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4 <br /> f <br /> i 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 CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 20500 Holly Drive Cny21P Tracy,CA <br /> CROSS STREET Northwest Corner of Arbor Ave and W.Sugar Road APN 212-160-20 PARCEL SIZE 110-acres c <br /> 0 <br /> PHONE <br /> g <br /> OWNER HANE <br /> Mr.Paul Schneider,Siegfried 209-942-0214 <br /> OWNER ADDRESS 3428 Brookside Road CITY/STATE/ZIP Stockton,CA 95219 <br /> CONTRACTOR Construction Testing Services PHONE 916-419-4747 <br /> CONTRACTOR ADDRESS 4400 Yankee Hill Drive CITY/STATE/Zip Rocklin,CA 95677 <br /> LICENSE ❑'iC-42 0=C-36 OTHER Business Lic.,Rocklin,CA NUMBER 014215 EXPIRATION DATE 06/30/2022 <br /> WATER TABLE DEPTH: 8 ft GEOGRAPHICAL INFORMATION: Coordinates X 37.769810 y-121.421112 <br /> Z PERC TEST #Pl through P4 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: X NEW INSTALLATION ❑ REPAIR/ADDITION C ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT P OUT-OF-SERVICE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE N COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES:TBD <br /> ❑ SEPTICTANK TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION It PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> kl LEACH LINES LEACHING CHAMBERS TBD #OF LINES TBD LENGTH OF LINES TBD ft <br /> DISTANCE TO NEAREST WELL>500' It FOUNDATION>10' ft PROPERTY LINE>95' ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTYLINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> I 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 /> MINIMUM 48 HOUR ADVA E REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-7697 <br /> SIGNED Mike Turner,PG,CEG TITLE Project Geologist DATE 9/30/2021 <br /> S e e A t a c h e d s i t e P l a n f o r l o c a t i o n s <br /> y4QED <br /> At <br /> 6 ?�21 <br /> 1 ° cot) <br /> °�NTy <br /> MFNT <br /> DEPARTMENT S NLY <br /> Application Accepted G Date D ) Area 7 Employee ID# <br /> Final inspection By Date i ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount at Perm iU Invoice# PermitID# <br /> Code INFO sh Rami Se Ice Re u st# <br /> 43aal <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />