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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 10331 N State Rte 99 Frontage Road CITY/Zlp Stockton,95212 <br /> CROSS STREET Waller Road APN 122-030-080 PARCEL SIZE 1.12 e <br /> 0 <br /> OWNER NAME Felix JalmeS PHONE 209 298-4420 <br /> ig <br /> OWNER ADDRESS 8712 LOS Olives Ct CITY/STATE/ZIP Stockton,CA,95210 <br /> CONTRACTOR AdvancedGeo,Inc.(AGI) PHONE(800)511-9300 <br /> CONTRACTOR ADDRESS 837 N Shaw Road CITY/STATE/ZIP Stockton,CA,95215 <br /> LICENSE L. C-42 [I.C-36 OTHER C-57/A-HaZ NUMBER 680227 EXPIRATION DATE 11/30/20 <br /> WATER TABLE DEPTH: 75 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> X PERC TEST # 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 I_. OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> 0 SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> O GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> 0 LIFTSTATION SIZE TYPE OF PUMP Cl PKGTXPLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> O 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 /> REQUIRED F R INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED TITLE Senior Geologist DATE 9 <br /> 2020 <br /> gNry <br /> BHT <br /> U PARTMEN USE06NLY <br /> Application Accepted PAWY Date Are Employee ID# <br /> Final Inspection By Date 2 ❑ S CIAL PERMIT-Approved by <br /> Character of Soil to�epth of/At: Pit/Sump Soil <br /> h�acter: <br /> COMMENTS C/ <br /> V, <br /> PE <br /> SC Received eck#/ Amount Date PermiU Invoice# Permit ID# <br /> Code INFO B as Remitted Service Re est# <br /> qizz_ 000 Lk �i <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />