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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCK-TON CA 95205-(209)468.3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 3956 STONERIDGE DRIVE CITY/ZIP TRACY 95304 <br /> CROSS STREET GRANT LINE ROAD APN 239-250-18 PARCEL SIZE 2.27 <br /> 0 <br /> OWNER NAME PAUL SCHULER PHONE 520-6315720 <br /> OWNER ADDRESS 3956 STONERIDGE DRIVE CITYISTATE/ZIP TRACY CA 95304 <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATE/ZIP LODI CA 95240 <br /> LICENSE ❑ C-42 ❑ C-36 OTHER C-57 NUMBER 669004 EXPIRA11ON DATE 5/31119 <br /> WATER TABLE DEPTH: it GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> �( PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: I NEW INSTALLATION fREPAIR/ADDITION F' ENGINEER DESIGNED/ALTERNATIVE <br /> I REPLACEMENT r OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ 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 it FOUNDATION ft 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 ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE it <br /> ❑ FILTER BED WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION R PROPERTY LINE It <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE ft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH it DEPTH it <br /> DISTANCE TO NEAREST WELL R FOUNDATION h PROPERTY LINE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH_ R DEPTH ft <br /> DISTANCE TO NEAREST WELL It 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 /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINJMU 46 HOUR ADVANCE b(OTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-769 <br /> SIGNEDLEL G TITLE STAFF SCIENTIST DATE 04/30/2019 <br /> q <br /> r N <br /> WE I <br /> SA <br /> r <br /> EP RIME USE ALY <br /> Application Accepted By Date Area Employee ID# <br /> Final Inspection By Date 0 SPE AL P16IRMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Plt/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received9bAck# Amount PerrniU <br /> Code INFO B Cash emitted Date Service Request# Invoice# Permit ID# <br /> a2g721 S' 117 2 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />