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fl FOUNDATION tt PROPERTY LINE <br /> II DEPTH <br /> <br />II FOUNDATION n PROPERTY LINE <br /> TI DEPTH <br />DISTANCE TO NEAREST WELL <br />0 MOUNDED WIDTH IT LENGTH <br />DISTANCE TO NEAREST WELL <br />CI SUMPS W10111 It LENGTH <br />ID <br />0 SR0083329 ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />GNVIRONMENTAL HEALTH DEPARTMENT <br />1866 E. HAZELTON AvENUE • STOCKTON CA95205 -(209)4683410 LE PERMIT CALL. 209 953 7697 Fo, INSPECTIONS <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />N Lincoln Ave <br />,E,.,,Ezip Manteca, CA 95336 <br />Mon <br />ARM 123-1414125 <br />amond Villas LLC / Raghii <br />ADDRESS 35971 Bronze St <br />ouro,,,,,, Owner-Builder <br />CONTRACTOR ADDREss 35971 Bronze St <br />LICENSE D DC-42 0:C-36 'OTHER <br />NUMBER <br />nAttnet Scot <br />510-771-4748 <br />Cfrir/STATEJZipi Union City, CA 94587 <br />PHONE 510-771-4748 <br /> Clre/SrAT0fizo, Union City CA 94587 <br />EXPIRATION DATE <br />WATER TABLE DEPTH: <br />I <br /> n GEOGRAPHICAL INFORMATION: Coordinates <br />C PERC TEST j BUILDING PERMIT # <br /> X <br />I ENGINEER <br />TYPE OF WORK: n • New INSTALLATION REPASR/ADOMON <br />DES <br /> <br />REPLACEMENT <br /> <br />CE SEPTIC SYSTEM ( 0 OTHER <br />OUT•CIF-SERV <br />ENetebn"" !ALI DeNNelIen <br />0 COMMERCIAL TERNATIVE <br />NUMBER OF BEDROOMS: . <br />TypE/m, Concrete <br />TYPEJMFG <br />SIZE TYPE OF PUMP <br />1:1 LEACH LINES I LEACHING CHAMBERS 1 <br />DISTANCE TO NEAREST WELL <br />ID FILTER BED WIDTH II LENGTH <br />DISTANCE TO NEAREST WELL 5 FOUNDATION II PROPERTY LINE <br />DISPOSAL PONDS WILMI ft LENGTH <br />LAND USE APPLICATION # <br />SEPTIC TANK <br />GREASE TRAP <br />LIFT STATION <br />INSTALLATION WILL SERVE: RESIDENCE <br />NUMBER OF LIVING LINITS: <br />CAPACITY <br />DISTANCE TO NEAREST: WELL ft FouuoArioN <br />0 PKG TX PLANT <br />CAPACITY 1200 <br />gal fr OF COMPARTMENTS <br /> R -BROPERIT Uwe <br />0 SAND oiLSEPAAATOR (ENcLOSED SYSTEM) <br />NUMBER OWE <br />gal # COMPARTMEMS <br />II OF LINES LENGTH OF LINES 70 re.' <br /> II FOUNDATION ft PROPERTY LINE <br /> II DEPTH <br /> It DEPTH <br />DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY USE <br />SEEPAGE PITS NUMBER WIDTH II DEPTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION S PROPERTY LINE <br />II <br />It <br />rt <br />II <br />It <br />IT <br />ft <br />S <br />ft <br />ft <br />It <br />EREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL 5E DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />IN! UM _L ouR ADVANCE NOTICE REQ RED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />SIGNED <br />AI <br /> TITLE amen g„ (pER DATE <br />mosuannuothomippaniripm <br />111111111111111111111111111111111 <br />i I 1 I I 1 1 1 1 I I 1 1 1 1 1 1 I 1 17-1 1_ 111 <br />Pit/Sump Soil Character: <br />PE SC Received <br />INFO B <br />Check/f/ <br />Cash <br />Amount <br />Remitted Date Permit/ <br />Service Request e invoice tt Permit iDe <br />- Code <br />ildd i 07C „ ,_5L- iS.-, .. ill Z i 1.. S. 007 2 <br />MIME <br />C ;ITE WASTEWATER TRTMNT SYSTEM PERMIT <br />DEPARTMENT US f ONLY <br />Application AcceptedAy — Date ...0 11/.) 1 Area 3frifulk, 0 Employee ID# A 5 <br /> <br />e:__—__ ,,-...,4% <br />. , <br />Final Inspection By t. Y "'-.__-- b) 2C1 Z-1 o SPECIAL PERMIT -Approved by <br />Character of Soli to Depth of 3 Ft: <br />COMMENTS (^J . l i L?t • -ii' ( ILI/If Aldara Salinas. Environmental Health Specialist