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ONSITE <br />WASTEWATER <br />TREATMENT SYSTEM <br />PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />186BEHAZELTON AVENUE - STOCKTON CA 9$705 - (209)4683420 <br />NON- REFUNDABLE PERMIT <br />CALL (209) 953-7697 FORINSPECnONS <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />CROSS STREET: Neelev Road <br />OWNER NAME: Gurcharaniit S Kahlon <br />OWNER ADDRESS: A040 W. Kingdon Road <br />CONTRACTORPHONE N/A <br />CONTRACTOR ADDRESS: N/A <br />+42 i <br />APN#: 055-Z50-210-000 <br />CITY/STATE/ZIP N/A <br />C-36 OTHER NUMBER ExPIRAHON DATE <br />PARCEL SIZE : 11.500 Acres <br />PHONE : (9161 515 -6670 <br />CITY/STATE/ZIP: Lodi Ca, 95242 <br />WATER TABLE DEPTH:_ <br />ft GEOGRAPHICAL INFORMATION: CooraineYeB X_____ <br />_ _ _Y____,___ <br />__ <br />PF:RC "I'I•:ST# <br />BUILDING PERMIT <br /># LAND USE APPLICATION # <br />TYPE OF WORK: <br />NEW INSTALLATION <br />REPAIR/ADDITION ENGINEER <br />DESIGNED /ALTERNATIVE <br />REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />TANK..._, <br />X <br />.,DESTRUCTION <br />INSTALLATION WILL SERVE: <br />RESNUMBEEROF <br />COMMERCIAL <br />OTHER <br />LIVING UNITS: <br />NUMB ER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />--" - <br />- <br />O SEPTIC TANK TYPElMFG <br />v <br />CAPACITY _ 981 #OF COMPARTMENTS <br />GREASE TRAP TYPElMFG <br />. .. .. gal #OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL___ ft FOUNDATION__,..,.._.,_ft PROPERTY LINE__",_, _.______._________ft <br />u LIFT STATION SIZE TYPE OF PUMP_UPKG TX PLANT ❑SAN17 011. St:P:1H:1111K IF;\( LOtiMa) ti}'SI t:n11 <br />o LEACH LINES LEACHING CHAMBERS —_#OF LINES LENGTH OF LINES ft <br />❑ FILTER BED WIDTH_._._._..-- ._..-___._ft LENGTH _... _ - ft DEPTH - .. .. ft <br />DISTANCE TO NEAREST WELL______ft FOUNOATION________,_ft PROPERTY LIMEft <br />❑ MOUNDED WIDTH ft LENGTH It DEPTHft <br />DISTANCE TO NEAREST WELL_._ft FOUNDATION_ _...__.__.-.ft PROPERTY <br />❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELLftFOUNDATION_ ft PROPERTY LINEft <br />❑ DISPOSAL PONDS WIDTH_._ ft LENGTH______ft DEPTH__ <br />DISTANCE TO NEAREST WELL-_.-_...__._ .._ft FOUNDATION," _"____".,. _____.-ft PROPERTY UNE_ _ it <br />u SEEPAGE PRS NUMBER WIDTH it DEPTH ft <br />DISTANCE TO NEAREST WELL _ _ __-JI FOUNDATION _ _ It PROPERTY LINE" _ _,. _ P Y <br />,......�,.I HERE BY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY� EC�^ EN / <br />ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. EI VED <br />ft <br />14 1010 <br />ON �N COU <br />NTY <br />�E ARTI9ENT <br />N <br />Application Accepted By�T� J L Date �7�i�� d� � a Area_ Employee 10# 'I -J n <br />Final Inspection By �/v`� Date v� �I SPECIAL PERMR -Approved by <br />Character of Soil to Depth of3Ft:___ _ PIVSump Soil Cbaacfer. <br />42-01������ ONSITE WASTEWATER TRTMNT SYSTEMPERMfi <br />4/14118 <br />