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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL f IEALT DPPART Td EN T 1868 E. HAJELI ON AVENUE - STOCKTON CA 95205 -(209)4681420 <br />NON-REFUNDABLE PERMIT CALL (209) 9.53-7697_FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JGDADDRESS 1.5780 N CLEMENTS RD _ - CITYZP LODI, 95240 <br />CROSS STREET KETTLEMAN LN - — - APN 053-190-010 J- <br />-- — - -- PARCEL SIZE 150.66 AC <br />OWNER NAME SAMMY COX <br />_.-------------_-----PHONr(916)4I6-5236 <br />OWNER ADDRESS PO BOX 1592 <br />CITY/STATE/ZIP LINDEN, CA. 95236 <br />CONTRACTOR DIL LON & MURPHY —_ - — PHONE (209) 334-6613 ` <br />CONTRACTOR ADDRESS 847 N. CLUFF AVENUE, SUITE A�2 _ CRY/STATE/ZJp LODI. CA. 95240 <br />IJCENSE IJr1C-42 11II1C-36-OTHERR.C.E. - NUMBER 45277 EXPIRATION DATE 9-30-22 <br />WATER TABLE DEPTH: 150 <br />ft GEOGRAPHICAL INFORMATION: COOTdinate3 X y <br />(" `�^ '" •—�_- <br />BUILDING PERMIT # <br />LAND USE APPLICATION #PA --1 <br />TYPE OF WORK: <br />NEW INSTALLATION r 1 <br />REPAIR/ADDrnGN <br />-- <br />_ <br />fl REPLACEMENT U <br />CI ENGINEER DESIGNED /AL TERNATNE <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />INSTALLATION WILL <br />SERVE: 11 RESIDENCE <br />IJ COMMERCIAL <br />[] DESTRUCTION <br />LI OTHER <br />- NUMBER OF LJMNG UNITS: NUMBER OF BEDROOMS: <br />_ - <br />_ <br />ICIIG RlTI <br />iL <br />NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />---� <br />Ll GREASE TRAP <br />TYPE/MFG <br />-------- <br />gal # OF COMPARTMENTS__-___--._ <br />CAPACITY <br />gal # OF COMPARTMENTS____ <br />DISTANCE TO NEAREST'. WEU._ <br />0 FOUNDATION <br />__ <br />fl <br />❑ LIFTSTATION <br />SIZE TYPE OF PUMP <br />—" <br />❑ PKG TX PLANT <br />PROPERTY LINE _ ft <br />❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />I I LEACHING CHAMBERS <br /># OF- LINES <br />[ ENGTH OF LINES R <br />DISTANCE TO NEAREST WELL ` <br />R FOUNDATION <br />____ <br />fl <br />❑ FILTER BED <br />WIDTH <br />WIDTH_LENGTH <br />PROPERTY LINE <br />.�_—---__-- ft <br />_f( <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION <br />DEPT it <br />it <br />❑ MOUNDED <br />WIDTH LENGTH <br />PROPLRTY UNE _— ft <br />DISTANCETO NEAREST WEU <br />R FOUNDATION <br />ft DEPTH _ [t <br />— <br />A <br />U SUMPS <br />_ <br />WIDTH fl LENGTH_ <br />PROPERTY LW[_ ft <br />_____fl <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION <br />DEP I_ ft <br />ft <br />E) DISPOSAL PONDS WIDTII ft LENGTH <br />PROPERTY LINE __ ft <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION <br />ft DEPT R <br />fl <br />❑ SEEPAGE PITS <br />NUMBER WIDTR <br />___ __ PROPERTY LINE fl <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION <br />fl DEPTH ft <br />It <br />_- PROPERTY LINE <br />1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE W ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />M ! UM 4 <br />HOUR AD QTICE REQUIRED FOR I PECTIONS -PLEASE CALL209 53-7697 <br />SIGNED_ <br />TITLE <br />/L ij DA 7r <br />-- <br />1 1 TT -1 I I � I—FTI F r <br />I r <br />-- <br />i <br />_ - <br />_ <br />ICIIG RlTI <br />iL <br />_ _ <br />— <br />i x <br />I rae n'n <br />_ <br />- - - - <br />Iy� <br />by <br />JN 7.. 7 2022 <br />JOAQUIN COUNTY <br />IVIRONMENTAL <br />TH DEPARTMENT <br />U L2NLY <br />Application Accepted By _ _ Area _ Fmpleyeo ID#+G�t'�✓ <br />Fina i Inspection By_ -__ Date I I SPECT L PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: - — <br />COMMENTSplt/Sump Soil Character. <br />-----------._..... <br />— -- <br />PE SC Received -Check#/ <br />Code _ INTODate <br />Cas emitted Service Re uest # Invoke # Permit IO# <br />OT <br />42 01 <br />4/14/111 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />