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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 />NON-REFUNDABLE PERMIT CALL (LU.9)V53-/65/ FOR INSPECTIONS tXPIRES 7 YEAR FROM DATE ISSUE <br />JOB ADDRESS 285 SOUTH AUSTIN ROAD CITY/ZIP MANTECA, 95336 <br />CROSS STREET HIGHWAY 120 <br />APN 228-020-480 <br />PARCEL SIZE 0.75 ACRE <br />OWNER NAME MR. & MRS. BACARDI PHONE 209-602-6569 <br />OWNER ADDRESS 633 PIONEER AVENUE CITY/STATE/ZIP ACAMPO, CA 95330 <br />CONTRACTOR BAEZ GEOTECHNICAL GROUP PHONE 209-602-6569 <br />CONTRACTOR ADDRESS 2060 COLORADO AVENUE, SUITE B <br />LICENSE !_' C-42 ❑-C-36 <br />PE CIVIL 43010 <br />—CITY/STATE/Zip TURLOCK, CA 95382 <br />NUMB— GE 2.939 F"PIRATION DATE <br />.w I l FA Stems <br />WATER TABLE DEPTH: 25 It GEOGRAPHICAL INFORMATION: Coordinates X 37.795364° y -121.180084° <br />X PERC TEST # 1 1 BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: C NEW INSTALLATION C REPAIR/ADDITION C ENGINEER DESIGNED /ALTERNATIVE <br />F,, REPLACEMENT I OUT -OF -SERVICE SEPTIC SYSTEM C DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />❑ GREASETRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE It <br />❑ LIFT STATION SIZE TYPE OF PUMP U PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />LEACHING CHAMBERS <br />Amount <br />#OF LINES <br />Code <br />LENGTH OF LINES It <br />Remitted <br />DISTANCE TO NEAREST <br />WELL <br />52? <br />it FOUNDATION <br />I ZI ysqN <br />ft PROPERTYLINE It <br />❑ FILTER BED <br />WIDTH <br />ft <br />LENGTH <br />it <br />DEPTH it <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE It <br />❑ MOUNDED <br />WIDTH <br />it <br />LENGTH <br />ft <br />DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />❑ SUMPS <br />WIDTH <br />It <br />LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTYLINE ft <br />❑ DISPOSAL PONDS <br />WIDTH <br />ft <br />LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ SEEPAGE PITS <br />NUMBER <br />WIDTH <br />it DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION <br />it PROPERTY LINE it <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 />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-769 7 <br />SIGNED TITLE PRESIDENT DATE 3/27/2021 <br />III <br />III <br />III <br />III <br />0P1 <br />9 a <br />PROPOSED <br />SEPTIC TANK <br />6 LEACH FIELD <br />DEPARTMENT USQONLV l / <br />Application Accepted By Date Area S/I�?c3A'QOt Employee ID#_ & <br />Final Inspection B Date �i ( 5 IZ.bZ2� SPECIAL PERMIT - Approved by <br />Character of Soil to epth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS <br />PE <br />SC Received Check#/ <br />Amount <br />ate Permit/ Invoice# PermitlD# <br />Code <br />INFO B Cash <br />Remitted <br />Service Re uest # <br />aaa <br />52? <br />PS -2 <br />I ZI ysqN <br />4 l � ,' 6 / �O D� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14//14/ 18 <br />C <br />Nr°°0Nry <br />T MFNT <br />