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LT PERC TEST # BLIILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION V.-REPAIR/ADDITION I ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br />WATER TABLE DEPTH: / 10-130 ft GEOGRAPHICAL INFORMATION: Coordinates X <br />0 INSTALLATION WILL SERVE: "..IfirIDENCE LI COMMERCIAL <br />NUMBER OF BEDROOMS: Lt_ NUMBER OF EMPLOYEES: NUMBER OF LIVING UNITS: <br />OTHER <br />DISTANCE TO NEAREsT: WELL ft FOUNDATION <br />A <br />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 />OWNER NAME /41/ )7 Kr )5. 1-0 pi/ Or 3 /Oil Lier- <br />OWNER ADDRESS 5C1141 <br />JOB ADDRESS 13713 Pinto Ln. <br />CROSS STREET /c1"APN OS 3° 0D6 A <br /> CiT5ZIP Lodi, CA <br />CITY/STATE/ZIP <br />PHONE <br />PARCEL SIZE <br />CONTRACTOR Mike's Backhoe Service PHONE 209-456-2865 <br />CONTRACTOR ADDRESS P.O. Box 650 Cry/STATE/Zip Manteca, CA 95336 <br />LICENSE E . C-42 0 .C-36 OTHER A NUMBER 608554 EXPIRATION DATE 2°20 <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />ft PROPERTY LINE ft <br />SIZE TYPE OF PUMP LI PKG TX PLANT GI SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />SEPTIC TANK <br />CI GREASE TRAP <br />LIFT STATION <br />LEACH LINES ' LEACHING CHAMBERS # OF LINES 1 LENGTH OF LINES 40' ft <br />WELL 100 FOUNDATION FOUNDATION 10' ft PROPERTY LINE 5' ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL It FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />WIDTH 36" ft DEPTH 25' ft <br />DISTANCE TO NEAREST WELL *0 &1St FOUNDATION 16 1 ft PROPERTY LINE 10 1 ft <br />DISTANCE TO NEAREST <br />FILTER BED WIDTH <br />DISTANCE TO NEAREST <br />MOUNDED WIDTH <br />DISTANCE TO NEAREST <br />SUMPS WIDTH <br />DISTANCE TO NEAREST <br />CI DISPOSAL PONDS WIDTH <br />DISTANCE TO NEAREST <br />SEEPAGE PITS NUMBER 2 <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 RUL AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINIMUM 48 <br />SIGNED Mike Fuller <br />HOUR ADV NC ICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7 97 <br />TITLE Contractor DATE 4•1 <br /> <br />a a <br />DEPARTMENT W S y ONLY <br />Application Accepted B Date 1/1.47 / Area 51 q/ Employee ID# DA <br />Flnal Inspection By Date A 3/7-07, I LI SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Pi Sump Soil Character: <br />COMMENTS Acid la.5 one iltle cola Os eioshej cy-fileirp P7.7)&)-ilqi Ines ft, <br />em4i i • F01). 4\?..1 _S7VS4-6771. -7"; Pi 3. <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By,.., <br />CSe .1/15 <br />-ash <br />Amount <br />Remitted Dat Permit/ <br />Service Re. est # Invoice # Permit ID# <br />1.II 0 iic eill /3 ,t3-00 ii °At 1 b.. <br />42-01 <br />4/14/18 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT