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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468.3420 <br />wun-rttrunUAtiLt: F•EKMIT GALL ZU9 953469/ FOR INSPECTIONS CAi'IKtJ r cr+^ r^�^ . ^.- •-____ <br />JOB ADDRESS 916 Frewert Rd CITY1ZIP Lathrop 95330 <br />CROSS STREET Manthey Rd APN 191-260-220-000 PARCEL SIZE 871200 f -f <br />OWNER NAME Central Valley Compost - �t11Gi1 Z. � (; 3 � L PHONE (209) 982-1381 <br />OWNER ADDRESS 916 Frewert Rd jj) C� y� G , C 61 )< f CI TY1STATE/ZIP Lathrop, CA, 95330 ,1 <br />CONTRACTOR Modern Building Inc. PHONE (530) 891-4533 <br />CONTRACTOR ADDRESS 3083 Southgate Ln CrrY/STATEIZIP Chico, CA, 95928 <br />LICENSE ❑ C-42 Ei C36 OTHER S NUMBER 285006 EXPIRATION DATE 6130/2022 <br />WATER TABLE DEPTH: /FSS 7111, V1 I U It GEOGRAPHICAL INFORMATION: <br />❑ PERC TEST # BUILDING PERMIT # <br />TYPE OF WORK: /,,NEW INSTALLATION /REPAiRIADc <br />KEPLACEMENT L j I4 ,� F I I�I OUT -OF -SERVICE SEPTIC SYSTEM <br />INSTALLATION WILL SERVE: LI RESIDENCE COMMERCIAL <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />Coordlnates X Y <br />LAND USE APPLICATION # <br />DESTRUCTION —4tGL <br />❑ OTHER <br />NUMBER OF EMPLOYEES: 7 <br />Or SEPTIC TANK <br />❑ GREASE TRAP <br />❑ LIFT STATION <br />TYPEJMFG JS1500 <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP <br />CAPACITY 1500 <br />CAPACITY <br />ft FOUNDATION <br />El PKG TX PLANT O <br />gal 0 OF COMPARTMENTS <br />gal # OF COMPARTMENTS <br />It PROPERTY LINE ft <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ <br />LEACH LINES <br />LEACHING CHAMBERS <br /># of LINES <br />LENGTH OF LINES It <br />i <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />It PROPERTY LINE it <br />1J <br />FILTER BED <br />WIDTH 30 ft LENGTH 30 <br />It <br />DEPTH 2.5 It <br />DISTANCE TO NEAREST WELL 279 <br />It FOUNDATION 68 <br />ft PROPERTY LINE 42 It <br />❑ <br />MOUNDED <br />WIDTH ft LENGTH <br />ft <br />DEPTH It <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />0 <br />SUMPS <br />WIDTH It LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />DISPOSAL PONDS <br />WIDTH It LENGTH <br />ft <br />DEPTH 0 <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SEEPAGE Pn'S <br />NUMBER WIDTH <br />fl DEPTH It <br />DISTANCE To NEAREST WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />I HEREBY CERTIFY THAT I <br />WITH SAN JOAQUIN COUNTY ORDINANCES, <br />HAVE PREPAREDB NE IN ACCORDANCE <br />L S <br />STATE LAWS AND RUAND REGULATIONS OF <br />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL 209 953-7697 <br />�` <br />��' <br />TITLE Project Engineer <br />DATE9110121 <br />SIGNED <br />DEPARTMEhiT USE ONLY <br />Application Accepted By �� Date_ . //SFE-<�i <br />Area3 <?�Employee ID# il <br />Final Inspection By t Date ElSPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS ful t 'Ic�o,�P���r;1i 0� sten}i- <1i5' ew 09f'w �r' y&k' ,�,� . ex-Cs-e'Or f <br />l�NT <br />ED <br />2021 <br />OUNTY <br />h9ENT <br />PE <br />Code <br />Sc <br />INFO <br />Received <br />B <br />Check#/ Amount Date. <br />Cash Remitted <br />Permit/ Invoice # Permit ID# <br />Service Re ues # <br />5 <br />as 1 <br />A a fs F`) <br />i <br />42-01 ����`� �7z7� � ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />