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I I I <br />919 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 GALL LU8 Y0J-/DY1 FOR INSPECTIONS CXPIKES I TLAK HKUM UAIL IJJULI <br />JOB ADDRESS yja Patrick rd. CITY/ZIP Stockton, CA <br />CROSS STREET Coopperopolis rd APN )0-3 a R a PARCEL SIZE i <br />OWNER NAME-..- rt <br />�Ip}DYII3 D wzej /eJZ J PHONE r <br />OWNER ADDRESS �%� � YI (Glc �1 CITYISTATEIZIP ge hA j ki qsj 1,5 - <br />CONTRACTOR Mike's Backhoe Service PHONE 209-456-2865 <br />CONTRACTOR ADDRESS P.O. Box 650 <br />CITYISTATEIZIP Manteca, CA 95336 <br />LICENSE F C-42 C-36 OTHER A NUMBER 608554 EXPIRATION DATE 2020 <br />WATER TABLE DEPTH: <br />ft GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />PERC TEST # <br />BUILDING PERMIT # <br />LAND USE APPLICATION # <br />TYPE OF WORK: <br />NEW INSTALLATION <br />REPAIR/ADDITION <br />ENGINEER DESIGNED/ALTERNATIVE <br />fl PROPERTY LINE 10' ft <br />REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />DESTRUCTION <br />INSTALLATION WILL SERVE: 7 RESIDENCE <br />F COMMERCIAL <br />OTHER <br />NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal #OF COMPARTMENTS <br />❑ GREASE TRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ LIFT STATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT ❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />tal <br />- <br />LEACH LINES <br />LEACHING CHAMBERS <br /># OF LINES 1 <br />LENGTH OF LINES 40' It <br />` <br />DISTANCE TO NEAREST <br />WELL 100•- <br />It FOUNDATION 10 <br />fl PROPERTY LINE 10' ft <br />❑ <br />FILTER BED <br />WIDTH <br />It LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />It FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />MOUNDED <br />WIDTH <br />It LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ <br />SUMPS <br />WIDTH <br />ft LENGTH <br />ft DEPTH it <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE it <br />❑ <br />DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />PA <br />SEEPAGE PITS <br />NUMBER 2 <br />WIDTH 36„ <br />It DEPTH 25' ft <br />DISTANCE TO NEAREST <br />WELL 150 <br />ft FOUNDATION 10 <br />ft PROPERTY LINE 10 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 <br />COUNTY. <br />MINIMUM 48 <br />HOUR ADVANCE NOTICE REQUIRED <br />FOR INSPECTIONS - PLEASE CALL (209) 953-7697 <br />SIGNED <br />Mike Fuller <br />TITLE Contractor <br />DATE <br />7� l DEPARTMENT USE ONLY Q f�J <br />Application Accepted B c/�-lil/�n/ Date Area q I Employee ID# <br />Final Inspection By i�D ��e.�,i+ d��c Date SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS 0T7dI?+e1m111L fee J1. P-X)0;n! lines _10 emizIn. 776 Pn*ii(cc <br />PE SC Received Check Amount Permit/ Invoice # Permit ID# <br />Code INFO at Remitted Service R&qugst # <br />a)o ns b3w <br />42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4114/18 <br />