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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 ADDRESS 1150 N. mtorrROad UYyI?: pea-} CITY/LP Lodi,CA 95242 y <br /> CROSS STREET Davis Road APN 029-020-02 PARCEL SIZE 45.5 <br /> O <br /> OWNER NAME Califom a Wine Classics LLC,Leslie BDUdoff PHONE 209-365-4664 <br /> OWNER ADDRESS 27 East Locust Street CITY/STATE/LP Lodi,CA 95240 <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATE/ZIP LODI CA 95240 <br /> LICENSE OCC-42 11i-C-36 OTHER C-57 NUMBER 669004 EXPIRATION DATE 5131/19 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIRIADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM fl DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE O 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 TYPE/MFG _ CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION it PROPERTY LINE fl <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 ft <br /> DISTANCE TO NEAREST WELL H FOUNDATION ft PROPERTY LINE_ fl <br /> ❑ FILTER BED WIDTH ft LENGTH it DEPTH _it <br /> DISTANCE TO NEAREST WELL fl FOUNDATION fl PROPERTY LINE / ft <br /> ❑ MOUNDED WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH It LENGTH It DEPTH fft ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION fl PROPERTIQWF _ (t <br /> ❑ DISPOSAL PONDS WIDTH fl LENGTH__ fl DEPTH WAV-A-UW ft <br /> DISTANCE TO NEAREST WELL h FOUNDATION ft PROPERTY NM S ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH r'HENI ft <br /> DISTANCE TO NEAREST WELL fl 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 /> MINI 46 h(QUJ3 ADVANqf;UOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL.(209)953-769 <br /> SIGNED TITLE STAFF SCIENTIST DATE 05/14/2019 <br /> Owns <br /> PAR TMENTU E NL C <br /> Application Accepted By Date 2 AreaC Employee <br /> Final Inspection By Date_ LiSPEC AL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: PItlSump Soil Character: <br /> COMMENTS <br /> PE SC Received Che Amount Dale Permit/ Invoice# Permit ID# <br /> Code INFO B Cash Remitted Service Request# <br /> 42-01 ONSfTE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14118 <br />