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6 3 <br />;`?° <br />--0102' TRASH <br />AREA 0 81.20. <br />INTERIOR <br />CONCRETE <br />SIDEWALKS <br />B' <br />2-15' ELEC. <br />SUDING RATE <br />42-01 <br />4/24/12 <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SA U JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR iNSPEC77ONS XPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS _n got co ft\ CO 1))1.)( CITY/ZIP L <br />CROSS STREET )20 MANI i <br />OWNER NAME 111 It. r 00) caNivt, <br />OWNER ADDRESS I g Ob c.0 rn IV/ <br />CONTRACTOR kitkiet4T1 <br />CONTRACTOR ADDRESS 13) 9 s ft9 AM' <br />LICENSE Li DC-42 1C-36 OTHER A <br />PHONE 1-90 9 667 IN 0 <br />cirdsTATErzip fur Ltc,k 13 SO <br />APN a-Ogt g PARCEL SIZE 1 t, <br /> PHONE <br /> CITY/STATE/ZIP MAN t•cti <br />NUMBER 1-3 I 2)'EXPIRATION DATE 3- / <br />WATER TABLE DEPTH* <br /> <br />ft <br /> <br />GEOGRAPHICAL INFORMATION: Coordinates X <br /> <br />PERC TEST It <br />BUILDING PERMIT # '0 4(1) LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION <br />fl REPLACEMENT <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />INSTALLATION WILL SERVE: <br />TYPE/MFG .16426 P.. L. <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />LIFT STATION SIZE TYPE OF PUMP <br />LEACH LINES LEACH,aCHAMBERS TI OF LINES LENGTH OF LINES <br />4.. FILTER BED WIDTH ;03.11 ft LEN H <br />DISTANCE EAREST WELL <br />DISTANCiTO NEAREST WELL <br /> ft DEPTH a <br />FOUNDATION ft PROPER LINE <br />MOUNDED WIDTH <br />DISTANCE TO NEAREST <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST <br />DISPOSAL PONDS WIDTH <br />DISTANCE TO NEAREST <br />SEEPAGE PITS NUMBER WIDTH <br />DISTANCE TO NEAREST <br />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 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 <br />SIGNED 17.1.ekk ,60ikaLIA TITLE OtAJAit TE 6-/3-PL <br />SAND OA. <br />NEL TANK <br />125' <br /> 120' <br />DUll DING 11 <br />P*OPOSI3 <br />MEWL( • <br />MOW <br />PROPOSED <br />PGE <br />TRANSFORMER <br />155. <br />A <br />1111 stprIc TA00 0 .100,5110B 0-10xx OP COUPACTIb ROCK <br />1.200 CAL <br />e R.° ARS TIERRA( <br />R. DIMS CONCRETE 70' YAOE 0 15" NAC% ng- TOOK FILTER BED EXPANSION AREA <br />.5 PARKING LOT CONCRETE DRIVEWAY an I (E) ALMOND ORCHARD <br />?M 10 0 TO REMAIN (APPX 4 ROWn <br />--t—e—t-tzfrt—U--- Area e 7,1 l Employee Ds i•up‘t..14 <br />Date n SPECIAL PERMIT - Approved by <br />it/Sump Soil Character: <br />1,a, 25o) <br />C. <br />4E' SC Received e„,t....c_16 .-t/ Amount PermW <br />_ <br />Service Request It, Invoice A tenr!f1D4. Code INFO By as Remitted Date <br />1 (0 2.5.0 i'D qait-c- c 7,c " hpilf >itivrA-gic. , " <br />,. , <br />r, <br />ONSITE WASTEWATER TRTMNTSYSTEMPERMIT <br />:4:L. <br />I I ENGINEER DESIGNED /ALTERNATIVE <br />t 1 DESTRUCTION <br />O <br />SEPTIC TANK <br />GREASE TRAP <br />NUMBER OF LIVING UNITS: <br />ri RESIDENCE COMMERCIAL <br />NUMBER OF <br />COMMERCIAL <br /> <br /> NUMBER OF EMPLOYEES' 3 3. <br />CAPACITY 9000 gal <br />CAPACITY gal # OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE <br />Ci PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />0 OTHER <br />It OF COMPARTMENTS 2. <br />ft <br />WELL <br />ft LENGTH <br />WELL <br />ft FOUNDATION ft PROPERTY LINE <br /> <br />ft DEPTH <br />ft FOUNDATION ft PROPERTY UNE <br /> ft DEPTH <br />WELL ft FOUNDATION fl PROPERTY LINE <br />ft LENGTH <br />WELL <br />ft DEPTH <br />II FOUNDATION ft PROPERTY LINE <br />ft DEPTH <br />ft FOUNDATION ft PROPERTY UNE <br />ft <br /> ft <br />ft <br />ft <br /> ft <br /> ft <br /> fl <br /> ft <br /> ft <br />ft <br />_ tt <br />II <br />gg <br />RECYCLE <br />40 *DE x NOCK <br />CONCRETE APRON <br />UNDSCAP <br />ea <br />RUIIITING 17 <br />nom. 0.4/ <br />3.203 sr <br />COMPACTED -- <br />1_5-0 514001N <br />RIVER rrocK <br />OVERFLOW PARKING AREA <br />A 0 0 0 0 0 0 0 0 0 <br />sworollpplemyt/STIMETeptecl Hy 1\• Date <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS L L 5 A-