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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 State Highway 120/French Camp Road-PO Box 314 CITY/ZIP Ripon,95366 <br /> q <br /> CROSS STREET French Camp Road APN 203-220-76� PARCEL SIZE 2.11 0 <br /> 0 <br /> OWNER NAME Maria Cervantes Menchaca PHONE 209 610-9109 <br /> OWNER ADDRESS State Highway 120/French Camp Road-PO Box 314 CITY/STATE/ZIP Ripon,CA,95366 <br /> CONTRACTOR Advanced GeoEnvironmenlal,Inc(AGE) PHONE(800)511-9300 <br /> CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIp Stockton,CA,95215 <br /> LICENSE L C-42 L 1 C-36 OTHER C-57/A-Haz NUMBER 680227 EXPIRATION DATE 11/30/19 <br /> WATER TABLE DEPTH: -60 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #I 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: L RESIDENCE L COMMERCIAL 1.1 OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> 0 GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE It <br /> O FILTERBED WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> O MOUNDED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH fl LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE 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 UPUR ADVANCE NOTICE E IRED FOR INSPECTIONS-PLEASE CALL <br /> SIGNED TITLE Senoir Geologist DATE 7/01/19 <br /> �Ncf <br /> 13. <br /> 3 Zp�9 <br /> GD�N-(Y <br /> S EPAR MENS <br /> EPARTMENT S ONLY <br /> Application Accepted8 Date Area Employee ID# <br /> Final Inspection By Date L SPECT L PERMIT-Approved by <br /> Character of Soil to pth of 3 Ft: Pit/ ump So1'I Cha c <br /> COMMENTS �YG �0. L I /► I� (rh <br /> PE I SCReceived Check#/ Amount Date Permit) Invoice# Permit ID# <br /> Code INFO By Cash Remitted Sarvice Re uest# <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />