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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />IVUN-F(tt-UNUAI YtKMI l (.ALL LVJ V0,1-faw /-UK INSYtCllUNS CX.HIKtS 7 TtAK hKUM UAIt I,SUhl <br />JOB ADDRESS 3271 E. Liberty Road CITY/ZIP Acampo, 95220 <br />CROSS STREET N. Highway 99 Frontage Road APN 005-1DD-01 PARCEL SIZE 2.95 AC <br />OWNER NAME Dhanda Development Group, Inc. PHONE 209-405-6159 <br />OWNER ADDRESS 1821 Mitchell Road CITY/STATE/ZIP Ceres, CA 95307 <br />CONTRACTOR Dillon & Murphy Go Joe Murphy PHONE 209-334-6613 <br />CONTRACTOR ADDRESS PO Box 2180 CITY/STATE/ZIP Lodi, CA 95241 <br />LICENSE _I C-42 �] C-36 OTHER RCE NUMBER 45277 EXPIRATION DATE 09-30-2022 <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br />® <br />PERC TEST # I <br />BUILDING PERMIT # <br />41 <br />LAND USE APPLICATION # <br />TYPE OF WORK: <br />n NEW INSTALLATION F <br />REPAIRIADDITION <br />-1 ENGINEER DESIGNED /ALTERNATIVE <br />It PROPERTY LINE It <br />I] REPLACEMENT C <br />OUT -OF -SERVICE SEPTIC SYSTEM I] DESTRUCTION <br />INSTALLATION WILL <br />SERVE: ❑ RESIDENCE <br />❑ COMMERCIAL <br />❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ <br />SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />❑ <br />GREASE TRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST <br />WELL <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />LIFT STATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT <br />❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />I LEACHING CHAMBERS <br />#OF LINES <br />41 <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />It PROPERTY LINE It <br />❑ FILTER BED <br />WIDTH <br />It LENGTH <br />It <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />It PROPERTY LINE ft <br />❑ SUMPS <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH <br />It LENGTH <br />It <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ SEEPAGE PITS <br />NUMBER <br />WIDTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <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 />PAY M r- NT <br />RECEIVE® <br />AIN 2 8 2021 <br />;AN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />iEALTH DEPARTMENT <br />A eu 2 <br />PE <br />Co^7de <br />SC <br />INFO <br />Received Check#/ Amount ate PermiU Invoice # Permit ID# <br />Cash Remitted Service Re uest# <br />41 <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />