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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> t' SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 17508 East Frazier Road Crry/Jp Llnden/95236 <br /> CROSS STRE, Tully Road APN 065-100-08-37-38 PARCEL SIZE 79.4-1/-Acres b <br /> OWNER NAME L6 Lagorio Land Co. Gla AM&eW L A4 o4.1 O PHONE 209483-7900 <br /> OWNER ADDRESS 17706 Bentley Court Cm/STATe/AP Linden/Ca/95236 <br /> CONTRACTOR Dillon&Murphy PHONE 209-334-0613 <br /> CONTRACTOR ADDRESS P.O.Bax 2180 CrtY/STATFJ7JP LodUCA/95240 <br /> LICENSE ❑❑C-42 ❑LIC36 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMA7ION: Coordinates X Y <br /> PERC TEST # /—� BUILDING P'eRMTi# LAND USE APPLICATION#PA 1700190 <br /> TYPE OF WORK: ❑ NEW INSTALLATION Ll REPAST/ADDMON 11 ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OFSERVICE 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 R PROPERTY LINE R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP (3 PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES F] LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELLR FOUNDATION ft PROPERTY LINE R <br /> ❑ FILTER BED WIDTH it LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION it PROPERTY LINE it <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELLIt FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH it LENGTH it DEPTH It <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE it <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH It DEPTH it <br /> DISTANCE TO NEAREST WELLIt FOUNDATION ft PROPERTY LINE It <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH It <br /> DISTANCE TO NEAREST WELLit FOUNDATION it 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 /> U 953-769 <br /> SIGNED <br /> - <br /> SIGNED TITLE Paty Chief DAA (O—If <br /> 75- 2 <br /> `FD.3/4"IRON PIN(RI)(R2) I <br /> OS NO TAG I <br /> �' o�i PARCEL 1 1111 <br /> PROPOSED 2S-FOOT 4`'.0i H 20 RUES,�, IL <br /> PRIVATE EASE EASE 0T'�'j� 'E 'LO N89'13'Ot pyIVIENT <br /> 9Y SEPERATE EASEMENT by ;b- '� R.S. I4-I44 38914 <br /> FO.3/4"IRON PIN(Ri)(R2) PG mu ZECEIVED <br /> LJS N TAG <br /> R.S. 14-154 <br /> ESN°SMGH A a CT 10 2018 <br /> I`I L32 L31 WATER UNE 3 <br /> JOAQUIN COUNTY <br /> �I <br /> 1 n CENTERLINE CALAVERAS RIVER $ NVIRONMENTAL <br /> P.M.26-45 TH DEPARTMENT <br /> I <br /> E%.20'ROAOWAt-I 1 <br /> EASE4ENT +— SEE NOTE 6. <br /> II <br /> II <br /> 5896'00"W 1074.31' <br /> EIGHT MILE ROAD <br /> OL <br /> q ARTMt Y v Zr—wxpr <br /> Application Accepted By 4 Date Area Employee ID# <br /> Final Inspection By Q Date 17 l e ❑ as IAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Ch Amount Dab Permit/ Invoice# Permit IDS <br /> Code INFO B Cas emHtad Service Re uest# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />