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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 6040 E.Ashley Lane CrrY/ZIP Stockton/95212 n <br /> CROSS STREET Femwood Drive APN 086480-14 PARCEL Sim 36+/-Acres <br /> e <br /> OWNER NAME Royal Funding Management LP c/o Rick Townley PHONE 209-8104023 <br /> OWNER ADDRESS P.O.Box 587 Cm/STATEZP Linden/CA/95236 <br /> CONTRACTOR Dillon&Murphy PHONE 209-334-6613 <br /> CONTRACTOR ADDRESS P.O.Box 2180 Cm/STATEfLP LodVCA/95240 <br /> LICENSE ❑�IC42 ❑LIC36 OTHER NUMBER ExPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> FERC TEST #18 BUILDING PERMIT# LAND USE APPLICATION#PA 1600084 <br /> TYPE OF WORK: ❑ NEW INSTALLATION Lj REPAtR/ADDI110N ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OF-SERVtCE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> O SEPTIC TANK TYPE/MFG CAPACITY gel #OF COMPARTMENTS <br /> O GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION it PROPERTY LINE ft <br /> 0 LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> 0 LEACH LINES F1 LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY LINE It <br /> 0 FILTER BED WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> 0 MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> 0 SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TD NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> 0 DISPOSAL PONDS WIDTH ft LENGTH it DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> 0 SEEPAGE PITS NUMBER WIDTH it DEPTH ft <br /> DISTANCE To NEAREST WELLft FOUNDATION ft PROPERTY LINE ft <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 REGULATIONS OF SAN JOAQUIN COUNTY. <br /> IMUM 18 HDUR ADVANCE NOTICE REQYLRO FORS- 953-09 <br /> SIGNED T11LE Party Chief DAA <br /> _tee__ _____ -- •" Rota <br /> ________ <br /> • ai ' • N <br /> AL <br /> fiin - <br /> d ..... <br /> _.__ <br /> \ m � <br /> A%L ,AA. j" ,ra- .Via. <br /> Application Accepted By ro Date` Area Employee ID# <br /> Final Inspection By Date C3 SPECIAL PERMIT-Approved by <br /> Character of Soll to Depth of 3 Ft: Pit/Sump Soli Character: <br /> COMMENTS <br /> PE SC Received I C Amaunt Date Pormitf Invoice# Permit ID# <br /> Code INFO as Remitted Service Re ue t# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />