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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 = CALL 209 953-7697FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADoRess 19007 Sierra view cl CITYRIP Clements!95227 <br /> CROSS STREET Begley rd APN 019-260-60 PARCEL SIZE 2 acres CY <br /> 0 <br /> OWNER NAMEMatt brlstow PHONE209-743-0602 <br /> OWNER ADDRESS 19007 Sierra view ct CiTY/STATE21P Clements/ca/95227 <br /> CONTRACTOR Diablo excavation&Constructions inc PHONE 925.628-8877 <br /> CONTRACTOR ADDRESS 1795 suriside ct CITYISTATE0P Discovery bay,ca <br /> LICENSE L+..C42 U..C36 OTHER General"A" NumsER1110240 EXPIRATIONDATE09/30/2025 <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> C PERC TEST # — I BUILDING PERMIT#Bp2302951 LAND USE APPLICATION$ <br /> TYPE OF wolm 21NEW INSTALLATION .. REPAPJADarnoN .. ENGINEER DESIGNED IALTERNA nvE <br /> ... REPLACEMENT .. OUT-OFSEWACE SEPTIC SYSTEM ... DESTRUCTION <br /> INSTALLATION WILL SERVE: Ik RESIDENCE G COMMERCIAL G OTHER <br /> NUMSN:R OF L.rmo UNITS:1 NtNBER OF BEDROOMS:4 NUMBER OF EMPLOYEES:D <br /> SEPTIC TANK TYPE/MFG P81 concrete,concrete tank CAPACITY 1600 gal #OF COMPARTMENTS2 <br /> ❑ GREASE TRAP TYPEW13 CAPACITY gal #OF COMPARTMENTS <br /> DisTANCETO NEAREST: WELL175 ft FourDATIoN 100 fl PROPERTY LINE 13 it <br /> ❑ LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ................................__...-__...__._.-........_._...._._....._._........_.....___.._.__.............._............._..._.........._...___..........._------_...._.,W.W,. ..........._............. <br /> ...............................,............................._.... <br /> >� LEACH LINES �LEACHING CHAMBERS #OF LINES 3 LENGTH OF UN.9 n <br /> DISTANCE TO NEAREST WELL 150 ft FOUNDATION 100 fl PROPERTY LINE 45 It <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH a �/ <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE 7 <br /> ❑ MOUNDED Worm ft LENGTH ft DEPTH itQ,q IV <br /> / 2�Z3 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE va <br /> ❑ SUMPS Wvrm It LENGTH ft DEPTH <br /> DST NICE TO NEAREST WELL LEItlCTN ft fOUNOATiON ft ft DEPTH PROPERTY LANE +lt �AE�n� <br /> ❑ DISPOSAL PONDS <br /> DISTANCE TO NEAREST WELLO ft FOUNDATION It PROPERTY LINE ft 'Y r <br /> SEEPAGE PITS NumeR 3 WIDTH 48 ft DEPTH 25 It <br /> DISTANCE TO NEAREST WELL 150 ft FouN7AnoN 100 ft PROPERTY LINE 40 It <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE W ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> SIGNED nTLEPresident DATE 1 011 2/2 0 2 3 <br /> e p t i <br /> Application Accepted By Date Area J' Employee ID# �f7Jo' <br /> Final Inspection By Date C SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth oI ,Ft: iU ump Soil Character: <br /> COMMENT > Ad l rre. • to `!3* le dt d". J <br /> w! 10— N ttny( ldC�l �1r P <br /> ri <br /> PE SC Received ChecktN Amount Permit/ <br /> Code INFO Cash Remitted Date Service Request# Invoice# Permit ID# <br /> t , 5 <br /> 41 I glfg'"�g ONSriE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114l14/18 <br />