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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELToN AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NON-KEFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUEI <br />JOB ADDRESS 8875 W. Thornton Road <br />crrymp Thomton, 95632 <br />CROSS STREET N. Thornton Road <br />APN 001-200-02 PARCEL SIZE 0.55 <br />Ramos Oil / Doug Hawkins �� � <br />vwNeH rwMe CU j <br />0 �::' 916371 X289 ext. 31215 <br />�{1 <br />rf�one <br />- -- - - <br />- u <br />OWNER ADDRESS 1515 S. River Street �e7 1 <br />wUUD Cnr/STATE/Zm Sacramento, CA 95691 <br />CONTRACTOR Petralogix Engineering, Inc. <br />PHONE 209-770-0731/209-400-5729 <br />CONTRACTOR ADDRESS 26675 Bruella Road <br />CITYISTATE/ZH+ Galt, CA 95632 <br />LICENSE ❑ C-42 ❑ C-36 OTHER NUMBER EXPIRAmm <br />WATER TABLE DEPTH: -10 R GEOGRAPHICAL INFORMATION: Coordinates X Y <br />PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION REPAR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT-OFSERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: CI RESIDENCE ❑ COMMERCIAL ❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK TYPEIMFG <br />❑ GREASE TRAP TYPEIMFG <br />DISTANCE TO NEAREST: WELL <br />❑ LIFT STATION SIZE TYPE OF PUMP <br />CAPACITY <br />CAPACITY <br />it FOUNDATION _ <br />❑ PKG TX PLANT <br />981 # OF COMPARTMENTS <br />gal # OF COMPARTMENTS <br />it PROPERTY LINE ft <br />❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES LEACHING CHAMBERS <br />#OF LINES <br />LENGTH OF LINES it <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />It PROPERTY LINE ft <br />❑ FILTER BED WIDTH it LENGTH <br />it <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ MOUNDED WIDTH it LENGTH <br />It <br />DEPTH R <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />it PROPERTY LINE ft <br />❑ SUMPS WIDTH it LENGTH <br />It <br />DEPTH R <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />ft PROPERTY LINE It <br />❑ DISPOSAL PONDS WIDTH it LENGTH <br />It <br />DEPTH it <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />R PROPERTY LINE It <br />❑ SEEPAGE PITS NUMBER WIDTH <br />ft <br />DEPTH it <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />ft PROPERTY LINE fl <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND <br />REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 <br />SIGNE -- -(a d `- --- <br />TITLE Geologist <br />DATE <br />PE SC Received Check#/ Amount PermW Invoice # Permit ID# <br />Code INFO B Cash RemDate itted Service Re uest # <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/24/12 <br />�J <br />