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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 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 8891 W.Palmquist Cm/ZIP Tracy,CA 95376 <br /> CROSS STREET MacArthur APN 24807024 PARCEL SIZE & p <br /> Q <br /> OWNER NAME Atlh Cf+ ��� 07 PHONE <br /> py <br /> OWNER ADDRESS 077�J0 ✓;w- L we CITY/STATE/ZIP �. LA, 9s34g <br /> CONTRACTOR Mike's Backhoe Service PHONE 209-456-2865 <br /> CONTRACTOR ADDRESS P.O.BOX 650 CITY/STATE/ZIP Manteca,CA 95336 <br /> LICENSE 00C-42 ❑❑C36 OTHERA NUMBER 608554 EXPIRATION DATE 2020 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # BUILDING PERMIT#1909778 LAND USE APPLICATION# <br /> TYPE OF WORK: jk NEW INSTALLATION ❑ REPAIRIADDITION 7 ENGINEER DESIGNED/ALTERNATIVE <br /> n REPLACEMENT Fl OUT-OF-SERVICE SEPTIC SYSTEM -1 DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG P&L Concrete CAPACITY 1200 gal #OF COMPARTMENTS 2 <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL100' ft FOUNDATION 10 ft PROPERTY LINE 10' It <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS #OF LINES 2 LENGTH OF LINES 60' It <br /> DISTANCE TO NEAREST WELL 100 ft FOUNDATION 10' ft PROPERTY LINE 5' ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> .y SUMPS WIDTH 2 ft LENGTH 16' ft DEPTH 14ft <br /> DISTANCE TO NEAREST WELL 11501 ft FOUNDATION 10 ft PROPERTY LINE 5. ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft 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 REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED Mike Fuller TITLE Contractor DATE <br /> FEN r <br /> AFD <br /> 062020 <br /> S I e I e I a t t a c I h e d A IN C <br /> MENTUNTy <br /> E ARTMENT <br /> J' l _ DEPARTMENT US ONLY Z <br /> Application Accepted Bv Date OZO Area Employee ID#Final Inspection By Date 11SPE PERMIT-Approved by <br /> Character of Soil to D pth o Ft: Pit1bump Soil Character: <br /> COMMENTS. .Asoewfor /1v - <br /> _..Igr#-_. oaaryt 0j,i>n5 pP/C -J'eS>t :riBY /Ve,n! SF2 <br /> PE SC Received Check#/ AmountDate Parmlt/ Invoice# Permit ID# <br /> Code INFO Cas Remitted Service Request# <br /> 2) 117 s8 <br /> 4ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114//14/18 <br />