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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)46111 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 11550 East Norman Avenue Cry/zjP Stockton/95215 y <br /> c� <br /> CROSS STREET Sibley Avenue APN 103-290-28 PARCEL SuM 6.5+/-Acres g <br /> OWNER NAME Marco Pacheco PHONE 209-662-2741 <br /> OWNER ADDRESS 11550 East Norman Avenue Cm/STATE/2JP Stockton/Ca/95215 <br /> CONTRACTOR Dillon A Murphy PHONE 209-334-6613 <br /> CONTRACTOR ADDRESS P.O.Box 2180 CITY/STATE/ZIP Lodi/CA/95240 <br /> LICENSE :1 C-42 LlIiC36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> FERC TEST #3 BUILDING PERMIT# LAND USE APPLICATION#PA 1300075 <br /> TYPE OF WORK: ❑ NEW INSTALLATION REPAIR%ADDITION ENGINEER DESIGNED(ALTERNATIVE <br /> ❑ REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM _. DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE 7 COMMERCIAL J OTHER <br /> NUMBER OF L WING 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 ft PROPERTY LINE it <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT El SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it A O <br /> ❑ FILTER BED WIDTH it LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WE I it FOUNDATION ft PROPERTY LINE R <br /> ❑ MOUNDED WIDTH R LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE 1 ^ <br /> 13 SUMPS WIDTH ft LENGTH ft DEPTH 5'qN VX 2018 <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE At <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH C <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fA �M V'J)V�, <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH it ARTME/yT <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft 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 /> ATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MIN H Vi I -11TICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-769. �_ <br /> I <br /> SIGNED =N QW =1 c Party Chief DATE I d <br /> nu�awv�ue. <br /> Lf <br /> Application Accepted Data Area Employee ID# <br /> Final Inspection By Date ❑ SPEC qPEIT-Approved by <br /> Character of Soil to Depth of 3 Ft. PIUSu p Soil Character: <br /> COMMENTS <br /> PE SC Received Chec AmountDate Parm1U Invoice# Permit IDX <br /> Code INFO as Remitted Service Request# <br /> 42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />