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a a ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 42-01 4/14/18 DEC 1 5 2020 -ry JOAQUIN COL N ENVIRONMPNTAL HEALTH DEPARTMENT BAN Application Accepted Final Inspection By Character of Soil t Dey of 3,:1 r-, COMMENTS Veit'', re- SPECIAL PERMIT -Approved by EPARTMENT USE ONLY Date Area 41/71 Employee ID# Oar/ tit_ Date Pit/Symp Soil Cliarrter: ae,cfea 61-ort o+ I Id s PE Code SC INFO Receiv d Checkt# Amount Cash Remitted Date Permit/ Service Re est.# Invoice # Permit ID# Y210 CL-3 is t7813oo 120124 S ,W I ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) 468-3420 NON-REFUNDABLE PERMIT i CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 7198 CROSS STREET OWNER NAME 0 t OWNER ADDRESS CONTRACTOR Mike's Backhoe Service CONTRACTOR ADDRESS P.O. Box 650 CITY/STATE/ZIP Manteca, CA 95336 LICENSE I C-42 I C-36 OTHER A NUMBER 608554 EXPIRATION DATE 2525 WATEFf TABLE DEPTH: 4'?"..• /SD ft GEOGRAPHICAL INFORMATION: Coordinates X PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # TuIlty rd crryizip Linden. CA s oc.i< 1235 APN Oct(6 fa61 53- PARCEL SIZE I ( TICRIV 3.LN PHONE CITY/STATE/ZIP PHONE 209-456-2865 TYPE OF WORK: NEW INSTALLATION X REPLACEMENT INSTALLATION WILL SERVE: 7 RESIDENCE NUMBER OF LIVING UNITS: 1 REPAIR/ADDMON ENGINEER DESIGNED /AVER ATIVE OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION )1.051-' `C 4 < E COMMERCIAL [7 OTHER NUMBER OF BEDROOMS: 2 NUMBER OF EMPLOYEES: SEPTIC TANK TYPE/MFG P&L Concrete CAPACITY 1200 gal if OF COMPARTMENTS 2 GREASE TRAP TYPE/MFG CAPACITY gal it OF COMPARTMENTS DISTANCE TO NEAREST: WELL 155. ft FOUNDATION 25 ft PROPERTY LINE 78' ft LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 13 SAND OIL SEPARATOR (ENCLOSED SYSTEM) LEACH LINES LEACHING CHAMBERS # OF LINES 2 LENGTH OF LINES 55 ft DISTANCE TO NEAREST WELL 100. ft FOUNDATION ft PROPERTY LINE 15' fi FILTER BED WIDTH ft LENGTH ft DEPTH f1 DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft MOUNDED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft SEEPAGE PITS NUMBER 2 WIDTH 42" ft DEPTH 25' ft DISTANCE TO NEAREST WELL 180' ft FOUNDATION 70' ft PROPERTY LINE 10' ft 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. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED Mike Fuller TITLE Contractor DATE PAYMENT RECEIVED