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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-KEFUNDABLE PERMIT GALL (ZU9) 903-/09/ FOR INSPECTIONS tXPIRES T YEAR FROM DATE ISSUE <br />JOB ADDRESS 11793 Mlcke Grove Road CITYIZIP Lodi, CA 95240 <br />CROSS STREET Mlcke Grove Rd 8 Armstrong Rd APN 05910002 PARCEL SIZE 208.53 Acres <br />OWNER NAME Countyof San Joaquin PHONE 209-953-7046 <br />OWNER ADDRESS 44 N San Joaquin Sl, Suite 640 CITY/STATE/ZIP Slocklon, CA 95202 <br />CONTRACTOR ThS Intermodal Maintenance Inc. PHONE 605-215.8694 <br />CONTRACTOR ADDRESS 6540 Austin Road CITYISTATFJZIP Stockton, CA 95215 <br />LICENSE ❑: C-42 ❑ _C-36 OTHER A, B, 8 G10 NUMBER 939001 EXPIRATION DATE 10/31/2023 <br />D <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X 38 Deg 4'43.18"N Y 121 Deg 16'12.51"W <br />❑ PERC TEST # BUILDING PERMIT# BP -2104379 LAND USE APPLICATION # <br />TYPE OF WORK: J NEW INSTALLATION J REPAIR/ADDITION X ENGINEER DESIGNED/ALTERNtATIVE/ <br />X REPLACEMENT System OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION SE � j � EC; In ky <br />INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL X OTHER 700 People <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />10 SEPTIC TANK TYPE/MFG Conc Septic Tanks / PAL Concrete Products CAPACITY 1900 gal x 3ea gal # OF COMPARTMENTS 2ea per tank <br />❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION R PROPERTY LINE ft <br />LIFT STATION _ SIZE_ TYPE OF PUM�r O PKG TX PLANT D SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />M LEACH LINES <br />C LEACHING CHAMBERS <br /># OF LINES 6 <br />LENGTH OF LINES _4,) Jach It <br />DISTANCE TO NEAREST <br />WELL 400* <br />ft FOUNDATION SD <br />fl PROPERTY LINE 250' It <br />❑ FILTERBED <br />WIDTH <br />ft LENGTH <br />R <br />DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />fl FOUNDATION <br />ft PROPERTY UNE It <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ SUMPS <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />fl PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH <br />It L",,TI, _ <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />� FOUNDATION <br />ft PROPERTY UNE ft <br />�I SEEPAGE PITS <br />NUMBER 12 <br />WIDTH _ <br />F: <br />DEPTH 25 LF each it <br />DISTANCE TO NEAREST <br />WELL 400+ <br />ft FOUNDATION 80 <br />R PROPERTY LINE 250+ ft <br />1 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 />Application Accepted By <br />Final Inspection By. <br />Character of Soil to Dept, <br />COMMENTS ij,%ki <br />L 7 <br />_ Area 4 �' EmployeelD# —ff11'< 7 <br />G' ❑ SPECIAL PERMIT -Approved by <br />Sol] Character - <br />PE SC Received Check#/ Amount ate Permit/ Invoice # Permit ID# <br />Code INFO Cash Remitted Service Request fill, <br /># i �cC1 I 2 <br />If <br />42.01 ONSRE WASTEWATER TRTMNT SYSTEM 'ERMIT <br />4/14/10 <br />