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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALT14 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 15999 W.Coal Hollow Road CHY/ZIP Tracy <br /> Corral <br /> m <br /> CROSS STREET 580 Freeway _APN 251-140-05 PARCEL Sur 5753.40 ac <br /> OWNER NAME Department of Enenry,Lawrence Livartnore National Lab-C/O Ada Chan(Site Rep) PHONE(925)422-1100 <br /> OWNER AnoREss 15999 W.Conal Hoilaw Road ___CTTYISTATE/LP Tracy <br /> CONTRACTOR Petrelogix Engineering Incorporated PHONE(209)400-5729 <br /> CONTRACTOR ADDRESS 26675 Bwella Road.Gall.CA 95632 CITY/STATFJZDP 95632 <br /> LICENSE GJ IC-42 01 IC36 OTHER PCO NUMBER ees r.ExP+RATtON DATE N/A <br /> WATER TABLE DEPTH: too. ft GEOGRAPHICAL INFORMATION: Coordinates X 112L537373' Y 37667148' <br /> �. PERC TEST #1 BUILDING PERMIT#NA ___LAND USE APPLICATION# <br /> TYPE OF WORK: I I NEW INSTALLATION 1 1 REPABUADDRION I! ENGINEER DESIGNED/ALTERNATIVE <br /> VI REPLACEMENT 'I OUT-OF-SERVICE SEPTIC SYSTEM I I DESTRUCTION _ <br /> INSTALLATION WILL SERVE: L1 RESIDENCE ❑ COMMERCIAL 0 OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> (� DISTANCE TO NEAREST: WELL it FOUNDATION it PROPERTY LINE _ft <br /> `l ❑ UFT STATION SIZE TYPE OF PUMP 0 PKO TX PLANT Cl SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES F LEACHING CHAMBERS #OF LINES LENGTH OF LINES it 1,_ <br /> DISTANCE TO NEAREST WELL ft FOUNDATION_. ft PROPERTY LINE fl :4 <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH n/A <br /> C- DISTANCE TO NEAREST WELL 0 FOUNDA11ON ft PROPERTY LINE ft VC��4�II <br /> ❑ MOUNDED WIDTH ft LENGTH R DEPTH <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE <br /> ❑ SUMPS WIDTH ft LENGTH _fl DEPTH V 1t <br /> DISTANCE TO NEAREST WELL _0 FOUNDATION_ fl PROPERTY UNE 'I <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH_ _ft DEPTH_ "W/ C �O�NT <br /> DISTANCETONEAREST WELL ft FOUNDATION_ fl PROPERTY LINE q r14 '7 <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH 11 RTMFNT <br /> DISTANCE TO NEAREST WELLft FOUNDATION_ R PROPERTY LINE 8 <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 CAWSARo'RULMANLO REGULATIONS OF SAN JOAQUIN COUNTY. <br /> C Af ED F T PLEASE -7 <br /> 62 <br /> fes. �-_ <br /> `.� SIGNEDi' TIitF--4G-w-'I�s�xt _ DATE <br /> `'rte <br /> i . <br /> i <br /> )DEPART)DEPARTA T USE Y i -�` <br /> Application Accepted By Data /&/ZZ I rj Area G; _ Employee ID# <br /> Final Inspection By Oato _ Ll SPECt PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS L31 111A tj e r I hOU �I(c' �d fir,, i""lT L �t�urnik N it (' 5; <br /> PE SC Received ec Amount Perm fU -ce -----It ID* --.� <br /> Code INFO B ash KORlttm Dafu 5 TVlce k UaSt# Invoice A Prnmlt IIAI! <br /> I / 1it <br /> 42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/19 <br />