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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT /A SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 NON-KEFUNDABLE PERMIT GALL (LUV) Y' DJ -/by/ FOR INSPECTIONS tXPIRE5 l TEAR FROM DATE ISSUE JOB ADDRESS 11150E. Highway 120 CITY/ZIP Manteca, CA 9C -3t Lp CROSS STREET Austin Road APN 228-030-28 PARCEL SIZE 10.0 OWNER NAME Global Carrier Inc. PHONE 209-825-8974 OWNER ADDRESS 1112 N. Main Street (PMB 387) CITY/STATE/ZIP Manteca, CA 95336 CONTRACTOR TERRACON CONSULTANTS (NEIL O. ANDERSON & ASSOCIATES) PHONE 209-367-3701 CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATE/ZIP LODI, CA 95240 LICENSE C-42 C-36 OTHER C-57 NUMBER 669004 EXPIRATION DATE 5/31/19 /Ir WATER TABLE DEPTH: � ,l - ft GEOGRAPHICAL INFORMATION: Coordinates X IX PERC TEST # 1 1 BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL --I OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG ❑ GREASE TRAP TYPE/MFG DISTANCE TO NEAREST: WELL ❑ LIFT STATION SIZE TYPE OF PUMP ❑ LEACH LINES LEACHING CHAMBERS ft FOUNDATION ft DISTANCE TO NEAREST WELL ft ❑ FILTER BED WIDTH ft LENGTH DISTANCE TO NEAREST WELL 7 ! ' ❑ MOUNDED WIDTH ft LENGTH DISTANCE TO NEAREST WELL ❑ SUMPS WIDTH ft LENGTH DISTANCE TO NEAREST WELL ❑ DISPOSAL PONDS WIDTH ft LENGTH DISTANCE TO NEAREST WELL ❑ SEEPAGE PITS NUMBER WIDTH_ DISTANCE TO NEAREST WELL CAPACITY CAPACITY ft FOUNDATION ❑ PKG TX PLANT # OF LINES ft FOUNDATION 9 gal # OF COMPARTMENTS gal # OF COMPARTMENTS ft PROPERTY LINE ft ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) ft FOUNDATION LENGTH OF LINES _ It PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED Diodally signed by Woods, Tamam K TITLE STAFF SCIENTIST DATE 7-18-18 ft ft ft ft ft ft ft ft ft ft ft ft DEPARTMENI USE UNLY n 1 Application Accepted - Date -T )F1')l Area l Gl el Employee ID# Final Inspection By Date ❑ SPECIAL PERMIT - Approved by Character of Soil to Dep`W o Ft. it/sump Soil Character: COMMENTS Je(-�- i I —% f f PE Code tt ft FOUNDATION ft ft FOUNDATION ft ft FOUNDATION ft ft FOUNDATION ft FOUNDATION LENGTH OF LINES _ It PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE DEPTH ft PROPERTY LINE I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED Diodally signed by Woods, Tamam K TITLE STAFF SCIENTIST DATE 7-18-18 ft ft ft ft ft ft ft ft ft ft ft ft DEPARTMENI USE UNLY n 1 Application Accepted - Date -T )F1')l Area l Gl el Employee ID# Final Inspection By Date ❑ SPECIAL PERMIT - Approved by Character of Soil to Dep`W o Ft. it/sump Soil Character: COMMENTS Je(-�- i I —% f f PE Code SC INFO Received By Casfr Amount Remitted Date I I Permit/ Service Request # Invoice # Permit ID# 2,22 .5 Z ) 7 ! ' - X7941 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18