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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA95205-(209)468.3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joa ADDRESS 438 West Mathews Road CITYRIP French Camp y <br /> r� <br /> CROSS STREET Bright Road APN 193-180-500 PARCEL SIZE 3 acres <br /> OWNER NAME Nicolas and Rosalinda Aguirre PHONE 415-286-1140 <br /> OWNER ADDRESS 438 West Mathews Road CITY/STATEILP French Camp,CA 95231 <br /> CONTRACTOR Advanced GeoEnvironmental Inc. PHONE 209167-1006 <br /> CONTRACTOR ADDRESS 837 Shaw Road Crry/STATE/Z1P Stockton,CA 95215 <br /> LICENSE ❑❑C-42 ❑UC-36 OTHER C-57 NUMBER 680227 ExPIRATIoN DATE November 30 2021 <br /> WATER TABLE DEPTH:28 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #I BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OFWORK: D NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> D REPLACEMENT D OUT-OF-SERVICE SEPTIC SYSTEM D 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 TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE To NEAREST: WELL ft FOUNDATION R PROPERTYLINE R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL fl FOUNDATION R PROPERTYLINE it N <br /> ❑ FILTER BED WIDTH R LENGTH it DEPTH It A �F� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE ft ,e6 j, <br /> T <br /> ❑ MOUNDED WIDTH ft LENGTH fl DEPTH ft A <br /> DISTANCE To NEAREST WELL R FOUNDATION R PROPERTYLINE A <br /> 13 SUMPS WIDTH R LENGTH fl DEPTH ���� C- 3 12 7 <br /> DISTANCE TO NEAREST WELL fl FOUNDATION ft PROPERTY LINE w�l_N JO 019 <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH it DEPTH_ �yL j�•B" Q(/'At <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ! QN CO <br /> T, <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH It <br /> DISTANCE TO NEAREST WELLIt FOUNDATION R PROPERTY LINE It MINT <br /> 1 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 /> INIM 8 HO ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 1jQkjQjk2Z <br /> SIGNED loe TITLE DATE .. <br /> tic Irt .� <br /> DEPARTMENT SE ONLY <br /> Application Accepted By Date Z � Area � Employee IDN <br /> Final Inspection By Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Chec Amountpate ParmiU Invoice# Permit IDN <br /> Code INFO B Cash Remitted Service Request# <br /> ZZ3-Z- 17-13111 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />