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1 <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 /> JOB ADDRESS 14600 Austin Road CITY/LP Manteca/95336 v <br /> CROSS STREET Lathrop Road APN 20&100-050 PARCELSIZE 16.95-acres D <br /> v <br /> OWNER NAME Manteca Unified Schod District PHONE 209.825.3200 <br /> OWNERADDRESS 2271 W Louise Avenue CITY/STATE/LP MantecalCA/95337 <br /> CONTRACTOR CT Brayton 3 Sons,Inc. PHONE 209.838.7388 <br /> CONTRACTOR ADDRESS P.O.Box 95!1804 Jackson Avenue CrryISTATEop EsraloNCAM5320 <br /> LICENSE ❑UC-42 ❑uC-36 OTHER NUMBER 257952 EXPIRATION DATE 17/31/2021 <br /> WATER TABLE DEPTH: 45 R GEOGRAPHICAL INFORMATION: Coordinates X 121d 11 5.16' y 37d 49148.05* <br /> C PERC TEST SIR-12'O BUILDING PERMIT#SR0081029 LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION ( REPAIRIADoi noN ENGINEER DESIGNED/ALTERNATIVE <br /> d REPLACEMENT v'M OUT-0F-SERVICE SEPTIC SYSTEM rA/,� DESTRUCTION <br /> INSTALLATION WILL SERVE: C RESIDENCE, COMMERCIAL OTHER cjAS% <br /> NUMBER OF LIVING UNITS:_ NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal SOF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL R FOUNDATION ft PROPERTY LINE ft <br /> LIFT STATION SIZE c f?l' TYPE OF PUMP 0 PKG TX PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> J DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY UNE ft <br /> li FILTER BED WIDTH 52 ft LENGTH 'Do R DEPTH 2 ft <br /> DISTANCE TO NEAREST WELL 500 ft FOUNDATION 67 ft PROPERTY LINE 220 ft <br /> ❑ MOUNDED WIDTH it LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE <br /> 13 sumps WIDTH ft LENGTH R DEPTH 6ACZ <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE /ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELLft FOUNDATION It PROPERTY LINE <br /> ❑ SEEPAGE PITS NUMBER WIDTH <br /> it DEPTH Ojo <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE Q /� G <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDIN O VJF,1C���A. <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. F ��V�-a/�V 7-), <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS/-PLEASE CALL 209 953-7697 <br /> SIGNED TITLE C1JIL. DATE q III 12-02� <br /> — wiuwm.uexeEna co- ..a-.0 4��eEo ra s.n xrwncoum�ano�arweawa uv�iu*e <br /> naolEwo¢wasnawrox�ia— wvw rcwrcnim�iu EW w.i u� �rcarrt�acraE rxtr run domEww <br /> �urmnuw nm no xcwa��J---� <br /> •..EH a�a +�OrORCPF7IM I <br /> .� <br /> v:mnc aanlelrronwa.vo _ � O <br /> IJ v.l <br /> Exg1•• � ■4 ExErrw r�nrtnEn EEu nEEanEEww <br /> $ \>xtlrofEGr¢rtA EEC'n' <br /> I C I EnueoElwnenunnw.I wales wrxevE�EwuI I <br /> EPARTMENTUSEONLY <br /> Application Accepted—By /sem -�- Date il Area 3 Ci Employee ID# <br /> Final Inspection By Date L1 �� C1 SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pif/Sump Soil Character. <br /> COMME(JTS Ad"Il tori Ebel r► - �t J bI ' S s4ton e—t (1 <br /> SIJ yl�c,; 1c ,'-1 r,):- C;c C {/ r' c:- V. syifem, <br /> 2 <br /> PE SC Received Check#/ Amount DateP Invoice# Permit ID# <br /> Code INFO Cash Remitted Service R nest# <br /> d31 s3I13l <br /> I <br /> 42-01 'y 4ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 1 4!14/18 �/ <br />