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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 /> Joe ADoREss 1150 N.Toe-tan-RD TUrne:- P-V ij CITYfLP Lodi,CA 95242 y <br /> CROSS STREET Davis Road APN 029-020-02 PARCEL SIZE 45.5 p <br /> OWNER NAME California Wine Classics LLC,Leslie BDudoff PHONE 209-3654664 <br /> OWNER ADDRESS 27 East Locust Street CITY/STATEIIJP Lodi,CA 95240 <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATEMI, LODI CA 95240 <br /> LICENSE DCC-42 0CC-36 OTHER C-57 NUMBER 669004 EXPIRATION DATE 5131/19 <br /> WATER TABLE DEPTH: it GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # IBUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLA11ON - REPAiR/ADDmoN ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM Fl DESTRUCTION <br /> INSTALLATION WILL SERVE: O RESIDENCE D COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL ft FOUNDATION ft PROPERTY LINE tt <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION h PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH It LENGTH it DEPTH It <br /> DISTANCE To NEAREST WELL h FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH _ it DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION R PROPERTY LINE it <br /> ❑ SUMPS WIDTH h LENGTH h DEPTH NA it <br /> DISTANCE To NEAREST WELL h FOUNDATION h PROPER Ta* h <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH h DEPTH WW 1 it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY -MFI-TaN7-r It <br /> ❑ SEEPAGE PITS NUMBER WIDTH h DEPTH Nr it <br /> DISTANCE TO NEAREST WELL h FOUNDATION h 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 /> y/ STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MOMUM.48 HOUg ADVAJVQg 0j0TJCE REQUIRED FOR INSPECTIONS-PLEASE CAI L(209)953-769 <br /> SIGNED // TITLE STAFF SCIENTIST DATE 0 511 412 01 9 <br /> 577..1..-7 - <br /> . <br /> / j6EPARTMENT U,$E LY <br /> Application Accepted By L Date Area Employee ID#— <br /> Final Inspection By Date ❑ SPEC AL PERMIT-Approved by <br /> Character of Soli to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE Sc Recelved Che Amount Date Permit/ Invoice# Permit IDN <br /> Code INFO B Cash Remitted Service Request 0 <br /> S2 � 5Z . 511 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/+4/18 <br />