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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 jCALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JoB ADDRESS Lathrop Intermodal Facility Property CITY/ZIP French Camp 195231 r <br /> 4 <br /> CROSS STREET Between Roth Road and Airport Road APN 19820016 PARCEL SIZE 121.04 acres c <br /> v <br /> OWNER NAME Union Pacific Railroad PHONE 209-546-7288 <br /> OWNER ADDRESS 1000E Roth Road CITY/STATE/ZIP French Camp/CA/95231 <br /> CONTRACTOR(Consultant)Shannon 8 Wilson,Inc PHONE 81B-858-5008 <br /> CONTRACTOR ADDRESS 664 West Broadway CITY/STATEfZIP Glendale,CA 91204 <br /> LICENSE ❑7C42 ❑--C-36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #' 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIRIADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OF-SERVICE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> � <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS #OF LINES LENGTH OF LINES /`it E.NT <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE <br /> RffV <br /> I E <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE R <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH�ftO 4 2019 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINEft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH �OCU N COUNTY <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE RQNENTgL <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH D RTMENT <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT I HAVE PR ED 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 /> Ml 1MUM R INP 953-7697 <br /> SIGNED TITLE (VR>�tp� DATE L <br /> ARTHENr S <br /> Application Accepted By ate Area Employee ID# <br /> Final Inspection 13y Date " ❑ SP AL PE MIT-Approved by <br /> Character of..to Depth of T I Flittitj;' it haracter: <br /> COMMENTS 5" ' v c ! <br /> TA ' / A" <br /> PA -" <br /> PE SC Received Check#I I Amount Date PermiH Invoice# Permit ID# <br /> Code INFO B ash Remitted Service Re uest# <br /> xf-UX 2 su 3,1 t '510,00 0211r to <br /> 42-01 7�y 2� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 / <br />