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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT f l <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1368E.HAmLTON AVENUE-STOCKTON CA 9520$-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 11150E.Highway 120 CnYZP Manteca,CA `?"V!)l 0 L <br /> CROSS STREET Austin Road ApN 228-030-28 PARCEL SITE 'Do g <br /> OWNER NAME Global Carrier Inc. pww 201 <br /> OWNER ADDRESS 1112N.Mein Street(PMB 381) CITY/STATEMp Manteca,CA 95336 <br /> CONTRACTOR TERRACON CONSULTANTS(NEIL O.ANDERSON 3 ASSOCIATES) PHONE 209-367-3101 <br /> CONTRACTORADDRESS 9021NDUSTRIALWAY CIWISTATEFAp LODI,CA95240 <br /> LICENSE C42 _ C-367 OTHER C-57 NUMBER 668U04 EXPIRATION DATE 6I31119 <br /> vWATER TABLE DEPTH: ^� ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST A 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPMRIADDmON ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OFSERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS; NUMBER OF BEDROOMS: NUMBEROFEMPLOYEES: <br /> O SEPTIC TANK TYPEIMFG CAPACITY Jei #OF COMPARTMENTS <br /> Cl GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCETONEAREST: WELL R FOUNDATION R PROPERTY LINE h <br /> ❑ LIFTSTATION S12E TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OFLWEB LENGTHOFLINES it <br /> DISTANCE TO NEAREST WELL it FWNOATON ft PROPERTY LINE it <br /> ❑ FILTER BED WIDTH R LEHGrN R DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTYUNE it <br /> ❑ MOUNDED WroTN R LENGTH it DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE it <br /> ❑ SUMPS WIDTH it LENGTH it DEPTII R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH it DEPTH It <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE it <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 /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED—Y1't'IE1dS�Bfi1dlH�eem.Nr„..z TITLE STAFF SCIENTIST DATE 7-1818 <br /> a . <br /> t_ e} -`•IA::.may'{ A N <br /> R7 WE V4.- <br /> DEPARTMENT USEONLY 31 /1 h � <br /> Application Accepted Date �-)L-11 Area G 5 Employee lO# A <br /> Final Inspection By Date 0 SPECIAL PERMIT-Appmved by <br /> Chaneter W Soll to Ds o t. IUSump SWI Character: <br /> COMMENTS ' ` O-A WS-F FO 4- <br /> PE1I 4 SC ReceiveAmount Dsb Pennll InII <br /> voiu# PermR lql <br /> CoG INFO S Remitbd Service wet# <br /> aa2 s 12zy 1 7 1 e-W <br /> 4241 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> WAIN <br />