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r ' <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />tiANOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NON-KEFUNDABLE HERMIT CALL (Z09) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUE( <br />JOB ADDRESS 183 S. Austin Road CITY/ZIP Manteca, CA 95336 <br />CROSS STREET Highway 120 <br />OWNER NAME Austin Self Storage LLC, Attn: John Pinedo <br />OWNER ADDRESS 14820 S. Gulch Road <br />CONTRACTOR JPF BUILD SVC, INC. ATTN Jim Ferguson <br />CONTRACTOR ADDRESS 1401 Sycamore Street <br />LICENSE ❑ I C-42 Y� C-36 OTHER <br />APN 228-020 �46 PARCEL SIZE 2.76 acres <br />r <br />PHONE (209) 678-1318 <br />CITY/STATE/ZIP Valley Springs, CA 95252 <br />PHONE (209) 606-8646 <br />CITY/STATE/ZIP Turlock, CA 95380 <br />NUMBER 892498 EXPIRATION DATE 03/31/2023 <br />WATER TABLE DEPTH: > 20 -feet ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br />❑ PERC TEST # BUILDING PERMIT # City of Manteca Permit LAND USE /APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION ❑ REPAIR/ADDITION I ENGINEER DESIGNED/ALTERNATIVE <br />REPLACEMENT ❑ OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE. I RESIDENCE COMMERCIAL ,3 ` _ ���� ❑ OTHER <br />Date <br />1 A <br />NUMBER OF LIVING UNITS. NUMBER OF BEDROOMS. u).jy+�r� o S NUM ER OF EMPLOYEES. <br />Invoice # <br />concrete / Jensen of approved equal 1,200 <br />Ar—SEPTIC TANK TYPE/MFG pp q CAPACITY gal # OF COMPARTMENTS 2 <br />❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br />❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES I LEACHING CHAMBERS # OF LINES LENGTH OF LINES ft <br />Z, T,'ejj),, DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />FILT BED IDTH ave 1X0_ i (�j ft LENGTH ave + 7i! , ft DEPTH 18 -inches +/- ft <br />(STANCE TO EAREST WELL n/a ft FOUNDATION 30+ 30+ ft <br />l� <br />❑ MOUNDED WIDTH ft LENGTH It DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION 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 />11 <br />MINIMUM 48 HO DV CE ICE REQUIRED FOR INSPECTIONS - PLEASE CALL 209 953-7697 <br />01�- <br />SIGNED TITLE Project Civil Engineer DATE 12/10/2021 <br />Application Accepted B <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS, 5 -e - t- S ' C- <br />O <br />�. DEPARTMENT USE ONLY— <br />( Date 2 l Area l Employee ID# <br />Date, ZI �I Zl. ❑ SPECIAL PERMIT - Approved by v' <br />Pit/Sump Soil Character: <br />5 c <br />T <br />PE <br />Code <br />SC <br />INFO <br />Received <br />B y <br />Check <br />Amount <br />Remitted <br />Date <br />Permit/ <br />Service Request # <br />Invoice # <br />Permit ID# <br />I <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />