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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT fl$ <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868E.HAMILTON 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 11150 E.Highway 120 CITTZp Manteca,CA 453n(a y <br /> n <br /> CROSS STREET Austin Road ApN 228-030.28 pAgppy gig 10.0 g <br /> e <br /> OWNER NAME Global Carrier Inc. PHONE 209-625-8974 <br /> OWNERADDRESS 1112 N.Main Slreet(PMB387) CIWISTATEop Manteca,CA 95336 <br /> CONTRACTOR TERRACON CONSULTANTS(NEIL O.ANDERSON B ASSOCIATES) PHONE 209-367-0701 <br /> CONTRACTORAODRESS 902INDUSTRXWAY Cm'/STATEzP LODI,CA 95240 <br /> LICENSE 11 C42 ❑ /CT-36 OTHER"7 NUMBER 669004 EXPIRATION DATE 5731:9 <br /> WATER TABLE DUN: it GEDGRAa.ICAL INFORMATION: Coordinates X V- <br /> F- PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIP/ADOITION ENGINEER DESIGNED IALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILLSERVE: C RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LMNG UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTICTANK TYPEIMFG CAPACITY gat #CFCOMPARTMEN7S <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION it PROPERTY LINE R <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP 0 PKGTXPLANT D SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTHOFUNES ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION fl PROPERTYLINE fl <br /> ❑ FILTER BED WIDTH It LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION It PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH R LENGTH it DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ SUMPS WIDTN It LENGTH It DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION fl PROPERYLINE ft <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH ft DEPTH fl <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTYLINE It <br /> I HEREBY CERTIFY THAT 1 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 /> MINIMUM48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> STONED TITLE STAFF SCIENTIST DATE 7-18-18 <br /> s ro Na <br /> rs: , <br /> m <br /> J A <br /> zie N <br /> 'T P R N �T <br /> Application Accepted Date �'I -)r Area J I�/ 6) Employee IDS A h lM- <br /> Final Inspection By Data ❑ SPECIAL PERMITAD ad by <br /> Character of Soil to Dep L IUSump Soil Character: <br /> COMMENTS 'l?GI' 'Fa P i P.Q r 30m`A 071 f';mA +0 <br /> atAd bADk� <br /> PE SCReceived AmDUnt Date Perm'b, Invoice# PermklD# <br /> Code INF. B as RemiOed Be,,u Ra uest# <br /> 62-01 ONB UE WASTEWATER TRTMNT SYSTEM PERMIT <br /> N1M18 <br />