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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH 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 6040 E.Ashley Lane CrTY/ZIP Stockton/95212 y <br /> CROSS STREET Femwood Drive APN 086-480-14 PARCEL SIE 311 Acres E; <br /> 0 <br /> Royal Funding Mana ement LP CJD Rick Townle 209-810-4023 <br /> OWNER NAME Y 9 9 y PHONE <br /> OWNER ADDRESS P.O.Box 587 Cm/STATEILP Linden/CA/95236 <br /> CONTRACTOR Dillon 8 Murphy PHONE 209-334-6613 <br /> CONTRACTOR ADDRESS P.O.Box 2180 Crry/STATE/LP LodUCA/95240 <br /> LICENSE C-42 , ;C38 OTHER NUMBER EXPIRATION DATE <br /> WATER TABLE DEPTH: R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> FERC TEST N'S BUILDING PERMIT# LAND USE APPLICATION#PA 1600084 <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/AoOlTION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LPANG UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION R PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE R <br /> ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH ft <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE it <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 /> HO ApVANCE NOTICE UIRED FOR INSPECTIONS- 953-Z69 <br /> SIGNED /� <br /> TITLE Party Chlef DATE <br /> - <br /> ,JS6 .IS.. d51. ,151. URA. <br /> •\ •ISL � ., � -^ <br /> s � <br /> -. <br /> Application Accepted By Date` Area C Employee ID# V V Q <br /> Final Inspection By Date L ( SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE <br /> LEceived CheciDN Amount DiDe PsrmInvWaN Permit IDN <br /> Code - CasNRemitted Service Re us tN <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />