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NON-REFUN <br />JOB ADDRESS <br /> <br />CALL 209 953-7697FoRINsPEcTioNS EXPIRES 1 YEAR FROM 'ATE ISSUED <br /> CRY/ZIP Liu .1111111WW.4 <br /> <br />CROSS STREET APN 0 93 --04-0 -32. PARCEL SIZE 2 .0 <br />OWNER NAME l'j PHONE Arn? -ss36 <br />OWNER ADDRESS 8 i i. CITY/STATE/BP LLL1_f____A5236- <br />CONTRACTOR D kaals vi 3Or.Js NC PHONE 466-f)607 <br />CONTRACTOR ADDRESS 4000 N . Wil.501.1 ViAtt c,T„sTATEThe.S1- 101./, 152_05 <br />LICENSE /c C-42 n C-36 OTHER I trfi (j NUMBER __A_ EXPIRATION DATE LI, <br />DEPARTMENT rE PIN/.Y <br />Date i ct i j 7 Area ALC11 Employee IDS ALMA <br />Date 4j pg-ii* SPECIAL PERMIT - proved by <br /> Pit/Sump Soil Character: <br />LOA 61, (4,a_46 cf)\ 114. 4111.10w:1 pe Icco-Ndt <br />Application Accepted By <br />Final Inspection By <br />Character of Soli to D <br />MMENTS <br />1 -eA <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1968 E. HAZELTON AVENUE - STOCKTON CA 95205- (209)468-3420 <br />WATER TABLE DEPTH: 120 ft GEOGRAPHICAL INFORMATION: Coordinates X <br />L BUILDING PERMIT It <br />TYPE OF WORK: <br />NUMBER OF LIVING UNITS' <br />SEPTIC TANK TYPE/MFG CAPACITY <br />GREASE TRAP TYPE/MFG CAPACITY gal II OF 66144€17fONS ''..,... <br />ENVIRoN"' 'VDA/TY <br />DISTANCE TO NEAREST: WELL It FOUNDATION II PROFIERAy <br />m ft }.415-tp ENTAL <br />LIFT STATION SIZE TYPE OF PUMP CI PKG TX PLANT GI SAND OIL SEPARATOR (ENCLOYAVISTEM) <br />)4, LEACH LINES ?c LEACHING CHAMBERS _Fla + # OF LINES LENGTH OF LINES 151 It <br />DISTANCE TO NEAREST WELL i cr 1 if FOUNDATION II ft PROPERTY LINE e.51- ft <br />FILTER BED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br />MOUNDED WIDTH ft LENGTH ft DEPTH It <br />DISTANCE TO NEAREST WELL ft FOUNDATION II PROPERTY LINE ft <br />SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />0 DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST4 WELL fl FOUNDATION fl PROPERTY LINE It <br />41: SEEPAGE PITS NUMBER _1 WIDTH II DEPTH -5 — ft <br />DISTANCE TO NEAREST WELL I 10 1 ft FOUNDATION / 4; ft PROPERTY LINE ft <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br /> <br />. TI REQUIRED FOR INSPECTIONS- EASE CALL (209) 9f3-76p7 <br />SIGNED Wag 31k TITLE C.,aikkaLk- III DATE SA 1 <br />PE <br />Code <br />SC Received <br />INFO _By_ <br />_ l_kiec dip Amount <br />Remitted Date PermW <br />Service Request # Invoice # Permit ID# <br />..ash <br />4,2.1q 5-40- _IA 5-51f 7 2g3 — iiii-ii ,cimb 793f4 <br />PERC TEST I LAND USE APPLICATION # <br />NEW INSTALLAWN REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT trattlit 5,015et OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION PAyMENT__ <br />INSTALLATION WILL SERVE: I I RESIDENCE Ii COMMERCIAL OTHER <br /> <br />REIVECI NUMBER OF BEDROOMS: NUMBER C1--—,LOYEFE;F F- <br />N14 gal AF11 OF COM Ek 2017 <br />QNSITE WASTEWATER TRTMNT SYSTEM PERMIT 42-01 <br />5'5'17