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Nle l u 76 7c+ <br /> 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 03-7697 FORINSPEC7ONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JDB ADDRESS 11065 N.Alp(ne Road Cm•2m Stockton,CA 95212 y <br /> CROSS STREET Eight Mile Road APN 063-040-23 PARCEL SIZE 1.5 <br /> OWNER NAME Whl(low/Cortopassi Farms.Inc. PHONE <br /> OWNER ADDRESS 11292 N.Alpine Road CrTYISTATE2IP Stockton CA 95212 <br /> CONTRACTOR �) PHONE 'v L"I 'f,�- <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CrrvISTATE/ZlP LODI CA 95240 L �'V` <br /> LICENSE 00C-42 ❑LSC-36 OTHER G57 NUMBER 669004 ExPIRAnoNDATE 05-31-2021 <br /> WATER TABLE DEPTH: <br /> R GEOGRAPHICAL INFORMATION: COOftlInBN3 X Y <br /> ;St PERC TEST I - BUILDING PERMIT# LAND USE APPLICATION N <br /> TYPE OF WORK: NEW INSTALLATION LI REPAIR/ADOITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT L' OUT-OFSERYICE SEPTIC SYSTEM u DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LMNG UMTS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPACITY gal X OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal X OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL III FOUNDATION R PROPERTY LINE R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP D PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES n LEACHING CHAMBERS X OF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LME R <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LME R <br /> ❑ MOUNDED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTYLNE R <br /> ❑ sumps WIDTN R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LME R <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL It FOUNDATION R PROPERTY LME R <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLJCATION AND THE WORK WILL BE DONE IN ACCORDANCE WTTII SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MLIUMUMA-HQUR ADVANCE 4flOTICE REQUIRED FOR INSPECTIONS-PLIEASE CAt L(209)953-7697 <br /> SIGNED TITLE STAFF SCIENTIST DATE 09-27-19 <br /> E <br /> T <br /> 19 <br /> NTY � <br /> Eh AR Oh M <br /> ENT S f <br /> 1/0 <br /> Eight Mile Road /y Nk qQu 201,9(0.68 m0es sotto) /7"0 �/t/0&1, Y <br /> l�T,�� <br /> Application Accepted By Date AreaEmployee IDX ' <br /> Final Inspection By Date C3SPECIAL PERMIT-Approved by <br /> Character of Soli to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Checkv/ Amount D to Permit, Invoice X Permlt IDX <br /> Code INFO Cash Remitted Service Re uest8 <br /> o v 5Pom-,q0% <br /> qql 5 -`II <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />