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• 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 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 6262 Ave.D CITY/LP Manteca,CA 95337 v, <br /> CROSS STREET Union Rd. APN. OS 70 S00 11 <br /> PARCEL SIZE <br /> 0 <br /> rnnrjey �f�y�� >e <br /> OWNER NAME ( / PHONE /] � <br /> OWNER ADDRESSy 6'V&Pn`;P CITY/STATE/ZIP �/n0�PLo J�337 <br /> CONTRACTOR Mike's Backhoe Service PHONE 209-456-2865 <br /> CONTRACTOR ADDRESS P.O.Box 650 CITY/STATE/ZIP Manteca,CA 95336 <br /> LICENSE G-_C42 ❑GC-36 OTHER A NUMBER 608554 EXPIRATION DATE 2020 <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # BUILDING PERMIT#2002945 LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION ❑ REPAWADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT ❑ OUT-OF-SERVICE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS:. NUMBER OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG P&L Concrete CAPACITY 1600 2 <br /> gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL 100'+ ft FOUNDATION 20 It PROPERTY LINE 50ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> FILTER BED WIDTH 15' ft LENGTH 32' ft DEPTH 18 ftp. <br /> DISTANCE TO NEAREST WELL 100 It FOUNDATION 25 ft PROPERTY LINE 50 M CE�V <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH ft ED <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE (Fp ^ O <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH _�1R /Y 12020 <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH It DEPTH QUIN COU <br /> lypy <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE bi L I 011`i ft .e I <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH DEpgRV-rALNT <br /> DISTANCE TO NEAREST WELL ft 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 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS PLEASE CALL 01953 7697 <br /> SIGNED Mike FullerTITLE Contractor DATE 8/26/2020 <br /> J DEPARTMENTUS ONLY i <br /> Application Accepted �� Date_ of O Area S `/ Employee[D# SK <br /> Final Inspection By Date 11 SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 t: IPit/Sump Soil Character: <br /> COMMENTS /� t 1 S -(L. t So ti ,Nhec�LX — <br /> Zo <br /> PE Sc Received Check Amount Date PermiU Invoice# Permit ID# <br /> Code �INFO sh Remitted Service Re uest#ydll 5� 1 ZU (p <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14116 <br />