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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE- STOCKTON CA 95205 - (209) 468-3420 PION-KEFUNDABLE 1"EHMIT L.ALL (ZUJ) JDJ-/OJ/ 1 -UH /NSPtGIIUN,5 tXPIHE5 1 YEAH FROM UATE JOB ADDRESS 8000 w Cabe rd CITYizIP Tracy 95304 CROSS STREET Chrisman Rd APN 250-160-07 PARCEL SIZE 26.9 acres OWNER NAMEAaron Paradiso OWNER ADDRESS 1352 N Baldwin Lane CONTRACTOR Viramontes Construction CONTRACTOR ADDRESS Po box 1746 LICENSE 11�C-42 02C-36 OTHERB Stockton CA 95215 PHONE CITY/STATE/ZIP Woodbridge CA 95258 NUMBER 1033987 EXPIRATION DATE12/22 WATER TABLE DEPTH: b .. 70 ft GEOGRAPHICAL INFORMATION: Coordinates X Y ❑ PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: ❑ NEW INSTALLATION L ❑ REPAIR/ADDITION C ENGINEER DESIGNED /ALTERNAn X, REPLACEMENT Fan" Z �IQI ❑ OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION C fly INSTALLATION WILL SERVE: RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: m SEPTIC TANK TYPE/MFG P and I Septic tank CAPACITY 1200 gal # OF COMPARTMENTS2 O GREASE TRAP TYPE/MFG �r CAPACITY gal # OF COMPARTMENTS DISTANCE To NEAREST: WELL e J ft FOUNDATION More than 5 ft PROPERTY LINE More than 5 If O LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR (ENCLOSED SYSTEM) 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. 9 DEPARTMENT USE ONLY ,n! C Application Accepted B 4 f Date Area �' Employee ID#� Final Inspection By H Date ❑ SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: P VSuI Soil Character: COMMENTS UnkPa-P1 -Tef ff. Rt'14e?M-M+ 6�.Srbi,c feiii on Te -h hlhe< aid x /S I` li?C � %ln �< � Z.r+ n G H /Ao NP -P✓• PE Code LEACH LINES 1 LEACHING CHAMBERS #OFLINES _ LENGTH OF LINES OO ft 43ob DISTANCE TO NEAREST WELe� S'A It FOUNDATION 10 ft PROPERTY LINE ft 0 FILTER BED WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O MOUNDED WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O SUMPS WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O DISPOSAL PONDS WIDTH It LENGTH It DEPTH ft DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O 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. 9 DEPARTMENT USE ONLY ,n! C Application Accepted B 4 f Date Area �' Employee ID#� Final Inspection By H Date ❑ SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: P VSuI Soil Character: COMMENTS UnkPa-P1 -Tef ff. Rt'14e?M-M+ 6�.Srbi,c feiii on Te -h hlhe< aid x /S I` li?C � %ln �< � Z.r+ n G H /Ao NP -P✓• PE Code SC Received INFO B Check#/ Cash Amount DatePermit/ Invoice # Permit ID# Remitted S rvice Ranueat # yalo s 43ob 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14118