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JOB ADDRESS 15999 W. Corral Hollow Road <br />CROSS STREET 580 Freeway <br />CITY/ZIP Tracy, 95377 <br />APN 251-140-05 PARCEL SIZE 575140 ac <br />OWNER NAME Department of Energy, Lawrence Livermore National Lab - C/O Ada Chan (Site Rep) PHONE 925-422-1100 <br />OWNER ADDRESS 15999W. Corral Hollow Road <br />CONTRACTOR A'der''' Burt°' <br />CITY/STATE/ZIP Tracy, CA, 95377 <br />PHONE 805-202-3531 <br />LICENSE I C-42 I C-36 OTHER A NUMBER 773011 EXPIRATION DATE 9r30/2021 <br />IX OTHER FEDERAL TRAINING FACILITY I I RESIDENCE )(1 COMMERCIAL <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: " <br />TYPE OF WORK: X NEW INSTALLATION <br />REPLACEMENT <br />BUILDING PERMIT # WA LAND USE APPLICATION # " <br />INSTALLATION WILL SERVE: <br />WATER TABLE DEPTH: 100+ <br />El PERC TEST # <br />ft GEOGRAPHICAL INFORMATION: Coordinates X -121 537373° y 37.667148° <br />REPAIR/ADDITION y. ENGINEER DESIGNED /ALTERNATIVE <br />OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br />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 />CONTRACTOR ADDRESS 121 Nevada Street CITY/STATE/ZIP Arroyo Grande, CA 93420 <br />Application Accepted <br />Final Inspection By <br />Character of Soil to Depth of 3 Ft <br />SEE ATTACHED <br />Date (111;•.),.. Area 5/ q °1 <br />DEPARTMENT,LISE ONLY <br /> Date <br />Pit/Sump Soil Character: <br />Employee ID# <br />SPECIAL PERMIT - Approved by <br />indi L na,. COyMENTS NevJ CorlinleiZ syslern• P—::/c, II. ct 0 I <br />tol 0//aao Dye tz ofepth f a %cffci .f ere <br />See -Mao check SR005 .1q46 t <br />PAyit, <br />it? —tett/ zez _ s °2 2 „ <br />0 20 <br />t?Puh% _ <br />oft4,40.741, <br /> CO <br />7;4"iv hiev <br />7. <br />sAN <br />CAPACITY 4" <br /> <br />gal # OF COMPARTMENTS 2 <br />CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL I ' ft FOUNDATION 7' -1- ft PROPERTY LINE -0 A> 1— ft <br />LIFT STATION SIZE TYPE OF PLIMP CI PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />SEPTIC TANK TYPE/MFG Precast Concrete <br />GREASE TRAP TYPE/MFG <br />LEACH LINES LEACHING CHAMBERS <br />DISTANCE TO NEAREST WELL <br />FILTER BED WIDTH 24 ft LENGTH <br />DISTANCE TO NEAREST WELL 1004 <br /># OF LINES LENGTH OF LINES ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />80 ft 5;<-'e en,f)Det lee/ pfti <br /> ft FOUNDATION 74* ft PROPERTY LINE 34'5— ft <br />MOUNDED WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL <br /> <br />ft FOUNDATION ft PROPERTY LINE ft <br />SUMPS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />_ <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 />mierpm 48 HOUR ADV NCE NOTICE REQUIRED FOR INSPECTIONS - PLEAS E CALL (209) <br />SIGNED -.)'" TITLE CIVIL ENGINEER DATE 9-22-20201 <br />PE <br />Code , <br />SC <br />INFO <br />Received ChecidNyiLaAmount <br />Cash 171 <br />ate Permit/ <br />SArvice Re cast # Permit IDID//El Remitted <br />, , <br />Invoice # <br />96k14-‘ ;PS.C-) on if))$c,c-o *A 5K, 1 <br />L031 5-31 47W _k a0K2 AZ i <br />VIT18 C4Wre PA Ykrel, <br />1 Iliq3C -4c-cto <br />II 760a7q #710 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT