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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 20679 Highway 120 CITY/ZIP Esci lon,95320 u <br /> -i <br /> CROSS STREET Van Allen Road APN 205 08 004 PARCEL SIZE-47 acres Y <br /> OWNER NAME Latitude 37 Partners,LLC �+--6 jb!-V PHONE(209)602.6569 <br /> OWNER ADDRESS 20679 Highway 120 /��IU d Zt.r4 Wt4L J7- CITY/STATEIZIP Escalon,CA 95320 <br /> CONTRACTOR Baez Geolechnical Group PHONE 209-602.6569 <br /> CONTRACTOR ADDRESS 2060 Colorado Avenue,Suite B l CITYISTATE/ZIP Turlock,CA 95382 �� <br /> LICENSE (II'.C-42 Fl,-iC-36 rIiTHER. NUM1IB � �J-' <br /> ER �1 EXPIRATION DATE � <br /> � <br /> WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> D PERC TEST #K BUILDING PERMIT#eA-1900082 LAND USE APPLICATION#SUD012305 <br /> TYPE OF WORK: - NEW INSTALLATION L7 REPAIR/ADDITION _. ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM - DESTRUCTION <br /> INSTALLATION WILL SERVE: CI RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES:TBD <br /> ❑ SEPTIC TANK TYPE/MFG TBD CAPACITY TBD gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL it FOUNDATION it PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKGTXPLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> (3 LEACH LINES ii LEACHING CHAMBERS TBD #OF LINES LENGTH OF LINES TBD It <br /> DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE ft <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 it DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION it PROPERTY LINE it <br /> ❑ SUMPS WIDTH A LENGTH it DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION it PROPERTY LINE it <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH fl DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH it DEPTH it <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE _,_ it <br /> ...-.._._..._.....�..._.--....._...__.-. �..._.__. ._._�____..�.�..__ - ...._-._ter,.. .._,. <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 /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-7697 <br /> SIGNED TITLE Stefanie Parman,Project Engineer DATE 11/6/19 <br /> Ivo1 <br /> NjogQU NA ?019 <br /> oCO <br /> R C <br /> -D AR TME j T1 E N Y <br /> Application Accepted By Date Area_dq Employee ID# <br /> Final Inspection By Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount Permit/Code INFO ash mitte D to Service Request# Invoice# Permit ID# <br /> W7 L-1 <br /> 42-01 (✓�„'!' t'i' /Cl/CJ7/�� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />