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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 (:ALL (LU9) VOJ-10'50/ FOR INSPECTIONS tXPIRES l YEAR FROM UATE ISSUt <br />JOB ADDRESS Morada MHP - 9454 Hwy 99 CITY/ZIP Stockton, CA 95212 <br />CROSS STREET 51_I (>;" Ir i(. n i'r APN 085-150-020-000 / 085-150-060-000 PARCEL SIZE kJ' GLI <br />OWNER NAME Morada MHP LLC PHONE <br />OWNER ADDRESS do CRI Property Management PO BOX 1548 Cm/STATE/ZIP Oakdale, CA 95361 <br />CONTRACTOR Valley Operators - Casey Wichert PHONE (209) 483-5525 <br />CONTRACTOR ADDRESS 1211 Como Dr. CITYISTATEIZIP Manteca, CA 95337 <br />LICENSE 0-C-42 L_C-36 OTHER NUMBER EXPIRATION <br />D <br />WATER TABLE DEPTH: <br />L PERC TEST #7-1 <br />TYPE OF WORK: <br />INSTALLATION <br />_ NEW INSTALL <br />REPLACEMEN <br />ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br />BUILDING PERMIT # LAND USE APPLICATION # <br />_ REPAIWADDITION X ENGINEER DESIGNED /ALTERNATNE <br />OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: C RESIDENCE j <br />L COMMERCIAL <br />L OTHER <br />NUMBER OF LIVING UNITS: <br />NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />❑ GREASETRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: <br />WELL <br />R FOUNDATION <br />ft PROPERTY LINE ft <br />❑ LIFT STATION <br />SIZE TYPE OF PUMP <br />A PKG TX PLANT <br />❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />it PROPERTY LINE ft <br />❑ FILTER BED <br />WIDTH <br />N LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE it <br />❑ SUMPS <br />WIDTH <br />0 LENGTH <br />ft <br />DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ DISPOSAL PONDS <br />WIDTH <br />ft 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 />ft DEPTH ft <br />DISTANCE To NEAREST <br />WELL _ <br />_ ft FOUNDATION <br />It PROPERTY LINE ft <br />M <br />N <br />RF �'MF <br />F CFjV �l <br />V �'/ Q011 <br />Tjy pq �� ' �NTY <br />T MENT <br />DEPARTMENT USE ONLY <br />Application Accepted By ��-�'` L Date ' ✓T n Area (��'' Employee ID# r= • I <br />Final Inspection By Date_ L SPECIAL PERMIT -Approved by <br />Character of Soil to Depth f 3 Ft: Pit/Sump Soil Character: <br />COMMENTS')i.lJ CcTY,t'K Oly '?c'�R'�%SJJC. n/I<,/ �L/C_Li <br />J <br />'1Y 1i-1 <br />PE SC <br />CodeINFO <br />y31 3 <br />42-01 <br />4/14/18 <br />0 <br />�e) <br />Invoice # I Permit ID# <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />