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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 rvuN-MtrUNUAt%Lt rtHMI I L ALL ZUY 90J-1091 FOR INSPECTIONS tXPIRES 1 YEAR FROM DATE ISSUEI JOB ADDRESS _ 13270 Gallagher rd CRYIZIP/-I odi ^J CROSS STREET Harney In AP 0&3 ~Zp VV — /7 PARCELSRE 5.01 acres OWNER NAME Salvador Viramontes OWNER ADDRESS 13270 Gallagher CONTRACTOR Viramontes construction -Y/STATE/ZIP Lodi Ca 95242 PHONE 2097123887 CONTRACTOR ADDRESS Po box 1746 rip CITY/STATE/ZIP Woodbridge ca 95258 ❑ LICENSE ❑.'C-42 '1,..0-36 OTHER B NUMBER 1033987 EXPIRATION DATE 12/22 WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y ❑ PERC TEST # I I BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: A NEW INSTALLATION REPAIRIADDITION LI ENGINEER DESIGNED /ALTERNATIVE LI REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM 0 DESTRUCTION INSTALLATION WILL SERVE: �ESIDENCE ❑ COMMERCIAL L1 OTHER NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: 3 NUMBER OF EMPLOYEES: SEPTICTANK TYPE/MFG P and I septic CAPACITY12002 gal # OF COMPARTMENTS ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS LENGTH DISTANCE TO NEAREST: WELLI20 ft FOUNDATION ft PROPERTY LINE Ill It ❑ 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. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED �" TITLE Owner DATE 9/28/22 COMMENTS r D PE Sc Received Check#/ Amount Permit/ Code INFO B Cas Remitted Date Service Request # Invoice # Permit ID# 3 70 LEACH LINES 1 LEACHING CHAMBERS # OF LINES LENGTH OF LINES ft DISTANCE TO NEAREST WELL 120 ft FOUNDATION 7 ft PROPERTY LINE 7ft It ❑ FILTER BED WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH It LENGTH It DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH it LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL Ittt FOUNDATION ft PROPEL LINE ft SEEPAGE PITS NUMBER WIDTH 31t ft & DEPTH �(� It DISTANCE TO NEAREST WELL 100 ft FOUNDATION 70 ft PROPERTY LINE 70 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. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED �" TITLE Owner DATE 9/28/22 COMMENTS r D PE Sc Received Check#/ Amount Permit/ Code INFO B Cas Remitted Date Service Request # Invoice # Permit ID# REc MF�V T �I VED SEP 2 9 20 V JO 22q QU/ TN p �gRTO CNTY ENT 42-01 r5D56 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4114/18 !/ O �