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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />14 .InanmN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE • STOCKTON CA95205 .(209) 468-3420 <br />FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE <br />J06 ADDRESS <br />105 VI, Klo Rd. CITYIZIP Lathrop. CA <br />CROSS STREET MCnthey APN 191-240-20 PARCEL SIZE_ <br />OWNER NAME 31y/,y��[r"7���• �/�� PHONE +S�r <br />OWNER ADDRESS t V I ," CITYISTATE/ZIP (! i TCt[i,1ry .ami I ,'d "' 3`d ! <br />I i <br />CONTRACTOR <br />M!ke's Backhoe Service PHONE 209.456-2865 <br />CONTRACTOR ADDRESS P.O. BOX 650 CITY/STATEIZIP Manteca, CA 95336 <br />LICENSE C-42 C-36 OTHER A NUMBER 608554 EXPIRATION DATE 2020 <br />WATER TABLE DEPTH: <br />It GEOGRAPHICAL INFORMATION: Coordinates X <br />Y'- <br />PERC TEST # <br />--� <br />BUILDING PERMIT # - u LAND USE APPLICATION # <br />TYPE OF WORK: <br />! <br />NEW INSTALLATION R PAIRIADDITION <br />ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT-CIF•SERVICE SEPTIC SYSTEM <br />DESTRUCTION <br />INSTALLATION WILL SERVE: RESIDENCE C; COMMERCIAL <br />OTHER <br />NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: 3 7 <br />NUMBER OF EMPLOYEES: <br />SEPTIC TANK <br />TYPEIMFG P and L concrete CAPACITY <br />gal # OF COMPARTMENTS2 <br />❑ GREASE TRAP <br />TYPEIMFG CAPACITY_ <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL1001 ft FOUNDATION 10 <br />ft PROPERTY LINE 5 It <br />I <br />p/ LIFT STATION <br />SIZE Ad ft *ITYPE OF PUMP "O +A ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />_.... .. ............_...... ......._..,_......._..._,.._ . _...,,.,.,.... __.._._. <br />Z' <br />_.. .. <br />- <br />OF LINES„ ft <br />EACH LINES <br />LEACHING CHAMBERS # OF LINES <br />LENGTH _ ..__ <br />DISTANCE TO NEAREST WELL 100 _ It FOUNDA"TION 10 <br />It PRO+PEpRft LINE. <br />%1.'FILTER BED <br />f� <br />WIDTH �j�� It LENGTH i`J IT <br />DEPTH r i1 _ h <br />DISTANCE TO NEAREST WELL ) It FOUNDATION jLS <br />ft PROPERTY LINE it <br />❑ MOUNDED <br />WIDTH It LENGTH f <br />DEPTH R <br />DISTANCE TO NEAREST WELL It FOUNDATION <br />ft PROPERTYLINE It <br />❑ SUMPS <br />WIDTH it LENGTH ft <br />DEPTH ft <br />DISTANCE TO NEAREST WELL __ It FOUNDATION _It <br />PROPERTY LINE __._,_......... ..._...___ it <br />❑ DISPOSAL PONDS WIDTH It LENGTH It <br />DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />ft PROPERTY UNE It <br />❑ SEEPAGE PITS <br />NUMBER WIDTH _ft <br />_. <br />DEPTH _..--- ..—.__ It <br />DISTANCE TO NEAREST WELL fl FOUNDATION <br />ft PROPERTY UNE fl <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 />SIGNED Mike Fidler <br />Contractor DATE <br />42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4114118 <br />