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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 4683420 NUN -11th UNUI t'tRMI I JOB ADDRESS 14600 Austin Road CROSS STREET Lathrop Road OWNER NAME Manteca Unified School District GALL &0J-r0JI FOR INSPECTIONS tXl CITY/ZIP Manteca/CA/95336 APN 206-100-050 1 PARCEL SIZE 16.95 -acres 209-825-3200 OWNER ADDRESS 2271 W Louise Avenue CITY/STATE/ZIP Mantoca/CA/95337 CONTRACTOR CT Brayton & Sons, Inc. PHONE 209-838-7388 CONTRACTOR ADDRESS PO Box 88 /1804 Jackson Avenue 1` LICENSE C-42 C36 OTHER j NUMBER 257952 CITY/STATEJLP Escalon/CA/95320 EXPIRATION DATE 12/31/2021 WATER TABLE DEPTH: 45 It GEOGRAPHICAL INFORMATION: Coordinates X 121 d 11' 5.16" Y 37(149'48 05" PERC TEST # SFW81210 BUILDING PERMIT # X0081— LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM X DESTRUCTION ScPl. Tank INSTALLATION WILL SERVE: 1 , RESIDENCE COMMERCIAL OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS O GREASE TRAP TYPEIMFG CAPACITY gal # OF COMPARTMENTS DISTANCE TO NEAREST. WELL ft FOUNDATION ft PROPERTY LINE ft O LIFTSTATION SIZE TYPE OF PUMP ❑ PKG TX PLANT O SAND OIL SEPARATOR (ENCLOSED SYSTEM) 0 LEACH LINES LEACHING CHAMBERS # OF LINES LENGTH OF LINES ft INFO B Cash DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R ❑ SUMPS WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE It ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. NOTICE I INSPECTIONS - ASE C 7 SIGNED - _ TITLED APL I•,A( AJ&tMATE a I ' -DEMO LIMITSy.� I.. �7"-' ) / ON TRACTOR TO RE MOVE EXISTING BUILDINGAND) EXISTING BELOW GRADE' FOUNDATION TO BE REMOVED BUILDING FOUNDATIONS ) '` (�( •)EX BUIL)I,N�GGI EXISTING SEPTIC TANK TO BE DESTROYED BY FILLING,-�' HEARTH, AND R OTHER APPROVE. TERIAL VAT(U 722.4. 22 PLUMBIN4. AND 722.55. CONTRACTOR MUSTTCODE. SECTION ATTAHJ A l I PERMIT FROM THE COUNTY FORTH WORK. rn ♦ .N• - (PER SJ. COUNIY STANDARDS).; , •- cif EXISTINGSIDEWALK �V TO BE REMOVED, ry r. 34iA I .. M_ oDEPARTMENT USE ONLY l/O�pM�Nq�NTY Application Accepted By Date i Area 5/Employee ID#�� Final Inspection By Date 1. / SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: Pit/S mp Soil Character: COMMENTS j�.,, 1t iyol iz bet - PE SC Received Check#! Amount Permit/ Da Invoice # Permit ID# Code INFO B Cash Remitted Service Request # 42-01n ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18 'V/ IVJI(/ T JVLVV