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r ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 NON-REFUNDABLE PERMIT __ CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 14800 Schulte Road CITY/ZIP Tracy,CA 95377 CROSS STREET Quality Road APN 20924023 PARCEL SIZE -36 Acres OWNER NAME LBA RVI CO XXXII LLC PHONE OWNER ADDRESS PO Box 847 Cm/STATE/ZIP Carlsbad,CA 92018 CONTRACTOR Cornerstone Earth Group PHONE 408-245-4600 CONTRACTOR ADDRESS 1259 Oakmead Pkwy CITY/STATE/ZIP Sunnyvale,CA 94085 LICENSE 11--C-42 0=C-36 OTHER CalifOmia P.E. NUMBER 59705 EXPIRATION DATE 12/312021 WATER TABLE DEPTH: 30-35' it GEOGRAPHICAL INFORMATION: Coordinate, X 37.719678° Y-121.489555' X PERC TEST #P-.P f BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: ._ NEW INSTALLATION _ REPAIR/ADDITION _ ENGINEER DESIGNED/ALTERNATIVE REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM I DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: O SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS DISTANCE TO NEAREST: WELL It FOUNDATION it PROPERTY LINE ft ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES -i LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl ❑ FILTER BED WIDTH it LENGTH ft DEPTH R DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH it LENGTH ft DEPTH it DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WIDTH it LENGTH it DEPTH ft DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH it LENGTH ft DEPTH it DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE ft ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIM ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 1209 953-7697 SIGNED TITL95;-1.1. f9i% 0. 6-%iligg, DATE O A000 FENT VED 62 020 E1411 (ZIJIN J MENTAL.71' A 7.41ENT DEPARTMENTS ONLY G �� Application Accepted By Date r0 6 ?O b Area S / Employee ID# Final Inspection By Date \\TI�`�-W?D ❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS Vt , CLsS< Lay.Qt A--,z 9_, pJ 0*S T-�C.C.3'� tip Gk,- T Wife. 5w-A r sorJ`, S&t&a dot. PE SC Received Check#/ Amount Date Perm[ Invoice# Permit ID# Code INFO B Casb Remitted Service Request# as sa3f 30LI ��.L//'/�f r r„ 42A1 41!V V ��lJ ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4114/18 C.,� cr 115,71