br /> <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: - NUMBER OF EMPLOYEES: <br />CAPAC . • gal <br />121 GREASE TRAP TYPE/MFG CAPACIT gal # OF COMPARTMENTS <br />PKG TX PLANT DISTANCE TO NEAREST: WELL <br />LIFT STATION Size TYPE <br /># OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE <br />0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />42-02-001 <br />12/22/2003 <br />ONSITE WASTEWATER PERMIT <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />rEiteekAP <br />Cash <br />Amount <br />Remitted Date <br />Permit/ <br />Service Request 9 Invoice 9 Permit IDtt <br />1(40 PS- r-c- '' 1'- Z5 \Nvl 5R00 qq3ze-1 <br />r +4- 7 2- <br />fl7k <br />L. 1.„ 191)1' 3 <br />tri <br />1}4 <br />Application Accepted B <br />Final Inspection By / <br />--..- — <br />Area Employee 109 <br />0 SPECIAL PERMIT - Approved by <br /> 7C 5-47 Date <br />Date <br />DEPARTMENT ON V <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS , .„g j " <br />a.14.MVAlingr ' <br />it/Sump Soil Character: :SS3110(1V 311S