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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -1209) 465.3420 <br />NON-REFUNDABLE PERMIT GALL (ZUY) VOJ-I6Y/ FOR INSPECTIONS dXPIRES T YEAR FROM I <br />JOB ADDRESS *x405 E BRANDT RD CITYlLP LOCKEFORD 95237 <br />CROSS STREET WEST OF HWY 88 APN 051-320-06 PARCEL SIZE 19 93 <br />OWNER NAME AMAZON COM SERVICES, INC <br />OWNER ADDRESS PO BOX 80037 <br />CONTRACTOR HALEY CONTRACTIN :L <br />CONTRACTOR AOORESS 4228 Nt Plf CIN RL <br />PHONE 206268'1000 <br />SEATTLE. WA 9B 108-0037 <br />PHONE 203463-2517 <br />CITYISTATEILP STOCKTON. CA 95205 <br />LICENSE C-42 0 C-36 OTHERA.8 NUMBER 580907 ExPIRATION DATE 1130.23 <br />WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />- <br />PERC TEST O BUILDING PERMIT O <br />LAND USE APPLICATIONS <br />TYPE OF WORK: NEWINSTALLATION <br />PAW/ADOITION <br />ENGINEER DESIGNED IALTERNATTVE <br />REPLACEMENT <br />OUT OFSERVICE SEPTIC SYSTEM <br />DESTRUCTION <br />INSTALLATION WILL SERVE RESIDENCE <br />0 COMMERCIAL <br />OTHER <br />NUMBER OF LWNG UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ <br />SEP71C TANK TYPE/MFG <br />CAPACITY <br />gal N OF COMPARTMENTS <br />❑ <br />GREASE TRAP TYPEIMFG <br />CAPACITY <br />gal O OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />fl PROPERTY LINE It <br />❑ <br />LIFT STATION SIZE TYPE OF PUMP <br />Cl PKG TX PLANT O <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />LEACH LINES LEACHING CHAMBERS E036 <br />to OF LINES 1 <br />LENGTH OF UNE& * li__. ft <br />DISTANCE TO NEAREST WEU 300 <br />fl FOUNDATION 100 <br />--ft PROPERTY LINE 50 <br />❑ <br />FILTER BED WIDTH It LENGTH <br />R <br />DLPTH fl <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />R PRUIPERTY _INE fl <br />❑ <br />MOUNDED WIDTH it LENGTH <br />fl <br />DEPTH R <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION <br />It PROPERTY UNE fl <br />❑ <br />SUMPS WIDTH ft LENGTH <br />R <br />DEP-H fl <br />DISTANCE TO NEAREST WELL <br />It FOUNDATION <br />fl PROPERTY _ NE ft <br />❑ <br />DISPOSAL PONDS W O1H It LENGTH <br />fl <br />DEPTH R <br />DISTANCE To NEAREST WELL <br />It FOUNDATION <br />It PROPERTY LINE___._.. <br />SEEPAGE PITS NUMBER WIDTH w <br />- _ <br />R DEPTH 25 ft <br />DISTANCE TO NEAREST WELL 300' <br />R FOUNDATION 100 <br />It PROPERTY LINE 50 fl <br />I HEREBY CERTIFY THAT 1 HAVE PREPARN THIS APPLICATION AND THE WORK WALL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />A ATE I -AWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />rm, ILRIAWAI� iiv*-A <br />AR <br />Application Accepted By -- _ l_ _..-. Date Area Employee IDO <br />Final Inspection By-/kjtLG,?(. �4'h_, �i Date„ Q�1t SPECIIAL PE MI7 Approved by <br />Character of Soil to Depth o1 3 Ft: pW$Urnp Soil Character: <br />C0MMENTSTjS-fL%a.0 <br />- Jo 0 <br />Amount <br />NEEL <br />1114 706MIT0111 <br />0- 171ONOWir� <br />/qQv/N <br />I�h���MCNry <br />BHT <br />42-D1 ONSRE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/15 <br />