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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1869 E. HAZELTON AVENUE - STOCKTON CA 95205 -(2091468-3420 NO"NAEFUNDABLE PERMIT CALL 209 93-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS S3tRaT 2 i67!1CITY/ZIP Escalon/95320 CROSS STREET River Rd APN T (� 13 PARCEL SIZE 3.374Acres OWNER NAME John D Satnat PHONE 209 345-0950 OWNER ADDRESS "215"Sal Fe Rd CITY/STATE/ZIP Escalon, Ca. 95320 Owner Builder/ John Satnat CONTRACTOR ADDRESS LICENSE D IC -42 111-C36 OTHER PHONE 209 345-0950 CITYISTATEIZIP NUMBER EXPIRATION WATER TABLE DEPTH: .4n—(,0 ft GEOGRAPHICAL INFORMATION: Coordinates X Y E PERC TEST # I I BUILDING PERMIT # r If LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION _ ENGINEER DESIGNED /ALTERNATIVE ft FOUNDATION 12 REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: RESIDENCE E COMMERCIAL E OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: 2 NUMBER OF EMPLOYEES: 0 SEPTIC TANK TYPE/MFG Concrete/ PRL in Escalon CAPACITY 1,200 gal # OF COMPARTMENTS 2 ❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS ❑ DISTANCE TO NEAREST: WELL 125 ft FOUNDATION 6 ft PROPERTY LINE 40 ft ❑ LIFT STATION SIZE TYPE OF PUMP L] PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) WENT _CEIVED ,UG 12 2021 JOAQUIN COUNTY VVIRONMENTAL LTH DEPARTMENT J&/ D -�;ix L; . 1 Leul / DEPARTMENT US ONLY Application Accepted By vL Date J Area L Employee ID# Final Inspection By Date 0. \3 %02 1 E SPECIAL PERMIT -Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS Se(,,A ;% S FR Tai;ZT PE SC Received Check#/ Amount Permit/ Code INFO Cash Remitted Date rV' a ReSp, t Invoice # Permit ID# gjil iii �� S A 42-01 13 0 q-, 4/14/18 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT LEACH LINES _ LEACHING CHAMBERS # OF LINES 2 LENGTH OF LINES 80 1 DISTANCE TO NEAREST WELL 125 ft FOUNDATION 12 ft PROPERTY LINE 12 ft ❑ FILTER BED WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH ft LENGTH ft DEPTH SA DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WIDTH ft LENGTH ft DEPTH Im DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE R ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOA Ne UNEY)N;Z�CS, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. TSO NOT19E REQUIRED FOR INSPECTIONS- PLEA E - 7 'OLVAaa— Z d^ SIGNED TITLE DATE WENT _CEIVED ,UG 12 2021 JOAQUIN COUNTY VVIRONMENTAL LTH DEPARTMENT J&/ D -�;ix L; . 1 Leul / DEPARTMENT US ONLY Application Accepted By vL Date J Area L Employee ID# Final Inspection By Date 0. \3 %02 1 E SPECIAL PERMIT -Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS Se(,,A ;% S FR Tai;ZT PE SC Received Check#/ Amount Permit/ Code INFO Cash Remitted Date rV' a ReSp, t Invoice # Permit ID# gjil iii �� S A 42-01 13 0 q-, 4/14/18 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT