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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN J,)AQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1668 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS E.Live Oak Rd. CITY/ZIP Stockton 95212 g <br /> CROSS STREET HWY 88 APN 063-130-611" Q PARCEL SIZE 47.3 Acres <br /> e <br /> OWNER NAME Cocoa Farms PHONE ` <br /> OWNER ADDRESS 11292 N Alpine Rd. CITY/STATE21P Stockton CA 95212 <br /> CONTRACTOR Haley Contracting PHONE 209-463-2517 <br /> CONTRACTOR ADDRESS 4228 Newton Rd. CITY/STATEIZIP Stockton CA 95205 <br /> LICENSE ❑_C-42 C-36 OTHER B,A,C16 NUMBER 580097 EXPIRATION DATE 11/30/2019 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # I BUILDING PERMIT#7804498 LAND USE APPLICATION# <br /> TYPE OF WORK: 7&� NEW INSTALLATION :_ REPAIR/ADDrnoN _ 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 /> ply SEPTIC TANK TYPE/MFG P&L Concrete CAPACITY 1500 gal #OF COMPARTMENTS 2 <br /> /❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ,,,/// DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I� LIFT STATION SIZE 4/10 HP TYPE OF PUMP Myers O PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> X LEACH LINES LEACHING CHAMBERS Infiltrator #OF LINES 91' LENGTH OF LINES'"- �D ft <br /> DISTANCE TO NEAREST WELL 400 It FOUNDATION 150 ft PROPERTY LINE 12 ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROP TY LINE <br /> SUMPS WIDTH_ ft LENGTH l b1 ft DEPTH I <br /> DISTANCE TO NEAREST WELL, ft FOUNDATION ` ft PROPERTY LINE Z <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH It DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> SEEPAGE PIIS NUMBER WIDTH 42" ft <br /> DISTANCE TO NEAREST WELL 400 150 ft PROPERTY LINE 12 ft <br /> I HEREBY CERTIFY THAT I HAVE PREPARED TNIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> S LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM HOUR A E NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-7697 <br /> SIGNED 11,11TI TITLE Secretary DATE 11/26/18 <br /> PAY MEN <br /> RECEIVED <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT' <br /> L?-£ ARTMENT S N <br /> Application Accepted By Dat Area Employee ID# 6 <br /> Final Inspection By Date ❑ SPECI L PERMIT-Approved by <br /> Character of Soil o Depth of 3 Ft: PIV ump Soil Character: <br /> COMMENTS Fa c4oh G fmik "f I l t%� C41N at no, <br /> f2/12)/A5 <br /> PE SC Peceived heck# Amount Date Permit/ Invoice# Permit ID# � <br /> Cod INFO By as a itte Service Re u�els/t�# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/24/12 <br />