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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 INSPECT70NS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 6800 S.EL DORADO STREET CITY/ZLP FRENCH CAMP <br /> CROSS STREET FRENCH CAMP APN 193.070-13 PARCEL SIZE 4.11 <br /> v <br /> OWNER NAME HABIR SINGH&DHILLON TALBIR SINGH PHONE 510 779 6644 ` <br /> OWNER ADDRES9 32646 ENDEAVOR WAY CITYISTATE/ZJP UNION CITY,CA 94587 <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATEZP LODI CA 95240 <br /> LICENSE ❑;JC42 ❑.1C-36 OTHER G57 NUMBER 669004 EXPIRATION DATE 05-31-2021 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST 01 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION U REPAIRIADDITION _ ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT Li OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTIIER <br /> NUMBER OF LMNO UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal A OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal If OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE fl <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES -1 LEACHING CHAMBERS A OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl <br /> ❑ FILTER BED WIDTH It LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> `R <br /> It <br /> 13 MOUNDED WIDTH ft LENGTH_ IOit DEPTH ry <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE <br /> ❑ sumps WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LIN <br /> L3 DISPOSAL PONDS WIDTH fl LENGTH ft DEPTH F AQUI ft <br /> DISTANCE TO NEAREST WELL fl FOUNDATION ft PROPERTY LINE '�T NA)•' <br /> L3 SEEPAGE PITS NumsEA WIDTH ft DEPTH rMF.,71t <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> 1 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 /> MINIMUAI 48 HOUR ADVANCE NOTICE—REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-769 <br /> Es <br /> SIGNED TITLE STAFF SCIENTIST DATE 07-18-2019 <br /> Application Accepted By Date '1 -/G/ Area Employee IDA' k/11 <br /> Final Inspection By Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Plt/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received ChAmount Date PermW <br /> Invoice Permit IDA <br /> Code INFO B s Remitted Service Ra uestA <br /> S:2 s✓L <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />