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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1969 E.HAIELTON AVENUE-STOCKTON CA 95205-(289)496-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 5298 E.Brunswick Road CITr/ZIv Manteca <br /> Highway 99 W.Frontage Road APN 197-040-06 PARCEL SIZE 14.0 <br /> CRO!!STREET 9 Y 9 v <br /> A <br /> OWNER NAME Sen Joaquin Delta College District PHONE 916-297-2446 <br /> OWNER ADDRESS 5151 Pack Avenue CITY/STATEIZIP Stockton <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITYISTATEILP LODI CA 95240 <br /> LICENSE F1 C42 0 'C-36 OTHER C-57 NUMBER 669004 EXPIRATION DATE 05-31-2021 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PE RC TEST A 1 BUILDING PERMIT 0 LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIRIADDITtom ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT _ OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: 0 RESIDENCE 0 COMMERCIAL 0 OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal A OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal A OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION R PROPERTY LME ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS A OF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY UNE R <br /> ❑ FILTER BED WIOTN R LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LME ft <br /> ❑ MOUNDED WIDTH R LENGTH R DEPTH ft <br /> DISTANr:E TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ SUMPS WIDTH_ ft LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH_ R LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION R PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH It <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LME ft <br /> I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS ADPL AND RULED AND WORK WI L B OF NE IN ACCORAQUINDANCE <br /> COUNTY. SAN JOAQUIN COUNTY ORDINANCES, <br /> STA <br /> LAWS <br /> MINIMUhl 48 HOUR ADVANCE TIC REQUIRFI)FOR INSPECTIONS-PI EASE CALL f209)953-769 <br /> SIGNED � °f i!LL t Yt ! TITLE STAFF SCIENTIST DATE dR-fg-2019 <br /> BRU`NSWICK ROAD - <br /> �V:r <br /> tI <br /> s <br /> 0 <br /> m <br /> 0 <br /> E M <br /> DEPART <br /> Application Accepted By Data "7 AreaEmployee IDA <br /> Final Inspection By Date O SPE IAL PERMIT-Approved by <br /> Character of Soil to Depth o 3 Ft: Plt/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check$/ Amount Dote PermW Invoice A Permit IDA <br /> Code INFO B Cash Remitted Service Request A <br /> n 0 �1 Il 16 �� <br /> ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 42-01 <br /> 4/14/18 <br />