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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 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS Lathrop Intermodal Facility Property t7�Z CITYRIP French Camp 195231 r <br /> CROSS STREET Between Roth Road and Airport RoadApN 19820016 PARCEL SIZE 121.04 acres c <br /> v <br /> OWNER NAME Union Parc Railroad PHONE 209-546-7288 <br /> OWNER ADDRESS 1000E Roth Road CITY/STATE/ZIP French Camp/CA/95231 <br /> CONTRACTOR (Consultant)Shannon&Wilson,Inc PHONE 81B-858-5008 <br /> CONTRACTOR ADDRESS 664 West Broadway CIN/STATE/ZP Glendale,CA 91204 <br /> LICENSE ❑7C42 ❑--C-36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST A' BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIRIADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OF-SERVICE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM)) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS #OF LINES LENGTH OF LINES /`Tt ENT <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> RffV <br /> I E <br /> 13FILTER BED WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH�ftO 4 2019 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It J <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH 0"O(kUN COUNT1. <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE RQN WENTAL <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTH PFFARTMENT <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT I HAVE PR ED 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 /> 1 1MUM N INPECTIONS.PLEASE CALL(209)9§Z-7697 <br /> SIGNED TITLE (VR>�t0� DATE <br /> T ENT S <br /> Application Accepted By ate Area Employee ID# <br /> Final Inspection By Date ' ❑ $P AL PE MIT-Approved by <br /> Character of Soil to Depth of t: V iUSu p it haracter: <br /> COMMENTS 514e <br /> " . lC <br /> d / <br /> ^- <br /> rV- <br /> PE SC Received Cheek#I Amount Date I Permit/ Invoice# Permit ID# <br /> Code INFO B ash Remitted Service Re uest# <br /> ZZt 2 :su_ 3� t S 00 o2�to <br /> 42-01 7�y 2-- ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 / <br />