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If % <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 5347 E. Hildreth Lane CITY/ZIP Stockton/95212 <br />CROSS STREET Shipee Lane <br />OWNER NAME Servillano Hortizuela <br />APN 085-230-07 <br />OWNER ADDRESS 3173 English Oaks Circle CITY/STATE/ZIP <br />PARCEL SIZE 72 Acres <br />PHONE (209) 612-7417 <br />StDckton/CA. 95209 <br />CONTRACTOR Dillon & Murphy c/o Joe Murphy PHONE (209) 334-6613 <br />CONTRACTOR ADDRESS P.O. Box 2180 CITY/STATE/ZIP Lodi/Ca 995241 2 <br />LICENSE ❑_C-42 0_iC-36 OTHER NUMBER RCE45277 EXPIRATION DATE / "o <br />WATER TABLE DEPTH: <br />ft GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />IR PERC TEST # 3 <br />BUILDING PERMIT # <br />LAND USE APPLICATION # PA -2100215 <br />TYPE OF WORK:_ <br />NEW INSTALLATION _ <br />REPAIR/ADDITION <br />L ENGINEER DESIGNED/ALTERNATIVE <br />ft FOUNDATION <br />_ REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />_ DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE <br />❑ COMMERCIAL <br />❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ SEPTICTANK <br />TYPE/MFG <br />CAPACITY <br />gal #OFCOMPARTMENTS <br />❑ GREASETRAP <br />TYPE/MFG <br />CAPACITY <br />gal #OF COMPARTMENTS <br />❑ <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ LIFTSTATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT ❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ <br />LEACH LINES <br />❑ LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTYLINE ft <br />❑ <br />FILTER BED <br />WIDTH <br />ft LENGTH <br />It <br />DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE it <br />❑ <br />MOUNDED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SUMPS <br />WIDTH <br />It LENGTH <br />It <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft <br />DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SEEPAGE PITS <br />NUMBER <br />WIDTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <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 RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />/ OtVAKI MLNI USUC ONLY <br />Application Accepted By �L DateArea L^ Employee ID#F 67 <br />Final Inspection By Date <br />El SPECIAL PERMIT - Approved by <br />Character of Soil to D pjl of If PIVS mp $oll Character: i <br />PE SC Receive Check#/ Amount ate Permlt/ Invoice # Permit ID# <br />Code INFO Cash Remitted Service Request # <br />as a sa32i2z-- An" 156 900 <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />:,(I IEN 1 <br />ECEIVED <br />�N 2 4 [ 022 <br />OAQUIN COUNTY <br />VIRONMENTAL <br />TH D=?ARTV-ENT <br />