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a 0 ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE -STOCKTON CA 95205 - (209) 468-3420 NON-KEFUNDABLE PERMIT GALL 209 953-7097 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUEI JOB ADDRESS W Schulte Road CITY/ZIP Tracy, CA, 95377 CROSS STREET Old Schulte Road and South Lammers Road APN 209-25-037 PARCEL SIZE 49.83 ac OWNER NAME Tom Martin — Amcinj I} ,S6„dhN PHONE (510) 661-4032 OWNER ADDRESS 1800 Wazee Street, Suite 50�0� p,�/� t CITY/STATE21P QDenver, Colorado, 80202 CONTRACTOR n/a 'It w- O. "`� PHONE " a, u a CONTRACTOR ADDRESS CITY/STATE/ZIP LICENSE ❑❑C-42 ❑ C-36 OTHER PE NUMBER C'49430 , EXPIRATION DATE September 30,2022 WATER TABLE DEPTH: 31 ft GEOGRAPHICAL INFORMATION: Coordinates X 121 ° 29' 08" W Y 37'43'44" N ❑ PERC TEST #_ BUILDING PERMIT # n a LAND USE APPLICATION #-- a,[ 6o 3 it TYPE OF WORK: NEW INSTALLATION _ REPAIR/ADDITION _ ENGINEER DESIGNED /ALTERNATIVE ft FOUNDATION ft PROPERTY LINE ft REPLACEMENT _. OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL If OTHER Industrial warehouses NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: O SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS O GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS DISTANCE TO NEAREST DISTANCE To NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft O LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) (3 LEACH LINES LEACHING CHAMBERS # of LINES LENGTH OF LINES ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE It O FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O MOUNDED WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft 0 SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE fl (3 DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl 0 SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED William James Miller TITLE Development Services Manager DATE 06-10-2022 DEPARTMENT.US ONLY ^S Application Accepted By �L Date . IS a7 Z Area Employee ID# N Final Inspection By � Date 41700(i��-Q SPECIAL PERMIT -Approved by Character of Soil to Depth 3f 3 Ft: USump Soil Character: COMMENTS O rAddiregs in poirfael virvier or perrAli plus, qcrf Af P _a0ca Dvcv'meo-1 )azejilp t 6( ywr— .4o.,4, 90fot-i to p I -iL) z 40 tnc,w Lk 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4!14/18(?J>(/- ( _ 2. 0 'T