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I <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> :'*4JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 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 679 W.Turner Rd Cmnjp Lodi,95242 y <br /> H <br /> n <br /> CROSS STREET Davis Rd ApN 015-050-40 PARCEL SIZE 14.77 e <br /> I/ 2 /' 0 <br /> OWNER NAME Joseph Dietrich /.V %LL-C- PHONE <br /> OWNER ADDRESS 10036 Creek Trail Circle L 10Z,1 Sj( . Cliv/STATE/LP Stockton,CA 95203 <br /> CONTRACTOR Terracon PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 Indutrial Way CITY/STATE/LP Lodi,CA,95240 <br /> LICENSE ❑ C.42 ❑ C36 OTHER G-57 NUMBER 669004 E%PIRATION DATE 5-31-2021 <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #OBUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAINADOITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> O SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> O GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <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 /> O LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE ft <br /> O FILTER BED WIDTH It LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <br /> O MOUNDED WIDTH ft LENGTH R DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> O SUMPS WIDTH It LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> O DISPOSAL PONDS WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> O SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <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 /> MINIMUM$9 HOU ADVA14YICE N TICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED - �� i �� TITLE Staff Geologist DATE 2-12-20 <br /> J <br /> R N <br /> DEPARTMENTAISfi ONLYy`� <br /> Application Accepted By Date Area Employee IDN YETI/1� <br /> Final Inspection By Date L-y 2d 2O ❑ SPEC AL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: PWSump Soil Chander: <br /> COMMENTS ��t�� L P<�OTi�Tsz�JPtL �F�L r�Si S1J�1 l�ln Z�_ <br /> PE Sc Received Chee Amount Date Perm Invoice p Permit ID# <br /> Code INFO B eml Sanies R wet# <br /> 14+ �1 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />