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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 CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 6301 W.Eight Mile Rd CITy/LP Stockton <br /> 1 <br /> CROSS STREET Interstate 5 is 0.75 miles East of Site APN 055280.01 PARCEL SIZE 20+Acre D <br /> 0 <br /> 0 <br /> OWNER NAME The Reserve at Spanoa Park 209-078-7954 N <br /> PHONE <br /> OWNER ADDRESS 10100 Trinity Parkway.5th Floor CITY/STATE/ZIP Stockton,CA 95219 <br /> CONTRACTOR CTE Cel Inc PHONE 916-331-6030 <br /> CONTRACTOR ADDRESS 3628 Madison Ave CITYISTATE/ZIP North Highlands,CA 95660 <br /> LICENSE L C-42 L C-36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: 10 ft ft GEOGRAPHICAL INFORMATION: Coordinates X 38.058119 Latitude y-121.386767 Longitude <br /> XI PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: F RESIDENCE 5 COMMERCIAL I1 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 ft FOUNDATION it PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES 11A. <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ��� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it eA6 <br /> ❑ MOUNDED WIDTH it LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ^O A <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH `/ ,9 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE /N VVV <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH Tti M C041/V� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft MENTI <br /> DISTANCE TO NEAREST WELL ft 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 /> ADVANCEMINIMUM 48 HOUR <br /> SIGNED 1 TITLE " l�V 1� DATE <br /> S ejej JAItIt a c h e d l o c a t i o n m a p <br /> B ARTMENT SEO LY <br /> Application Accepted Date Area Employee ID# <br /> Final Inspection By Date fl SP IAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS �e�C ✓. �C 01 k ;,1 c4 �h <br /> PE SC Received Check#/ Amount Date Permit/ Invoice# Permit ID# <br /> Code INFO ash emitted Service Request# <br /> ol <br /> 4T /4 17/ ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/1141 � ' / ! `18 <br />