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Linden, 95236 CITY/ZIP JOB ADDRESS 1246 N. Fine Road <br />CROSS STREET Dynasty Lane ApN 093-040-760 PARCEL SIZE 2.0 acres <br />PHONE 209-482-8656 OWNER NAME Evelyn Albor Morales <br />1 PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: REPAIR/ADDITION <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />NEW INSTALLATION <br />REPLACEMENT <br />I ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: <br />CI COMMERCIAL <br />NUMBER OF BEDROOMS: <br />1 OTHER <br />NUMBER OF EMPLOYEES: <br />[I RESIDENCE <br /> CAPACITY <br />ft FOUNDATION <br />PKG -rx PLANT U SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />CAPACITY gal # OF COMPARTMENTS <br /> gal # OF COMPARTMENTS <br />ft PROPERTY LINE <br /> ft <br /># OF LINES LENGTH OF LINES <br />ft PROPERTY LINE <br />DEPTH <br />ft PROPERTY LINE <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />II LEACHING CHAMBERS <br />WIDTH ft LENGTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />WIDTH ft LENGTH ft DEPTH <br />42-01 <br />4/24/12 /?3F-)3-5- <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />At a <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN CCLATY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKToN CA 95205 -(209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED :SS31IGUV 31IS 01 SEPTIC TANK <br />ID GREASE TRAP <br />LIFT STATION <br />1:1 LEACH LINES <br />FILTER BED <br />MOUNDED <br />CI SUMPS <br />LI DISPOSAL POND <br />SEEPAGE PITS <br />MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />SIGNED —1-11wr,... 8 VkLib AONA...jAr- TITLE Project Geologist DATE 4/16/2021 <br />APR <br />P IAAR:oN1:461ENE27-A0:2: <br />RECEIVED <br />Nvo <br />COUNTY <br /> HcAl.."*". TH DEPARTMENT <br />DEPARTMEN7 USE ONLY <br /> Date 1-74-, Area 14/ Ct Employee ID# 1)1 <br />Date "1 t (1., I E SPECIAL PERMIT - Approved by <br /> Pit/Sump Soil Character: <br />PE <br />Code <br />SC <br />INFO <br />Received Check#/ <br />Cash <br />Amount <br />Remitted Date Permit/ <br />Service Re citiest# Invoice # Permit ID# Lwo s,23 eis_By dtCQ.aeco i.isoR 4.414 sz0083 <br /> SAN <br />Application Accepted By <br />Final Inspection By <br />Character of Soil to Depth of 3 t: <br />COMMENTS1 .3 6- <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />S WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />NUMBER WIDTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br /> ft PROPERTY LINE <br />ft DEPTH <br />ft PROPERTY LINE <br /> ft PROPERTY LINE <br />ft DEPTH <br />ft PROPERTY LINE <br />DEPTH <br />TYPE/MFG <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP