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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS - CITY/ZIP French Camp,CA 95231 rn CROSS STREET Elm Street APN1 5� 1 I PARCEL SIZE - O OWNER NAME Manteca Unified School District-Contact:Mike Lehr,Construction/Energy Technician PHONE 209.858.0955 m rri OWNER ADDRESS 2271 W.Louise Avenue(Mailing.P.O.Boz 32) CITYISTATEIZIP Manteca,CA 95337 N A_ CONTRACTOR Condor Earth-Contact:Ron Skaggs,CA PE#44588!GE#2295 PHONE 209.601.2460 ny CONTRACTOR ADDRESS 188 Frank West Circle,Suite I CITY/STATE/ZIP Stockton,CA 95206 s LICENSE Li C-42 1-1 �..0-36 OTHER GE NUMBER 2295 EXPIRATION DATE 03/30/2021 'r1 WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y 7 X PERC TEST #2 BUILDING PERMIT# LAND USE APPLICATION# S TYPE OF WORK: NEW INSTALLATION REPAWADDITIONn J( ENGINEER DESIGNED/ALTERNATIVE m REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL X OTHER School Y NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: El SEPTIC /�� SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft "��6 ;VZD ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) s Y 3 0 2019 ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES OAQUIIy cc ❑ FILTER BED WIDTH DISTANCE TO NEAREST WELL LENGTH ft FOUNDATION ft ftPROPERTYROPERTY LINE HAtE 7.M�pAS 7AL DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft 1 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. M M 4 REQUIRED FOR INSPECTIONS E CALL -7697 SIGNED A PE#44588/GE#2295 TITLE Vice President,Engineering Services DATE 05/29/19 PARTMENTU 0 Application Accepted Date Area Employee ID# Final Inspection By Date / SPE AL P MIT-Approved by Character of Soil to Depth 3 Ft: Pit/Sump Soil Character: COMMENTS 1 " C L r ,0 S tit- 1r �� PE SC Received Che Amount Permit/ Code INFO as emitted D2at�e Service Re uest# Invoice# Permit ID# :(! - 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT ' kjA 61�s11�- 4/14118