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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTOH AvENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 11065 N.Alpine Road CITY2ro Stockton,CA 95212 v, <br /> CROSS STREET Eight Mile Road APN 063-040-23 1.5 <br /> PARCEL SIZE <br /> dee <br /> OWNER NAME WhIIIOW/CprlOpassl Farms.Inc. PHONE N <br /> OWNER ADDRESS 11292 N.Alpine Road CITYISTATE/ZIP Stockton CA 95212 <br /> CONTRACTOR <br /> PHONE <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CLTY/STATE/LP LODI CA 95240 <br /> LICENSE n C42 11 C-36 OTHER G57 NUMBER 669004 EXPIRATION DATE 05-31-2021 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST IIT BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADOITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: LJ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF Lwwo UNITS: NUMBER OF BEDROOMS' NUMBER OF EMPLOYEES <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal If OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP Cl PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ MOUNDED WIDTH_ R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTYLINE R <br /> ❑ SUMPS WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION_ R PROPERTY LINE R <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH R DEPTH R <br /> DISTANCETo NEAREST WELL R FOUNDATION R PROPERTY LME R <br /> ❑ SEEPAGE PITS NUMBER WIDTN_ R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATK)N R PROPERTY LINE R <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br /> MIwM 8 HOUR ADVANCE NOTICE REOUIgEp Eog INSpECTIONS-PLEASE CALL(209)953-7fi97 <br /> SIGNED 2.! -'�Z TITLE STAFF SCIENTIST DATE 09-27-19 <br /> 1 <br /> I I <br /> 1 f T <br /> D <br /> 19 <br /> NTY <br /> N AF OMEIN TL <br /> ENT <br /> Eight Mlle Road <br /> (0.68 miles south) �/'�///� <br /> Application Accepted By Date Area -/ Employee IDN <br /> Final Inspection By _ Date [.1 SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Plt/Sump So11 Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount Permit/ <br /> Code INFO Caah Remitted Dole Ssrvlu Request# Invoice# Permit IDN <br /> Z o ISv C 5iZ00$I�0�3 <br /> 01 <br /> 411�/13 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> X1 <br />