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T <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697FOR INSPECTIONS _EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 20500 Holly Drive CRR Z1P Tracy,CA <br /> CROSS STREET Northwest corner of Arbor Ave and W.Sugar Road APN 212-160-20 PARCEL SfZE 110-acres <br /> OWNER NAraE Mr.Paul Schneider,Siegfried PHONE 209.942.0214 Y <br /> OWNER ADDRESS 3428 Brookside Road CITYISTATEIZrP Stockton,CA 95219 <br /> CUNIHLCTON Conelnrc6on Tasting Services pllorlP 9 164 19-074 7 <br /> CONTRACTOR ADDRESS 4400 Yankee Hill Drive Crry/STATEIZIP Rocklin,CA 95677 <br /> LICENSE f_'=C-42 (_I-C-36 OTHER BUs,nelsL,c,Ra kb,CA NUMBER 014215 EXPIRAnONDATE 06/30/2022 <br /> WATER TABLE DEPTH:8 It GEOGRAPHICAL INFORMATION: Coordinates X 37.769810 y-121.421112 <br /> 0 PERC TEST p PI I--Qh P4 BUILDING PERMIT# LAND USE APPLICATION A <br /> TYPE OF WORK: X NEW INSTALLATION C REPAIR/ADDITION I: ENGINEER DESIGNED/ALTERNATIVE <br /> I! REPLACEMENT I� OUT-OF-SERVICE SEPTIC SYSTEM I' DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE M COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUIJBER OF BEDROOMS: NUMBER OF EMPLOYEES:TBD <br /> ❑ SEPTICTANK TYPFIMFG _- CAPACITY gal #OFCW.PARTMENTS-.—_ ,.__ <br /> ❑ GREASETRAP TYPEIMFG _ CAPACITY-_ gal AOFCOMPARTMENTS. ___ <br /> DISTANCETONEAREST: WELL II FOUNDATION it PROPERTYLINE 11 <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP O PKGTXPLANT CI SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ® LEACH LINES I LEACHING CHAMBERS TBD N OF LINES TBD LENGTH OF LINES TEID 11 <br /> DISTANCE TO NEAREST WELL>500' 11 FOUNDATION>10 II PROPERTYLINE>95 11 <br /> ❑ FILTER RED WIDTH 11 LENGTH —_.II DEPTH_ __—_-II <br /> DISTANCETO NEAREST WELL _ It FOUNDATION II PROPERTY LINE it <br /> ❑ MOUNDED WIOrH It LENGTH 11 DEPTH _ II <br /> DISTANCE TO NEAREST WELL It FOUNDATION II PROPERTYLINE 11 <br /> ❑ SUMPS WIDTH It LENGTH It DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION II PROPERTY LINE It <br /> ❑ DISPOSALPONDS WIDTH -_ _It LENGTH— _ 11 DEPTH_ _ It <br /> DISTANCE TO NEAREST WELLIt FOUNDATION_ It PROPERTYUNE _ 1t <br /> ❑ SEEPAGE PITS NUMBER WIDTH it DEPTH II <br /> DISTANCE TO NEAREST WELL It FOUNDATION it PROPERTYLINE 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 /> MINIMUM 48 HOUR ADVAY�O. ;iCE REQUIRED FOR IN T N -PLEASE CALL 2 953-7697 <br /> SIGNED Mike Turner,PG,CEG TITLE Project Geologist DATE 913012021 <br /> e h t h d I t P 1 a r. f 1 a917:1t <br /> E/VES <br /> - s 6 ��21 <br /> —9p _IEN�VNTV <br /> - RTMFNT <br /> DEPARTMENT EONLY <br /> Application Accepted B _r__�____l_L Dele�d ) Area Employeo IDY_�� <br /> Final Inspection By — Dale12.1 ❑ SPECIAL PERMIT-Approved by <br /> Character of Soll to Depth of 3 FI: It/Su p Soll Character: <br /> COMMENTS <br /> PE SC Recolved Check#/ Amount at Permit/ Invoice Permit 100 <br /> Code INFO Awn rAsh J1emill RequilstA <br /> 4201 ( i ! CY��2�� ONSITE WASTEWATER TRT/JNT SYSTEM PERMIT <br />