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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 /> JOB ADDRESS 6800 S.EL DORADO STREET C,,/ZIP FRENCH CAMP if <br /> CROSS STREET FRENCH CAMP APN 193-070-13 PARCEL SIZE 4.11 C <br /> C <br /> OWNER NAME HABIR SINGH R DHILLON TALBIR SINGH PHONE 510 779 6644 r <br /> OWNER ADDRESS 32646 ENDEAVOR WAY CITY/STATEIZIP UNION CITY,CA 94587 <br /> CONTRACTOR TERRACON CONSULTANTS INC PHONE 209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITYISTATEIZIP LODI CA 95240 <br /> LICENSE C-42 C-36 OTHER C-57 NUMBER 669004 EXPIRATION DATE 45-31-2021 <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> X PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: _ RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPAfITY gal #OF COMPARTMENT$ <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL R FOUNDATION R PROPERTY LINE fl <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION It PROPERTY LINE R <br /> ❑ MOUNDED WIDTH R LENGTH R DEPTH V <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE <br /> ❑ SUMPS WIDTH R LENGTH R DEPTH <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINES!? <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH R DEPTH QU/ - R <br /> DISTANCE TO NEAREST WELL R FOUNDATION it PROPERTY Ll <br /> ThNRy <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH RTM,cA/(t <br /> DISTANCE TO NEAREST WELL R FOUNDATION .__ R PROPERTY LINE R <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 /> MINIM!QM�1 46 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED �;,yi2lLcd,'zi. LiLZ'C�`n TITLE STAFF SCIENTIST DATE 07-18-2019 <br /> �I z <br /> -14EPARTMENTUSE ONLY <br /> Application Accepted By Date 7-I,�-/�I// Area �/ Employee ID# W n <br /> Final Inspection By Date�/ --3f I T SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft- 5 -`I /Pit/Sump/Soil/Character: <br /> COMMENTS <br /> PE SC Received C Amount Date Permit! Invoice M Permit IDM <br /> Code INFO By Remitted Service Ra uest# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />