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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STocooN CA 95205 - (209)468-3420 <br />NON-REFUNDABLE PERMIT CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 11655 5 Union Road CrraZip Manteca, 95336 <br />CROSS STREET Union Road ApN 204-030-07 PARCEL SIZE 0.77 acres <br />OWNER NAME Jose R. Marquez PHONE <br />OWNER ADDRESS 11655 S Union Road Cm/Mu-maw Manteca, CA 95336 <br />CONTRACTOR Petralogix Engineering, Inc. PHONE 209-400-5729 <br />CONTRACTOR ADDRESS 26675 Bruella Road CITY/STATE/ZIP Galt, CA 95632 <br />LICENSE 1:1 IC-42 Di 8657 IC-36 OTHER PG NUMBER EXPIRATION DATE N/A <br />WATER TABLE DEPTH: >30 ft GEOGRAPHICAL INFORMATION: Coordinates X -121.236613 ° y 37.856329° <br />PERC TEST # 1 <br /> <br />BUILDING PERMIT # <br /> <br />LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />I REPAIR/ADDITION <br />I OUT-OF-SERVICE SEPTIC SYSTEM <br />I ENGINEER DESIGNED /ALTERNATIVE <br />I DESTRUCTION <br /> <br />INSTALLATION WILL SERVE: O RESIDENCE U COMMERCIAL <br /> <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />11 OTHER <br />NUMBER OF EMPLOYEES: <br />0 <br />0 <br />0 <br />SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br />LIFT STATION SIZE TYPE OF PUMP CI PKG TX PLANT CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />0 LEACH LINES LEACHING CHAMBERS # OF LINES LENGTH OF LINES ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />0 FILTER BED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft <br />0 MOUNDED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft <br />0 SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl <br />0 DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE rt <br />0 SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br />DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPUCATION 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 />MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />S SIGNED TITLE Project Geologist DATE 3/2/2021 <br />Att <br /> <br />hed <br />DEPARTMENT USE ONLY <br />Application Accepted By Date Area Employee ID# <br />Final Inspection By Date 0 SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: PiVSump Soil Character: <br />COMMENTS <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />Check#/ <br />Cash <br />Amount <br />Remitted Date Permit/ <br />Service Request # Invoice # Permit ID# <br />TI <br />42-01 <br />4/24/12 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT