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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-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 11484 E. Harney Ln. CITY/ZIP 95240 <br />CROSS STREET HWY 88 APN 063-180-090-000 PARCEL SIZE 16.079 Acers <br />OWNER NAME Wilson Family Winery PHONE <br />OWNER ADDRESS 11484 E Harney Lane CIN/STATE/ZIP Lodi <br />CONTRACTOR Haley Contracting PHONE 209-463-2517 <br />CONTRACTOR ADDRESS 4228 Newton Rd. CITY/STATE/ZIP Stockton CA 95205 <br />LICENSE _. C-42 X C-36 OTHER A,B, C16 NUMBER 580907 EXPIRATION DATE 11/30/2019 <br />WATER TABLE DEPTH: DV I I U ft GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />PERC TEST # BUILDING PERMIT # E-1 80OW LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION <br />REPAIR/ADDITION <br />ENGINEER DE IGNED /ALTERNATIVE <br />REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE <br />. COMMERCIAL <br />OTHER <br />NUMBER OF LIVING UNITS: <br />NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />XSEPTIC TANK TYPE/MFG P&L Concrete <br />CAPACITY 1500 <br />gal # OF COMPARTMENTS 2 <br />❑ GREASE TRAP TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT ❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />Y <br />_ <br />LEACH LINES <br />X LEACHING CHAMBERS <br /># OF LINES 2 <br />LENGTH OF LINES4f:E ft <br />I/ <br />DISTANCE TO NEAREST WELL 150 <br />ft FOUNDATION 20 <br />it PROPERTY LINE 20 ft <br />❑ <br />FILTER BED <br />WIDTH ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE <br />❑ <br />MOUNDED <br />WIDTH ft LENGTH <br />ft DEPTH <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />it PROPERTY LINE <br />❑ <br />SUMPS <br />WIDTH ft LENGTH <br />ft DEPTH 11, <br />DISTANCE TO NEAREST WELL <br />it FOUNDATION <br />ft PROPERTY LINE�//�/� it <br />Ate® <br />❑ <br />DISPOSAL PONDS WIDTH ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />ft PROPERTY LINEft <br />9 <br />�[ <br />I� <br />SEEPAGE PITS <br />NUMBER WIDTH <br />ft DEPTH w_ Vdr.1(t/ <br />018 <br />I ` <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE��C.T �/�jLl <br />COU <br />1 HEREBY CERTIFY THAT I HAVE PREPAIED THISWORK WILLB DONEN ACCORDANCESAN JOAQUIN COUNTY ORDINA III <br />AN THEND <br />IVTgz TY <br />LAWSPLICATION <br />SAN <br />COUNTY. q <br />SIGNED - <br />Application Accepted <br />Final Inspection By_ <br />Character of Soil to 9 <br />COMMENTS <br />Date <br />TITLE Secretary DATE 7/19/2018 <br />Area Employee ID# <br />SPECIAL PERMIT - Approved by <br />PitlSump Soil Chal <br />Invoice # I Permit ID# <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />