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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 3501 W.Lehman Rd CITYIZIP T—y/95304 N <br /> -1 <br /> CROSS STREET ahem R-d AP„ * a S50 a o 61 PARCEL SIZE 13.5 Avec > <br /> 0 <br /> 0 <br /> OWNER NAME Daniel Hepler/Reece Christopher Chades PHONE 209-814-°566 y <br /> OWNERADDRESS 670P1ts9mve CL/PO8mIDD51 CITY/STATE/ZIP T2cy/CA95317 - Westley/CA/95387 <br /> CONTRACTOR U"dad Pan"9 PHONE 209-527-7283 <br /> CONTRACTOR ADDRESS 1207 Montclair.Dr. CITY/STATE/ZIP Ceres/CA 195307 <br /> LICENSE ❑❑C-42 ❑0C-36 OTHER CLASSA&B&C12 NUMBER 434403 EXPIRATION DATE°7/31/2022 <br /> WATER TABLE DEPTH: 13hgs It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # r BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION ❑ REPAIRIADDITION 7 ENGINEER DESIGNED/ALTERNATIVE <br /> fl REPLACEMENT fl OUT-OF-SERVICE SEPTIC SYSTEM -1 DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE X, COMMERCIAL OTHER Ag,WtureI <br /> NUMBER OF LIVING UNITS: 0 NUMBER OF BEDROOMS:0 NUMBER OF EMPLOYEES:12 <br /> se SEPTIC TANK TYPE/MFG Sepft/P&LConvete Pmducts CAPACITY 1'500 gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL� ft FOUNDATION 10 ft PROPERTY LINE 65 R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES I i LEACHING CHAMBERS 4"Pipe(Trench 1.5'x 2' #OF LINES 4 LENGTH OF LINES 90 ft <br /> � r r <br /> DISTANCE TO NEAREST WELL ft FOUNDATION 300 ft PROPERTY LINE �OD 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 It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <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 /> MINIM 8 H DVN E NOTICE REQUIRED FOR/N P T -PLEASE CALL -7697' <br /> SIGNED TITLE P` DATE <br /> RE yMF <br /> CE jV�T <br /> —1 10 <br /> s q Qu//v 2070 <br /> RON COO <br /> ��N7-y <br /> DEPARTMENT US5 ONLY <br /> Application Accepted By �_ Date 3 Oa0 Area Employee ID# S�C <br /> Final Inspection By Date Zfl El SPECIAL PERMIT-Approved by <br /> Character of Soil to De th of 3 Ft: i Sump Soil Character: <br /> COMMENTS NBW nub tn4es3�n c r } NG�ebw�Se. f» Cor+ e�b>h o <br /> ca"Ofshans of Z L tft .0, 51 u G >, a tiv 1 1"0017n <br /> b'F we 11 sroyiLMy7 esu sc. !o ,ie. <br /> PE SC Receive Chec Amount Date Permit/ Invoice# Permit ID# <br /> Code INFO as Remitted ervice Request# <br /> 41x1 Asa 650 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />