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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 3817 E Farmington Road CITY/ZIP Stockton 95215 CROSS STREET Stagecoach APN 173-140-pt PARCEL SIZE 3 Acres e 0 A OWNER NAME KM Land Developement PHONE 209-478-7407 y OWNER ADDRESS 7207 Murray Drive CITY/STATE21P Stockton 95210 CONTRACTOR McFadden Construction,Inc. PHONE 209-478-7407 CONTRACTOR ADDRESS 7207 Murray Drive CITY/STATE21P Stockton CA 95210 LICENSE I LIC-42 I7 L iC-36 OTHER A,B,C8 NUMBER 617672 EXPIRATION DATE 7/31/2020 WATER TABLE DEPTH: 50 ft GEOGRAPHICAL INFORMATION: Coordinates X 37°56'30.4"N Y 121'13'58.8"W ❑ PERC TEST # BUILDING PERMIT#SP-1805267 LAND USE APPLICATION# TYPE OF WORK: X NEW INSTALLATION REPAIRIADDITION x ENGINEER DESIGNED/ALTERNATIVE REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION S INSTALLATION WILL SERVE: I RESIDENCE Ix COMMERCIAL LI OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: SEPTIC TANK TYPE/MFG CAPACITY T gal #OF COMPARTMENTSy— ' 1 GREASE TRAP TYPE/MFG Jensen CAPACITY 150 gal #OF COMPARTMENTS 2 DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) l LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES `C o ft DISTANCE TO NEAREST WELL FOUNDATION fl PROPERTY LINE ft ❑ FILTER BED WIDTH ft LENGTH fl DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft P4 DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ^ ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft �tvr DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH ft LENGTH It DEPTH f DISTANCE TO NEAREST WELL ft FOUNDATION_ ft PROPERTY LINE fl 2f SEEPAGE PITS NUMBER WIDTH 2 ft DEPTH 25 S•91vf� Q ,�Opn DISTANCE TO NEAREST WELL rQ 0j::V Lit FOUNDATION ft PROPERTY LINE_��A��i QjjIN !�] I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANC ly ONMF��UN STATE LAWS TND RULES AND REGULATIONS7A OF SAN JOAQUIN COUNTY.PLEASE FpgR ry ICE REQUIRED FOR -lotSIGNED TITL lam- --r--L DATEAN', DLrP R T M E N T U113 O L Application Accepted By ' t Area 10r.6 Employee ID# Final Inspection By Date S E AL ER IT-Approved by Character of Soil to Dep of 3 Ft: pit Soil Character: COMMENTS PE SC Received Che Amount Date Permit) Invoice# Permit ID# Cods INFO pylitl. Remitted Service Request 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18