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ty . <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> 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 9889 Finkbohner Road Crump Stockton <br /> CROSSSTREET Alpine Road APN 103-020-01,09,19 PARCELSIZE 534+/-AC g <br /> b <br /> OWNERNAME Solari Properties PHONE " <br /> OWNERADDRESS 9230 N. Alpine Rd. CITY/STATE/ZIP Stockton, CA 95212 <br /> CONTRACTOR Dillon & Murphy PHONE 209-334-6613 <br /> CONTRACTOR ADDRESS PO Box 2180 CITY/STATEIZIP Lodi, CA 95241 <br /> RCE <br /> LICENSE ❑_C-42 LI-C-36 OTHER NUM ER 4 5 2/-7 7 EXPIRATION DATE 9/30/2020 <br /> WATER TABLE DEPTH: / ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION 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 It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft f4DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft 'Ci7v V <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It ��rr <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINER , <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTHq U/ 2101,9 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE J <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH liaR NM COU4, <br /> DISTANCE To <br /> I HEREBY CERTIFY THAT I HAVE PREPARENEAREST ft <br /> THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, O p�R MFN' <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 TITLE DATE <br /> TENTATIVE MAP <br /> ow <br /> ,P �,-Z f PdBGEL] <br /> iwNBONNEN NOM., 5 l <br /> - . - •n.sw....-e..,.. <br /> _._a PqRk _ ®— <br /> .`..� DRAFT - `! <br /> V&rAK I MCIYI U 4C Lr <br /> Application Accepted y Date Area ployee ID#�� <br /> Final Inspection By Date C <br /> El AL PERMIT-Approved by <br /> Character of Soil to Depth{off 31 PI ump Soli Character: <br /> COMMENTS 1 y nl4 11 1 �'1 9'149 / AI4 /1'►bn l-J <br /> i <br /> PE SC Received Check#/ Amount atPermit( # Permit ID# <br /> Code INFO Remitted e Service Re uesI# <br /> 2Z z .A'> Wkp <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />