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to <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SW E MAIN STREET-STOCKTON CA 95202-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953.7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 241 East 4th Ctreet CITY/ZIP, L <br /> CROSS STREET I- M _ APN QJ— /O CS PARCEL SIZE o <br /> OWNER NAME Manteca Unified School District �aT�=tz PHONE 209-825-3200 <br /> OWNER ADDRESS P.O. Box 32 CITYISTATEMP Manteca, CA 95336 <br /> n <br /> CONTRACTOR. C.T. Brayton & Sona, Inc. PHONE 209-838-7388 16- <br /> CONTRACTOR ADDRESS 1804 Jackson Avenue CITYISTATEIZIP Escalon CA 95320 y <br /> UCENSE FC-42 I{C-36 OTHER NUMBER EXPIRATION DATE �ccF 13 <br /> n <br /> p <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y v <br /> n <br /> C PERC TEST M BUILDING PERMIT# P5-1000188 LAND USE APPLICATION# <br /> a <br /> TYPE OF WORK: QC NEW INSTALLATION 0 REPAIR/ADoty*N U ENGINEER DESIGNED IALTERNATIVE m <br /> n <br /> REPLACEMENT 0 OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: G RESIDENCE K COMMERCIAL ❑ OTHER H <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: p <br /> A SEPTIC TANK TYPWMFG Jensen Commercial SepticCAPACITr 4000 gal MOF COMPARTMENTS x <br /> 0 GREASE TRAP TYPEIMFG Tank CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION It PROPERTY LINE it <br /> -13 LIFT STATION SIZE 2 HP TYPE OF PUMP Goulds C1 PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> r� Pump <br /> ® LEACH LINES _ LEACHING CHAMBERS #OF LINES 4 LENGTH OF LINES 100 It <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft H <br /> O FILTER BED MOTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> 0 MOUNDED WIDTH ft LENGTH ft DEPTH R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> O SUMPS WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> 0 DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it <br /> 0 SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT 1 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 /> WI!\U!!e!!4 OUR CE NOTICE REQUIRED FOR INSPECTIONS -PLEASE CALL(209)953-7697 <br /> SIGNED TITLE C.A1a}r�: !, �h& DATE <br /> r <br /> I <br /> I <br /> d loth <br /> PgqE <br /> ;4A DE A. <br /> I <br /> i I <br /> -- l i <br />