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F <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 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS <br /> 335 N Patton Rd. CITY/Zjp Stockton.CA CROSS STREET Main ApN 103-110-31 10 31 Z JO / PARCEL SIZE L9 _ d <br /> 0 <br /> A <br /> OWNER NAME C11714')✓I �ri rr��r(;r?E' PHONE <br /> S-27 <br /> OWNER OWNER ADDRESS r�J hT�h G��� �� CITYISTATE/ZIP 5:6,C-f Jl7 O <br /> CONTRACTOR Mike's Backhoe Servicey PHONE 209-456-2865 <br /> CONTRACTOR ADDRESS P.O.Box 650 CITYISTATE/LP Manteca,CA 95336 <br /> LICENSE ❑❑C-42 -]--C-36 OTHER A NUMBER 608554 E%PIRATION DATE 2020 <br /> WATER TABLE DEPTH: S ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # BUILDING PERMIT# OO ' LAND USE APPLICATION# <br /> TYPE OF WORK: - NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT ❑ OUT-OFSER`ACE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: RDENCE ❑ COMMERCIAL C1 OTHER <br /> ESI <br /> NUMBER OF LIVING UMTS: 1 NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG PBL Concrete CAPACITY 1200 gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL 100 ft FOUNDATION 50' ft PROPERTY LINE 40 ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS #OF LINES 3 LENGTH OF LINES 55' ft <br /> DISTANCE TO NEAREST WELL 100+ ft FOUNDATION 60' ft PROPERTY LINE 40 It <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> ❑ SUMPS WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> W"SEEPAGE <br /> TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> iB SEEPAGE PITS NUMBER 3 WIDTH 36" ft DEPTH 25' ft <br /> DISTANCE To NEAREST WELL 150' It FOUNDATION 100' It PROPERTY LINE 49 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 COUNTY. <br /> MINIMUM 48 HOREQUIRED FOR SE CALL 209 953-7697 <br /> SIGNED Mike Fuller TITLEContractor DATE tib �GNy <br /> S ejej a t t a c h e di 1 11M - r <br /> VF�D <br /> 2p20 <br /> OMTuNN <br /> DEPARTMENTUSEONLY F ► <br /> T <br /> Application Accepted B Date ID171dor Area Employee ID# <br /> Final Inspection By Date ;-`SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth,of 3 Ft: � PIUSump Soil ha ter: �J <br /> COMMENTS Sr!< A✓ fVo JQ ��5 I )1 it/ E'C' f (!YI t Y <br /> (, -�r�in rn - $2 ' - D <br /> o <br /> PE ISC Rec ived 1 Amount Date Permit/ Invoice# Permit ID# <br /> Code INFO B Cash Remitted Service Re uest# <br /> ala►► I s- S <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />