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r - I <br />1111,00 <br />1y )o o ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE-STOCKTON CA 95205 - (209) 468-3420 <br />NON-KEFUN BLE PERMIT GALLZU`J HOJ-/O`J/ FOR INSPECTIONS tXPIRtS T TEAK FKOM UAIL ISSULI <br />JOB ADDRES Schulte Road cmv2iP Tracy, CA, 95377 <br />CROSS STREET Old Schulte Road and South Lammers Road APN 209-24-037 PARCEL SIZE 53.56 ac <br />OWNERNAME Tom Martin PHONE (510) 661-4032 <br />OWNERADDRESS 1800 Wazee Street, Suite 500 CITY/STATEIZIP Denver, Colorado, 80202 <br />CONTRACTOR n/a PHONE <br />CONTRACTOR ADDRESS <br />CITY/STATE/ZIP <br />LICENSE DiFIC-42 ❑7C36 OTHER NUMBER C49430 EXPIRATION DATE September 30,2022 <br />WATER TABLE DEPTH: <br />31' ft GEOGRAPHICAL INFORMATION: COOrdinates X 121 °28' 17" W y 37°43' 17" N <br />❑ PERC TEST # <br />BUILDING PERMIT # <br />n a _ <br />LAND USE APPLICATION #—EA -7"047 VD <br />TYPE OF WORK: <br />NEW INSTALLATION <br />REPAIR/ADDITION <br />I ENGINEER DESIGNED /ALTERNATIVE <br />It FOUNDATION It PROPERTY LINE ft <br />- REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE <br />❑ COMMERCIAL <br />le OTHER Industrial warehouses <br />it FOUNDATION ft PROPERTY LINE ft <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />It DEPTH ft <br />❑ SEPTICTANK <br />TYPE/MFG <br />CAPACITY <br />gal #OF COMPARTMENTS <br />❑ GREASETRAP <br />TYPE/MFG <br />CAPACITY <br />gal #OFCOMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE ft <br />DISTANCE To NEAREST: WELL <br />it FOUNDATION <br />It PROPERTY LINE ft <br />❑ LIFTSTATION <br />SIZE TYPE OF PUMP <br />O PKGTXPLANT <br />O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br />❑ LEACH LINES LEACHING CHAMBERS <br /># OF LINES LENGTH OF LINES ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION ft PROPERTY LINE ft <br />Cl FILTER BED WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />It FOUNDATION It PROPERTY LINE ft <br />❑ MOUNDED WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />it FOUNDATION ft PROPERTY LINE ft <br />❑ SUMPS WIDTH <br />ft LENGTH <br />It DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION ft PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH <br />ft LENGTH <br />it DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION ft PROPERTY LINE ft <br />❑ SEEPAGE PITS NUMBER <br />WIDTH <br />ft DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION it PROPERTY LINE ft <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 ADVANCE NOTICE <br />REQUIRED <br />FOR INSPECTIONS - PLEASE CALL (202) 953-7697 <br />SIGNED William James Miller <br />TITLE Development Services Manager DATE 06-10-2022 <br />DEPARTMENT USE ONLY <br />Application Accepted Fly 4/1 Date x7fl.2107.2 Area S '7 Employee ID#AS <br />Final Inspection By FH t Data ❑ SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft:Pit/ ump Soil Character: <br />COMMENTS 1)0: t1y►�1Py+ Otct+1x3'1 6 r( (Z- 4ps�. <br />PE Sc Received Check#/ Amount Da T Permit/ Invoice # Permit ID# <br />Code INFO B Cas Remitted Service Reqmpstft <br />v s 3 Sot I' 1 <br />42-01ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4114118 aw �-" `rH5 Z3 26 <br />922 <br />4L TY <br />7FNT <br />