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F or <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) 953-7697FOR/NSPEC7TONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 15314 Thornton Road - — CRY/ZIP Lodi -- - - --- <br />CROSS STREET Hwy 12 )) APN 025-10-031 rr PARCEL SIZE 4.96 <br />OWNER NAME Investors LLC 11 Ml L1 y !� Ye �Lff -4. PHONE` yp� <br />OWNER ADDRESS 3a Sr mrirch 4r4- !ITh Fi-r CITYISTATEMIP +pCF-�r •����1 <br />CONTRACTOR TERRACON CONSULTANTS INC. / AARON MEJORADO PHONE 209-367-3701 <br />CONTRACTOR ADDRESS 902 1NDUSTRtAL WAY CITY/STATE(ZIP LODI, CA 95240 <br />LICENSE C C-42 ❑ C•36 OTHER PE NUMBER 72446 E IRAnON DATE06/30/2022 <br />Ac, ron in ii�j rrAaa <br />WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y <br />E7 PERC TEST p 3 _ l_ BUILDING PERMIT # _- -- - <br />LAND USE APPUCATiON #__ _ <br />TYPEILWWWR;: NEW INSTALLATION RepAiRlAnornom NOINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE G COMMERCIAL L OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NuMSFR OF EMPLOYEES: <br />❑ SEPTIC TANK TYPE/MFG CAPACITY gal N OF COMPARTMENTS <br />❑ GREASETRAP TYPEIMFG _ CAPACITY 981 N OF COMPARTMENTS <br />DISTANCETO NEAREST: WELL 11 FOUNDATION _ ft PROPERTY LINE I <br />❑ LIFF STATI ON SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />LEACHING CHAMBERS <br />N OF LINES <br />LENGTH OF LINES <br />f <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION +'— <br />it PROPERTY LINE <br />❑ FILTER BED <br />WIDTH <br />R LENGTH <br />T <br />It <br />DEPTH <br />it <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION <br />it PROPERTY LINE <br />it <br />❑ MOUNDED <br />WIDTH _ <br />it LENGTH <br />_ <br />It <br />DEPTH <br />It <br />DISTANCE TO NEAREST <br />WELL _ <br />it FOUNDATION <br />It PROPERTY LINE <br />It <br />Q SUMPS <br />WIDTH <br />_ it LENGTH _ <br />_ _ _ <br />It <br />DEPTH <br />fl <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION <br />fl PROPERTY LINE <br />fl <br />O DISPOSAL PONDS WIDTH <br />It LENGTH <br />_ _ <br />it <br />DEPTH <br />DISTANCETONEAREST <br />WELL <br />it FOUNDATION <br />It PROPERTY LINE <br />ft <br />O SEEPAGE PRS <br />NUMBER <br />VADTH __ <br />_ _ _ __ <br />_ _ <br />it DEPTH _ <br />ft <br />DISTANCE TO NEAREST <br />WELL <br />it FOUNDATION <br />ft PROPERTY LINE <br />It <br />I HEREBY CERTIFY THAT 1 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 />P A R T 9 E N T USX AXLY Application Accepted By ���+t� ,L _ Date ! O % Area Employee IDN NA <br />Final Inspection By Date _ Ll SPECIAL PERMIT - Approved by <br />Character of SOLI to Depth of 3 Ft: _ Pit/Sump SON Character. _ <br />COMMENTS <br />PE Sc <br />Coda INFO __ <br />aaa s <br />Received <br />-Qvmh.yS6 <br />Climickill <br />I Amount_ <br />PWM[t/ — Invoice M <br />Request, N <br />If <br />SRUQ9 <br />Permft100 <br />141 37 / ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />V <br />4114/18 <br />ANT <br />Fp <br />'O?1 <br />