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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1668 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 5400 Fig Rd, CITY/ZIP Mantexa/95337 y <br /> y <br /> m <br /> CROSS STREET Oleander Ave. APN 226-050-02 PARCEL SIZE 5.72 ACreS by <br /> 0 <br /> OWNER NAME Bill Johnston PHONE <br /> OWNER ADDRESS 7877 N.Pershing Ave. CITYISTATE/ZIP Stockton/CA/96207 <br /> CONTRACTOR CTE CAL Inc PHONE (209)543-1799 <br /> CONTRACTOR ADDRESS 4230 Kiernan Ave Ste 150 CITyISTATE21P MOde5to/CA/95357 <br /> LICENSE C42 C-36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: 11,5 it GEOGRAPHICAL INFORMATION: Coordinates X 37.761865 Latitude Y-121.240232 Longitude <br /> /C PERC TEST #I BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITIDN ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: )C RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: <br /> O SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> O GREASETRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> O LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> (3 LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> O FILTER BED WIDTH It LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> O MOUNDED WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> O SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE it <br /> O DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> O SEEPAGEPITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION it 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 /> M*4�AD VANCE NOTICE REQUIRED FOR 111i LIONS-PLEA SE CALL(209)953-7697 <br /> SIGNED TITLE Staff Geologist DATE 1/8/2020 <br /> * s e .1 1 A 11t t al c I h I el d <br /> r �N� <br /> ac <br /> ENT <br /> QEPARTMENTUS ONLY ^ <br /> Application Accepted B Date AreaICIALPERMIT <br /> �ployee ID# 1 <br /> Final Inspection By Date S -Approved by <br /> Character of Soil to De th of 3 Ft: Pit/Sump Soil Character. <br /> COMMENTS <br /> PE Sc Received Check#/ Amount Date Perm it/ Invoice# PermitlD# <br /> Code INFO B Cash Remitted Service Re uest# <br /> v 1Y S <br /> 4 ` ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 (a 0 <br />