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QNSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUIN CouNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZE:-pN AVENUE•STOCKTON CA 95205•(209)468-34213 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Jos ADDRESS 11065 N.Alpine Road C,TYfZIP Stockton,CA 95212 1 <br /> CROSS STREET Ei9`1t Mile Road ApN 063-040-23 PARCEL SIZE 1-5 <br /> z <br /> OWNER NAME Whitlow I COrtopassi Farms. Inc. PHONE r. <br /> r <br /> OWNER ADDRES <br /> S <br /> 111292 N.Alpine Road CITYISTATEIZIP Stockton CA�9{5212 <br /> CONTRACTOR / PHONE C� <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITYISTATEIZIP LODI CA 95240 <br /> LICENSE C-42 C-36 OTHER C-57 NUMBER 669004 EXPIRATION DALE 05-31-2021 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # 1 BUILDING PERMIT# _ LAND USE APPLICATION# _ <br /> TYPE OF WORM: NEW INSTALLATION REPAIRIADDIT10N ENGINEER DESIGNEDIALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE -. COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS` <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE 7o NEAREST: W ELL_ ft FOUNDATION fl PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PL;r1P 0 PKG TX PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS OF LINES LENGTH OF LINES — ft <br /> DISTANCE TO NEAREST WELL ft FOUNCATION ft PROPERTY LINE fl <br /> ❑ FILTER BED WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <br /> ❑ )MOUNDED WIDTH fi LENGTH It DEPTH fl <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WrDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It F011NDATiON ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH R LENGTII fI DEPTH ft <br /> DISTANCE Tp NEAREST WELL It FOUNDATION It PROPERTY LINE It <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION II PROPERTY LINE fI <br /> I HEREUY CPR:IrY 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 /> MWIMUM,48 HOUR AD VANCE NO TICE REQUIRED FQR INSPEC TIONS-PLEA SE CA ILL (209J 953-769 7 <br /> SIGNED G L TITLE STAFF SCIENTIST DATE 09-27-19 <br /> i' <br /> r <br /> III •y T <br /> m T <br /> fED <br /> =a•' � 19 <br /> _ NTY <br /> IFT EN T O M NT L <br /> L FH D F AI`ITO I ENT <br /> Eight Mlle Road <br /> (0.68 miles south) <br /> P RTMEW iEb m.L Y <br /> Application Accepted Date Area Employee ID# <br /> Final Inspection By Date Sro PECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 F , Pit/Sump nil Charac er: <br /> COMMENTSPf <br /> n _so cL ,4 klo kg�-C <br /> PE SC Received Chec I Amount ❑ate Permit/ Invoice# Permit ID# <br /> Code INFO Cash Remitted Service Request# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />