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01/25/2019 16: 26 2096328198 MACHADO BACKHOE INC PAGE 02/03 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMONTAL HEALTI DEPARTMENT 1088 E.HAZELTON AVONUE-STdCKTDN CA 98200•(209)468.1420 <br /> NON-REFUNDABLE PERMIT CALL(2�953-76_97 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> J013 ADDRESS n44 W Dowmah Read „CITY/Zip Fr?nch CAMP,952231 <br /> CROu3 STREET R I-ockhert Road APN 191-2SO-19 _/�//iZg� (% PARCEL SIZE 78.72 ACreS Y <br /> c <br /> OwNRR NAME Edwnrd OIIvnim PHONE 400.307.6093 <br /> OWNER ADDRR'I'I 391G Sle-m Road CITY/STATEIZIP Sm Jope,95132 <br /> CONTRACTOR MR0114dO 9PCkh".111C. PHONE 209-634-4039 <br /> CONTRA cmit ADDRESS 22382 W.3rd Ave CITYISTATEIZIP Stevinton,CA 95374 <br /> LICENSE I.)_IC-42 LI..,C36 OTHER A&021 NUMROR 732637 EXPIRATION DATE 228/19 <br /> WATER TADLE DEPTH: fl GCOORAPHICALINFORMATTOW Coordinate% X Y <br /> GI PERC TEST # BUILDING VERMIT S Inmm�n LAND USp APPLICATION# <br /> TYPE OF WO .... NEW INSTALLATION EPAtRIADDITION _. .NOINEER DESIGNED/ALTERNATIVE <br /> REPLACEt9PNT OUT-OF-SERVICE SEPTIC SYaTi3m D93TRUCTION <br /> INSTALLATION WILL SERVE: 17( RODIDENce L) COMMERCIAL L_l OTHER <br /> NUMDut OF LIVING UNITS: NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYD09: <br /> 13 SEPTIC TANK TYPE/MFG rxIVIng CAPACITY gill #OP COMPARTMENT'S <br /> ❑ GREASE TRAP TYPE/MF6 CAPACITY ,_ gal R OF CCMPARTMQJTS <br /> DISTANCE TO NEARPST: Wri-I Ill FOUNDATION fl PROPERT'LINE ft <br /> ❑ LIFT STATION St2E TYPE OF PUMP O PKO I7(PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> 34 LEACH LINES I- LEACHING CHAMBERS A OF LINFP. 2 LENGTH OF I_INF.t 76' R <br /> DIaTAMCM TO NEAREST WELL it FOUNDATION R PROPERTY IJ ND n <br /> ❑ FILTER BED WIDTH Fl I,PNRTFI n DCPTH_ R <br /> D19TANCE to NEAREST WELL n FOUNDATION n PROPERTY UNE R <br /> ❑ MOUNDED WIDTH ft LPNGTH n DCPTH it <br /> DISTANCE TO NEARI'�T WELL,.„ 11 FOUNDATION ft PROPERTY I_INP <br /> ❑ SUMPS WIDTH R LFNOTH ._ R DEPTH YAOA� <br /> DISTANCE To NMAROsT WCLL n FOUNDATION R PROPERTY UNF <br /> ❑ DISPOSAL PONDS WIDTH (I LENGTH n DEPTH yCl1 OA® <br /> DISTANCE TO NEAREST WELL n FOUNDATn ION PROPERTY LINE vi <br /> ❑ SEEPAGE PITS NuMeer, WTDTH fl DDPTI-I 2019 <br /> DI.TANCE TV NEAREST WELL (I FOUNDATION n PROPERTY I,INC R <br /> 1 HEREBY CERTIFY T AT I HAVE PREPARED IS PPLICATION AND jH1r WORK WILL BE DONE IN ACCORDANCE HATH SAN JOAQUIN COUNTY ORDINA! , A UIN <br /> S TN WS 41QD RULES AVb REGULATIONS OF RAN JOAQVIN COUNTY. <br /> 14 'IRC N ��UN <br /> FORPECTYONs•7'LEASE cALL r?ns)sa�.�ss7 �CTy D j, ME <br /> SIGNED TITLE CFO DATE. 128I1S NT <br /> 8 o e A L- L .1 c h e d — <br /> P EO L <br /> b <br /> Appllcallon Accepted By Dato Area Employee ID#� <br /> Finn(Inspection By: DaM I,_1 SPE A IT-Approved PP by <br /> Chi ractwrof 3011 to epth of a Ft: _ P14SIImp Soll hared <br /> COMMENTS f�� ��? <br /> PE SC Racelve _ Amount •` Permlf/ T <br /> Code INFO m%h mltted Dam Sorvlca Ra uaat# Invoice# Pdrtitlt ID1! <br /> 42.01 <br /> VIAAllA T}}"'��� <br /> ^^ 7( ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> d!1 <br /> Received Time Jan. 25, 2019 4: 03PM No, 4650 <br />